Course Directors

• Andrew Hope, Radiation Oncologist, Princess Margaret Hospital, Toronto (CA)
• Jan-Jakob Sonke, Medical Physicist, Netherlands Cancer Institute, Amsterdam (NL)

Teachers

TBC

The course aims to:

• Cover both theoretical and practical aspects related to the clinical implementation of in-room imaging and plan adaptation in radiotherapy
• Review imaging techniques that can be applied in the workflow of conformal radiotherapy and understand how individual links in the chain of events will influence clinical outcome (from treatment prescription to preparation and planning, to patient set-up and verification)
• Identify potential sources of errors in target delineation / localisation and how IGRT can be of help, with special emphasis on conformal radiotherapy, intensity modulated radiotherapy, adaptive radiotherapy and management of organ motion
• Discuss the concept “target delineation
  • target localisation” at each particular step in the treatment chain and identify appropriate techniques to increase both efficiency as well as efficacy
• Discuss the concept of treatment adaptation and its implementation in the context of the present technological capabilities
• Offer an overview of available technologies and how to integrate these in clinical practice
• Compare available strategies and help define applicability for particular use
• Present the functionality of the equipment and technology, and identify limitations of a particular method
• Present practical recommendations for establishing an efficient image-guided workflow through optimal integration of available technologies and to emphasise the importance of teamwork and training
• Present the components of a QA strategy of IGRT systems.

Learning Outcomes

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

• Understand the principles of image guided and adaptive radiotherapy Implement image guidance for major patient groups in their home clinic
• Understand the relevant choices for the selection of the best image guidance protocol for their home situation
• How to start adaptive radiotherapy in their clinic
• Know the benefits of various image guidance and ART protocols.

Course Content

This is a 4,5-day course organised to identify the influence of image guidance at important steps in the workflow of radiation therapy. The following items will be covered in view of in-room imaging for therapy guidance:

• Image guidance required for treatment prescription
• Image guidance in treatment preparation and treatment planning
• Image guidance in patient set-up and target localisation during treatment
• Strategies and software tools for adaptive radiotherapy
• Image guidance in treatment follow-up
• MR-guided radiotherapy.

Teaching Methods

• Online material for self study
• Lectures and workshops
• Regular breakout sessions for MDs, physicists and radiation therapists. Time will be allocated as follows:
  • 23 hours of lectures
  • 3 hours of tutorials
  • 4 hours of case discussions / exercise.

Methods of Assessment

• MCQ
• Evaluation form.

To follow

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 fee includes the course material, coffees, lunches, and the social event.

Advance registration & payment are required.

Access to homework and/or course material will become available upon receipt of full payment.

Insurance and cancellation

Participants are strongly advised to take out their own personal insurance policy. ESTRO does not accept liability for individual medical, travel or personal accidents or incidents. Participants are strongly advised to take insurance policies to cover flight and accommodation cancellation penalties. ESTRO will not refund any travel or accommodation expenses.

For any cancellation made by the course or workshop participant, ESTRO School Events Cancellation Policy will be followed and all stated penalty fees will be applied.

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 are the same as early registration fees

All THASTRO, SEAROG and FARO members should  register here: https://www.thastro.org/course/