Implementation and Practice of Image-guided Stereotactic Body Radiotherapy

Learn about the basis AND latest developments in stereotactic body radiotherapy and cranial stereotactic radiosurgery. Understand the physical and technical requirements and discuss ways to establish a multi-professional clinical stereotactic programme.

A blended learning concept with combination of state-of-the-art pre-recorded lectures, livestreamed theoretical classes and practical workshops addressing the needs and interests of clinicians, physicists, and radiation therapists with various experience levels in stereotactic radiotherapy:

  • “How to start a SBRT program?” for individuals with no or limited experience.   


  • “How to continuously improve and update an existing SBRT program to most recent developments and evidence” for individuals with advanced experience.

The online course will be divided into six-modules online, each focusing on one clinical indication and one medical-physics aspect of SBRT. Consequently, the course aims to simultaneously provide a state-of-the-art knowledge about stereotactic treatment and discuss the latest advancements in the field.

The course is aimed at all professionals in the field of radiation oncology, who are involved in the clinical practice of SBRT and cranial SRS at any point in the treatment chain: radiation oncologists, physicists and radiation therapists (RTTs) with a dedicated focus on SBRT and SRS. The course targets individuals who are currently at the planning stage of establishing a clinical stereotactic programme, and also those who already have a current stereotactic practice. The importance of integrating all professionals into a team will be highlighted.

Course directors

  • Matthias Guckenberger, Radiation Oncologist, University Hospital Zurich, Zurich (CH)
  • Dirk Verellen, Medical Physicist, Iridium Kankernetwerk, University of Antwerp, Antwerp (BE)


  • Coen Hurkmans, Medical Physicist, Catharina Hospital, Eindhoven (NL)
  • Karin Dieckmann, Radiation Oncologist, Medical University of Vienna, Vienna (AT)
  • Maria Hawkins, Clinical Oncologist, University College London, London (UK)
  • Mischa S. Hoogeman, Medical Physicist, Erasmus Medical Centre-Daniel den Hoed Cancer Centre, Rotterdam (NL)
  • Piet Dirix, Radiation oncologist, Iridium Network, GZA Sint-Augustinus Department of Radiation Oncology, Antwerp (BE)
  • Piet Ost, Radiation Oncologist, Ghent University, Ghent (BE)
  • Sophie Perryck, RTT, University Hospital Zurich, Zurich (CH)
  • Stephanie Lang, Medical Physicist, University Hospital Zurich, Zurich (CH)
  • Suresh Senan, Radiation Oncologist, VU University Medical Centre, Amsterdam (NL)

Guest speakers

  • Alison Tree, Clinical Oncologist, Royal Marsden Hospital Trust & Institute of Cancer Research, London (UK)
  • Arjun Sahgal, Radiation Oncologist, Sunnybrook Health Sciences Centre (CA)
  • Clifford Robinson, Radiation Oncologist, Washington University School of Medicine in St. Louis, St. Louis (USA)
  • Egbert Smit, Pulmonologist, Netherlands Cancer Institute, Amsterdam (NL)
  • Joanne van der Velden, Radiation Oncologist, UMC Utrecht (NL)
  • Rob Tijssen, Medical Physicist, Catharina Hospital, Eindhoven (NL)
  • Shankar Siva, Radiation Oncologist, Peter MacCallum Cancer Centre, Melbourne (AU)
  • Stephanie Kroeze, Radiation Oncologist, University Hospital Zurich (CH)
  • Wilko Verbakel, Medical Physicist, Amsterdam UMC, Amsterdam (NL)


This course aims to:

  • Inform about the historical background and development of cranial radiosurgery (SRS) and stereotactic- body radiotherapy (SBRT)
  • Illustrate the radiobiological consequences of hypo-fractionated, inhomogeneous dose distributions.
  • Discuss the practice of frame-less image-guided versus frame-based stereotactic cranial radiosurgery.
  • Identify potential sources of uncertainties in the work-flow of SBRT: imaging, target delineation, motion compensation, treatment planning, treatment delivery and treatment evaluation
  • Offer an overview of available treatment planning and delivery technologies and how to integrate these in clinical practice of SBRT •Compare available technologies and help define applicability for particular use
  • Give an evidence-based review on potential indications for SBRT:
    • early stage NSCLC
    • primary and secondary liver tumors and pancreatic cancer
    • prostate cancer
    • oligometastatic disease
    • vertebral metastases and non-spine bone metastases
    • brain metastases
    • re-irradiation
  • Give an overview of normal-tissue toxicity, tolerability and radiological changes in SBRT
  • Teach how to establish and implement a safe and clinical programme for SBRT.

Learning Outcomes

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

  • Build a team to implement and practice SRS, SRT and SBRT
  • Understand the technical and physical requirements for SRS, SRT and SBRT
  • Know the clinical rationale of SRS, SRT and SBRT and their limitations
  • Understand the radiobiological basis of very high fraction doses
  • Know the details of indication, practice and outcome of SBRT for early stage NSCLC
  • Know the current clinical evidence for SRS, SRT and SBRT in the various clinical indications.

