Palliative Care and Radiotherapy - A Course on Prognosis, Symptom Control, Re-Irradiation and Oligometastases

Brussels, Belgium

[ Quality of life ]

This basic course is aimed primarily at trainee radiation and medical oncologists and experienced radiation and medical oncologists who want an update of their clinical knowledge. Clinical  physicists, palliative care physicians and  specialist nurses are welcome to participate.

Course directors 

  • Peter Hoskin, Clinical Oncologist, Mount Vernon Hospital, London (UK)  

  • Yvette van der Linden, Radiation Oncologist / Head, Expertcentre Palliative Care, Leiden University Medical Center, Leiden (NL)


  • Nicolaus Andratschke, Radiation Oncologist, University Hospital Zurich, Zurich (CH)  

  • Johan Menten, Radiation Oncologist / Palliative Care Physician, KU Leuven, Leuven (BE)  

  • Joanna Kazmierska, Radiation Oncologist, Greater Poland Cancer Centre, Poznan (PL)

In this course, a comprehensive overview of the applicability and effectiveness of palliative radiotherapy schedules from an evidence based perspective will be provided in a multidisciplinary framework. Focus will be on both clinical-ethical aspects and more technical-physics related issues.

Learning outcomes

By the end of this course participants should:

  • Have knowledge of the principles of palliation, pain management, and indications for and effectiveness of palliative radiotherapy schedules

  • Be able to discuss clinical cases on management, expected survival, clinical outcome in terms of quality of life and side effects using evidence based outcome tools.

Course content

  • Principles of palliation, oligometastasis

  • Nature of cancer pain, physiology of pain

  • Principles of pharmacological management

  • Radiotherapy for pain: bone pain, soft tissue pain

  • Holistic pain therapy: integration of RT/CT/pharmacology and non-pharmacological approaches

  • Neurological complications: brain metastases - introduction and pharmacological management

  • Management of solitary brain metastases Management of multiple brain metastases

  • Malignant spinal metastasis, pathophysiology, diagnosis and initial management

  •  Management of malignant spinal canal compression

  • Other neurological complications: spinal nerve root compression and neuropathic pain management

  • Care of the dying: different models of care

  • Lung - NSCLC: palliative management

  • Oligometastases and ablative therapy

  • Liver: role of radiotherapy in palliation

  • Palliative brachytherapy

  • Practical application of research data in palliation.


Before commencing this course you should have a basic understanding of radiotherapy and pharmacology and experience of caring for patients with advanced cancer.

Teaching methods

  • Didactic lectures

  • Case discussions

  • Interactive session based on MCQ

  • Turning Point exercise 

  • E-learning module

Methods assessment

Evaluation form.


The draft programme is available here

Key words

  • Palliative care 
  • Quality of life 
  • Evidence based radiation oncology 
  • Pain 
  • Metastases

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.


ESTRO Office 
Rue Martin V 40 
1200 Brussels - Belgium


We would recommend that you would search suitable accommodation through one of the online booking websites.  ESTRO will not be providing any accommodation solutions.


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 

Check our other educational activities