As the focus is on clinical application, the teachers’ team consists of both radiation oncologists (50%) and medical physicists (50%). 

Course Director 

• Eduard Gershkevitsh, Chief medical physicist at North Estonia Medical Centre, Tallinn, (EE)

Teachers 

• Marion Essers, Medical Physicist, Instituut Verbeeten, Tilburg (NL)
• Shaista Hafeez, Clinical Oncologist, Royal Marsden NHS Trust and The Institute of Cancer Research, Marsden (UK) 
• Kenneth Poels, Medical Physicist, University Hospital Gasthuisberg, Leuven (BE) 
• Michael Gubanski, Radiation Oncologist, Karolinska University Hospital – Sodersjukhuset, Stockholm (SE)
• Milan Tomsej, Medical Physicist, CHU Charleroi, Hôpital André Vésale, Montigny-le-Tilleul (BE)
• Louise Murray, Yorkshire Cancer Research University Clinical Academic Fellow and Honorary Consultant Clinical Oncologist, Leeds Cancer Centre and University of Leeds (UK)

The course aims to:

• Provide knowledge and understanding of physics relevant to modern clinical radiotherapy 
• Provide comprehensive overviews of imaging and volume concepts in radiotherapy 
• Discuss modern dose delivery techniques, such as IMRT, rotational therapy (VMAT, helical tomotherapy), S(B)RT, IGRT, adaptive therapy (ART), particle therapy and brachytherapy 
• Discuss safety issues in lectures on commissioning and QA/QC, radiation protection, in vivo dosimetry and induction of secondary tumours.

Complimentary to the lectures, this course has clinical case discussions as an important component. The case discussions aim at teaching physics by practical application in treatment planning.

Learning Outcomes

By the end of this course participants should be able to:

• Discuss and select modern treatment techniques based on their pros and cons
• Select physics and technical measures that enhance effective and safe application of radiation therapy.

Course Content

1. Lectures on:

• IMRT/VMAT - physics aspects, clinical application and impact
• Stereotactic radiotherapy (cranial and extra-cranial)
• Rotational therapy (VMAT, helical tomotherapy)  
• Particle therapy (electrons, protons, ions)
• Volumes in external beam radiotherapy
• Imaging for GTV definition
• Imaging for treatment preparation and planning
• PTV margin calculation
• IGRT (equipment for in-room imaging, set-up correction strategies, clinical examples)
• Adaptive radiotherapy
• Dose prescription and plan evaluation
• Field junctions (how, when, and alternatives)
• Commissioning and Quality Assurance/Control of equipment and software
• Brachytherapy
• Radiobiology in the clinic
• Implementing patient-specific dosimetric QA
• Radiation Protection and risk analysis
• Induction of secondary tumours 
• AI and Automation in Radiotherapy

Specific for clinicians:

• Basic radiation physics
• Dose calculation: principles and application in the TPS  
• Radiotherapy equipment
• Physics of advanced radiotherapy.

Specific for physicists:

• Reference and non-reference dosimetry
• Modern dose calculation algorithms
• QA for advanced delivery techniques
• Oncologic concepts.

2. Clinical case discussions:

The participants are invited to prepare treatment plans for selected clinical cases (homework), based on case descriptions and CT scans as provided prior to the course. During the course, the plans are discussed in small groups regarding selected treatment techniques, planning solutions, constraints and objectives, choice of margins, protocols for image guidance, QA, etc. and are guided by a clinician and physicist teacher.

Prerequisites

The participants are invited to prepare the homework for the clinical case discussions (above).

Teaching Methods

• 21 plenary lectures
• 5 lectures targeted at clinicians
• 5 lectures targeted at physicists
• 4 clinical case discussion sessions in small groups.

Methods of Assessment

• Entry and exit exam
• Evaluation form.

Affiliations TBC

Key Words

• Physics and technology in radiotherapy 
• Modern treatment techniques

Accreditation

Application for CME recognition will be submitted to the European Accreditation Council for Continuing Medical Education (EACCME), an institution of the European Union of Medical Specialists (UEMS). EACCME credits are recognized by the American Medical Association towards the Physician’s Recognition Award (PRA). Information on the status of the applications can be obtained from the ESTRO office.

Application for CDP credits has been submitted to the European Board for Accreditation in Medical Physics (EBAMP). Information on the status of the application can be obtained from the ESTRO office

The preliminary programme will be available in autumn.

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

* Members with specialty RadiationTherapist (RTT) may register at the In-Training fee

The early online rate is applied until 2 months before the start of the course.

Late online rates are applied as of 2 months before the start of the course

Advance registration & payment are required.              

Registration will close on the date published on the front page of the course.

Cancellation

A registration to the online workshop may be cancelled without any fees before pre-online course material is sent out. Pre-online course material is sent out a few days before the first workshop lesson. After the pre-online course material is sent out, no refund of the registration fee is possible.

Reduced fees

Members from emerging countries may register at a preferential rate of 350 Euro. Emerging country fee applies to individuals from low-income and lower-middle-income economies according to the World Bank listing here.

Additionally, all specialties from the following countries can benefit from this preferential rate: Albania, Belarus, Bosnia and Herzegovina, Bulgaria, Hungary, Macedonia, Moldova, Montenegro, Romania, Russian Federation, Serbia, Turkey, Ukraine.  

The preferential rate of 350 Euro is granted automatically when you click on the BOOK NOW button and the three conditions below are met:

1. Only ESTRO members for 2025 are eligible (please make sure your 2025 membership is in order before you click on the BOOK NOW button)
2. Only one course per person per year can be subsidized by ESTRO
3. Sponsored candidates are not entitled to reduced fees (the invoicing address has to be the one of the participant)  

 Please note:

• We can only guarantee a certain number of reduced fees per course
• Application deadlines
  • 2 months before the start of the course for online attendance

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