IMRT and Other Conformal Techniques in Practice

Budapest, Hungary

[ Early deadline: 01 March 2019 ]
[ IGRT ]

The course is aimed at radiation oncologists, medical physicists and radiation therapists involved in the implementation and clinical use of advanced techniques in their departments. Basic knowledge of radiation oncology and radiation physics is a prerequisite, some experience in CT-based treatment planning is highly beneficial. The registrants will preferably be ‘graduates’ of the ESTRO course on Physics for Modern Radiotherapy or an equivalent training in radiation physics. Simultaneous participation of a physicist and/or a clinician and/or a radiation therapist from the same institute is encouraged.

Course director 

  • Mischa Hoogeman, Medical Physicist, Erasmus Medical Centre Rotterdam, Rotterdam (NL)


  • Frank Lohr, Radiation Oncologist, AOU Modena, Modena (IT)


  • Sofie Ceberg, Medical Physicist, Skåne University Hospital, Lund (SE) 

  • Lone Hoffmann, Medical Physicist, Aarhus University Hospital, Aarhus (DK) 

  •  Eva Onjukka, Medical Physicist, Karolinska University Hospital, Stockholm (SE) 

  • Andrea Riccardo Filippi, Radiation Oncologist, Fondazione IRCCS Policlinico S. Matteo, Pavia (IT)

  • Carmen Rubio, Radiation Oncologist, Hospital Universitario HM Sanchinarro, Madrid (ES) 

  • Valentina Vanoni, Radiation Oncologist, Ospedale Santa Chiara di Trento, Trento (IT)

Local organiser 

  • Tibor Major, Physicist, National Institute of Oncology, Budapest

To present and discuss: 

  • The scientific basis of IMRT and highly conformal radiation techniques 
  • The technical aspects of treatment preparation and treatment delivery 
  • Dose calculation and the quality assurance process 
  • Inverse planning optimisation and its practical implementation 
  • The latest developments in IMRT irradiation modalities 
  • The clinical aspects of IMRT, including clinical outcomes/site-specific issues/normal tissue tolerance 
  • The relation between IMRT and other advanced radiotherapy techniques (e.g. IGRT and adaptive therapy)

Learning outcomes

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

  • Describe, at least in qualitative terms, the inverse treatment planning process and potential issues with all elements involved. 
  • List specific contouring requirements for IMRT and, in particular for a clinician, assess the extent to which these requirements are fulfilled in their clinical practice. 
  • Judge/revise the appropriateness of the dose-volume-constraints used in their clinical practice with respect to the current state-of-the-art. 
  •  Analyse/judge treatment plans with regard to applicability, safety and efficacy. 
  •  Evaluate their dosimetry practice with respect to the current standard of practice (specifically for physicists). 
  • Reassess their procedure in producing highly conformal treatment plans (specifically for a dosimetrist). 
  • Summarise the overall clinical outcomes and remaining open issues with highly conformal techniques across disease types.

Course content

  • Rationale of 3DCRT/IMRT 
  •  Delivery modalities 
  • Dosimetry and commissioning 
  •  Quality assurance 
  • Imaging and contouring 
  • Treatment plan optimisation 
  • Normal tissue tolerance, dose-volume constraints 
  •  Impact of motion and geometrical uncertainties on IMRT 
  • Clinical case discussions 
  •  IGRT and IMRT 
  •  Adaptive therapy and IMRT 
  • Volumetric IMRT techniques.

Practical demonstrations will take place on-site in close collaboration with the local staff.

This course will be organised in close cooperation with the manufacturers of equipment for planning, delivery and QA of IMRT and conformal radiotherapy. Their practical demonstrations will be an important part of the course.


Before commencing this course participants should: 
As a clinician: 

  • Be familiar with clinical indications for conformal radiotherapy 
  • Have a general understanding of the treatment planning process.

As a physicist: 

  • Be familiar with quality assurance measurements for conventional therapy 
  • Have a general knowledge of dose calculation algorithms and 3D-treatment planning.

The participants will be asked to prepare a ‘homework’ based on three clinical cases sent by ESTRO. The results of such work will be discussed in small groups during the course.

Teaching methods

  • 17 hours of lectures 
  • 3 hours of practical demonstrations in a clinical department 
  • 2 hours of software demonstration 
  • 3 hours of case discussions

Methods of assessment

  • MCQ 
  • Clinical case discussion 
  • Evaluation form 
  • Practical demonstrations




The course will start on Sunday morning 2 June at 09:00, registrations starting at 08:00. The course will finish on Thursday 6 June around noon. The preliminary programme is here.

Further reading / web resources

To be provided if available


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 recognised 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.

This course has been accredited by the European Accreditation Council for Continuing Medical Education (EACCME®) for a maximum of 25 European CME credits (ECMEC®s).


Course venue for Sunday 2 June

National Institute of Oncology 
Ráth György u. 7-9 
1122 Budapest 

Course venue as of Monday 3 to Thursday 6 June

Mercure Budapest Buda 
1013 Budapest 



Rooms can be booked at Mercure Budapest Buda. 

Reservation deadline: 19 April 2019

Please use this booking form

For questions regarding accommodation, please contact the hotel directly -  Tel: +36 1 488-8177, E-mail:


ESTRO members can order products at substantially reduced prices. Please note that in order to benefit from the member price, you must renew your membership for 2019 before registering to the course.To benefit from these member rates, please visit the membership page to become a member or renew your membership BEFORE proceeding with your order.



Early rate

Late rate

In-training members* 450 EUR 625 EUR
Members 600 EUR 725 EUR
Non Members 750 EUR 850 EUR

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

Early rates are applied up to three months before the starting date of the course. 
Late rates are applied three months before the starting date of the course.

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

Advance registration & payment are required.

On-site registration will not be available.

Since the number of participants is limited, late registrants are advised to contact the ESTRO office before payment, to inquire about availability of places. Access to homework and/or course material will become available upon receipt of full payment.


Insurance and cancellation


The organiser does not accept liability for individual medical, travel or personal insurance. Participants are strongly advised to take out their own personal insurance policies.   
In case an unforeseen event would force ESTRO to cancel the meeting, the Society will reimburse the participants fully the registration fees. ESTRO will not be responsible for the refund of travel and accommodation costs.

In case of cancellation, full refund of the registration fee minus 15% for administrative costs may be obtained up to three months before the course and 50% of the fee up to one month before the course. No refund will be made if the cancellation request is postmarked less than one month before the start of the course.

Reduced fees

ESTRO members from economically challenged countries may register at a preferential rate of 350 Euro if three conditions are met:

  1. Only ESTRO members for 2019 are eligible (please make sure your 2019 membership is in order before you apply for the reduced fees)
  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 (3 months before the course date

List of Economically challenged countries and eligible courses 


Many of our course participants are able to find full or partial funding from sources available locally. 

For more please go to: GRANTS

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