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ESTRO SCHOOL
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.
COURSE AIM
This five day course intends to:
• 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
• 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.
Advanced Treatment Planning
3-7 September 2017
Barcelona, Spain