The on-demand MR-Linac Radiotherapy course provides a comprehensive and practical exploration of the rapidly evolving field of MRI-guided radiotherapy. Designed for radiation oncologists, medical physicists, and radiation therapists, this course offered an in-depth understanding of MR imaging principles, adaptive radiotherapy workflows, and clinical applications across multiple tumour sites. Through expert-led lectures participants gain valuable insights into how MR-Linac technology is transforming precision cancer treatment. The on-demand version now offers the opportunity to experience the course at your own pace—ensuring you stay at the forefront of innovation in MR-guided radiotherapy. Don’t miss your chance to enhance your expertise and integrate these cutting-edge techniques into clinical practice!

For all participants:

Multi-disciplinary introduction
• Introduction: From IGRT to in-room MRI-Guided Radiotherapy, the technology, medical and RTT
• MR-simulation and MR-guided Radiotherapy: common aspects and differences
• MRgRT and brachytherapy

In-room MRI
• Hybrid MR-guided RT machines: Low field vs high field
• Clinical workflow of an in-room MRI-Guided Radiotherapy treatment
• In-room MR image processing and planning

Wrap up
• Online adaptive radiotherapy: workflow and criticalities
• RT and MR safety

For Radiation Oncologists and RTTs

MRI-guided adaptive radiotherapy
• MR Physics: Basic Introduction
• Artifacts in MRI: clinical point of view
• Decision Making: when do adapt a treatment fraction?
• Immobilization devices and MR simulation in MR-guided RT
• Management of breathing motion in MR-guided RT

For Radiation Oncologists

Clinical on-line MRI-guided radiotherapy
• Clinical Indications for MR-guided Radiotherapy treatment
• Patient selection criteria and compliance assessment
• Clinical Experience in MR-guided Radiotherapy
• Quantitative and functional imaging during MRI-guided Radiotherapy (RO/RTT)

For Physicists

MRI Physics
• Artifacts in MRI: physical point of view
• Quality Control for MR in Radiotherapy
• Motion management with MRI gating

Handling the magnetic field, motion and biology
• Dosimetry in the presence of magnetic fields
• Patient-specific QA in online adaptive MRgRT
• Quantitative and functional imaging during MRI-guided Radiotherapy (MP)

For RTTs:

On-line treatment towards functional guidance
• Patient Positioning: Brain, Head and Neck, Thorax, Upper Abdomen and Pelvis
• Practicalities for patient management and workflow
• Basic principles of OARs contouring on MR
• Quantitative and functional imaging during MRI-guided Radiotherapy (RO/RTT)

The technological development in Image Guided Radiotherapy has led to the introduction of hybrid machines linking an MRI scanner to a linear accelerator. The possibility to have high soft tissue contrast with no extra dose to the patient and live imaging to gate the treatment delivery opens new frontiers in the world of adaptive radiotherapy. The complexity of this discipline requires advanced skills in the fields of physics and radiotherapy.

In this interdisciplinary course, we aim to:
- Provide a detailed overview of the clinical rationale and indications of in-room MRI-guided RT
- Deepen the knowledge of the clinical, physical and technical aspects of MRI-guided RT implementation in clinical practice
- Share opportunities and challenges of the MRI-guided radiotherapy systems in different clinical scenarios

Course Directors

• Uulke van der Heide, Medical Physicist, The Netherlands Cancer Institute - Antoni van Leeuwenhoek Hospital, Amsterdam, The Netherlands (NL)
• Luca Boldrini, Radiation Oncologist Fondazione Policlinico Universitario “A. Gemelli” IRCCS, Rome (IT)

Teachers

• Stefanie Corradini, Radiation Oncologist, LMU Klinikum, Munich (DE)
• Cihan Gani, Radiation Oncologist, University Hospital Tuebingen, Tuebingen (DE)
• Sebastian Klűter, Medical Physicist, University Hospital Heidelberg, Heidelberg (DE)
• Faisal Mahmood, Medical Physicist, Odense University Hospital ,Odense (DK)
• Helen McNair, Lead Research Radiographer, The Royal Marsden NHS Foundation Trust, Sutton (UK)
• Stella Mook, Radiation Oncologist, UMC Utrecht, Utrecht (NL)

The programme is available here.

Membership

ESTRO members can order products at substantially reduced prices. To benefit from the member registration rate, you must subscribe for the ESTRO membership 2025 BEFORE registering to the course. To become an ESTRO member, benefit from the member registration rate and discover the many other member advantages, please visit the membership page.

Fees

Fees are VAT inclusive

Reduced fees

Members from emerging countries may register at a preferential rate of 175 Euro. Emerging country fee applies to individuals from low-income and lower-middle-income economies according to the World Bank listing here. Please send a mail to education@estro.org to request this rate.

World Bank Country and Lending Groups – World Bank Data Help Desk

Cancellation

Cancellation is NOT possible after payment.