Course Content

The online course will consist of six modules:

  • Module 1: Clinical, technological, and biological basis of SBRT
  • Module 2: SBRT for Oligometastatic disease
  • Module 3: SBRT for spinal tumors and non-spine bone metastases
  • Module 4: SBRT for primary liver cancer and pancreatic cancer
  • Module 5: SBRT for early NSCLC / Prostate cancer and brain metastases
  • Module 6: Emerging indications and technologies

Module 1 will cover the general aspects of SBRT, while Modules 2 to 5 will put into focus specific tumour sites, presenting challenges and solutions from a clinical, medical physics and also RTT perspective. Finally, Module 6 will turn the spotlight on the latest indications and technologies

More information on the topics covered in each module and the scientific programme will follow in June 2021.


Before commencing this course participant should:

  • Know the basics of image-guided radiotherapy
  • Have experience and knowledge of advanced radiotherapy treatment planning
  • Have a basic understanding of radiobiological modelling.

Teaching Methods

  • 6 hours of pre-recorded lectures
  • 15 hours of live-streamed theoretical lectures
  • 8 hours of practical sessions, including specialty-specific split-up sessions

Course Structure

Each module will include:

  • Four 20-minute pre-recorded lectures, covering the basic concepts of SBRT as well as consolidated indications and best practices
  • One 2.5-hour live session with executive summaries of the pre-recorded lecture and time for Q&A followed by 4 lectures about most recent clinical evidence (n=2) and technological developments (n=2)– Held on a Tuesday (17:00 UTC+1 to 19:30 UTC+1)
  • One 1-hour practical session (2 hours for Module 6) with practical case presentations and discussions of one standard case and one challenging case) – Held on a Thursday (17:00 UTC+1 to 18:15 UTC+1)

Methods of Assessment

  • MCQ
  • Evaluation form.



The online course will include six modules, which delivered from 2 November until 9 December 2021 with twice-weekly sessions. Participants can choose to attend the entire course or single modules. It is only possible to register to single modules, not to single lectures or case discussions.

Live sessions will take place as follows:

  • Each Tuesday - 17:00 UTC+1 to 19:30 UTC+1 - One 2.5-hour theoretical session with executive summaries of the pre-recorded lecture and time for Q&A followed by 4 lectures about most recent clinical evidence and technological developments
  • Each Thursday - 17:00 UTC+1 to 18:15 UTC+1 - One 1-hour practical session with practical case presentations and discussions of one standard case and one challenging case

NB – All live sessions will be recorded and made available in the Moodle learning platform


The scientific programme is available hree

Key Words

  • Stereotactic body radiotherapy
  • Radiosurgery
  • Stereotactic radiotherapy
  • image guided radiotherapy.


Application for CME recognition has been submitted to the Accreditation Council of Oncology in Europe (ACOE), whereas application for CPD recognition has been submitted to the European Board for Accreditation in Medical Physics (EBAMP). The course has been awarded 29 CME credits and 60 CPD credits (EQF Level 7)


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 2021 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.

Participants can choose to:

  1. attend the full course
  2. attend one or more modules (however the full course fee is applicable if you only choose to attend a few modules)

Fees for the full course (6 sessions):


Standard Rate

Desk Rate

ESTRO members working in countries with a less competitive economic background*/ In-training members**

 350 EUR

 600 EUR


 400 EUR 

 600 EUR

Non Members

 500 EUR

 600 EUR

*  All specialties: Albania, Belarus, Bosnia and Herzegovina, Bulgaria, Croatia, Czech Republic, Estonia,, Greece, Hungary, Latvia, Lithuania, Macedonia, Moldova, Montenegro, Poland, Portugal, Romania, Russian Federation, Serbia, Slovak Republic, Slovenia, Spain, Turkey, Ukraine

RTTs and physicists only: Cyprus  

RTTs only: Italy 

To apply for the above rate, please contact at least 2 weeks before the start of the course. Thereafter, the desk rate will be applied.

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

The standard rate is applied up to 2 weeks before the starting date of the course.

Desk rates are applied 2 weeks before the starting date of the course.


Advance registration & payment are required.              

Registration will close on the date published on the front page of the course.


A registration to the online workshop may be cancelled without any fees before pre-online course material is sent out. Pre-online course material is sent out a few days before the first workshop lesson. After the pre-online course material is sent out, no refund of the  registration fee is possible.

Fee for ESTRO members working in countries with a less competitive economic background:

ESTRO members working in countries with a less competitive economic background can benefit from the above fees if three conditions are met:

  1. Only ESTRO members for 2021 are eligible (please make sure your 2021 membership is in order before you apply for the reduced fees
  2. Sponsored candidates are not entitled to these fees (the invoicing address has to be the one of the participant)  
  3. Your application is submitted 2 weeks before the course start date

Standard rate applies until 21 October 2021

Did you miss the registration deadline? No problem! you can still participate at the desk rate and catch up on the lectures you missed. All presentations are recorded and available on the course's online learning platform.