ESTRO GUIDE 2017

Advanced Treatment Planning 3-7 September 2017 Barcelona, Spain

TARGET GROUP The course is aimed primarily at staff involved in ad- vanced treatment planning in daily routine, preferably with at least two years of experience. This is designed not only for radiation therapists (RTTs) but also for physicists and radiation oncologists with clinical ex- perience and a basic understanding of the fundamental components of treatment planning, who wish to deepen their knowledge on various planning techniques. • Enhance the knowledge of comprehensive treatment planning and the understanding of strategies to obtain optimal treatment plans for patients. This implies a complex integration of clinical, imaging, biological and physical/technological knowledge, skills and competencies. • Focus on challenging scenarios related to the interac- tion of these issues with a specific focus on advanced adaptations of close distribution, with and without computer aided optimisation and modelling, in particular in more complex cases. LEARNINGOUTCOMES By the end of this course participants should be able to: • Have a comprehensive understanding of all parts of the planning process and also plan evaluation for intensity modulated radiotherapy (both step-and- shoot IMRT and VMAT) • Increase accuracy as well as effectiveness in the planning process • Understand the basis for comparing different plans for the same case • Understand the problem of competing priorities in planning • Appreciate the concept of plan optimisation. COURSE CONTENT • Broadening the therapeutic band width • Dose calculation algorithms and their differences in clinical impact COURSE AIM This five day course intends to:

• Applying ICRU in treatment planning • Non-IMRT planning – from simple to complex • Relationships between 3D dose distributions and clinical toxicities, chest, head and neck, pelvis • Rationale behind IMRT • Practical guidelines for both step-and-shoot IMRT and VMAT planning • Physical and biological optimisation • Pareto fronts in clinical practice • Geometric uncertainties and how to deal with them • Molecular imaging in treatment planning • Adaptive planning strategies • Library planning, dose painting planning, robust and probabilistic planning.

TP SYSTEMS iPlan, Monaco, Oncentra External Beam, Pinnacle³, RayStation, Eclipse and TomoTherapy.

PREREQUISITES Before commencing this course participants should: • Have at least two years experience of radiotherapy planning • Understand the ICRU definitions of GTV, CTV and PTV • Understand the relationship between target dose and organs at risk.

TEACHINGMETHODS • 19 hours of lectures • 9 hours of practical workshops • 4 hours of case discussions.

METHODS OF ASSESSMENT • MCQ • Evaluation form.

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ESTRO SCHOOL