Online

In-room MRI-guided Radiotherapy

This online course is aimed at all professionals in the field of radiation therapy: radiation oncologists (ROs), medical physicists (MP) and radiation therapists (RTTs). In order to encourage teamwork, participation of multidisciplinary teams belonging to the same institute is encouraged, but not mandatory.

The course is intended for participants who are either directly involved in a clinical MR-guided RT project, or who want to update their knowledge on this topic.

Course Directors

  • Uulke van der Heide, Medical Physicist, The Netherlands Cancer Institute - Antoni van Leeuwenhoek Hospital, Amsterdam, The Netherlands (NL)
  • Luca Boldrini, Radiation Oncologist Fondazione Policlinico Universitario “A. Gemelli” IRCCS, Rome (IT)

Teachers

  • Stefanie Corradini, Radiation Oncologist, LMU Klinikum, Munich (DE)
  • Cihan Gani, Radiation Oncologist, University Hospital Tuebingen, Tuebingen (DE)
  • Sebastian Klűter, Medical Physicist, University Hospital Heidelberg, Heidelberg (DE)
  • Faisal Mahmood, Medical Physicist, Odense University Hospital ,Odense (DK)
  • Helen McNair, Lead Research Radiographer, The Royal Marsden NHS Foundation Trust, Sutton (UK)
  • Stella Mook, Radiation Oncologist, UMC Utrecht, Utrecht (NL)

The technological development in Image Guided Radiotherapy has led to the introduction of hybrid machines linking an MRI scanner to a linear accelerator. The possibility to have high soft tissue contrast with no extra dose to the patient and live imaging to gate the treatment delivery opens new frontiers in the world of adaptive radiotherapy. The complexity of this discipline requires advanced skills in the fields of physics and radiotherapy.

In this interdisciplinary course, we aim to:

- Provide a detailed overview of the clinical rationale and indications of in-room MRI-guided RT;

- Deepen the knowledge of the clinical, physical and technical aspects of MRI-guided RT implementation in clinical practice;

- Share opportunities and challenges of the MRI-guided radiotherapy systems in different clinical scenarios

 

Learning Outcomes

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

  • Understand the technology underlying the hybrid MR Linac system, discussing the differences between high and low magnetic field machines
  • Appreciate the clinical rationale of in room MRI-guided RT and its possible applications in the frame of modern IGRT
  • Understand the clinical workflow of an in-room MRI-guided RT treatment and the role of all the involved professionals
  • Become familiar with the most innovative online adaptive radiotherapy approaches
  • Identify the most appropriate patients positioning solutions
  • Appreciate the different planning strategies of MRI-guided RT
  • Become familiar with patients selection criteria and MRI safety issues

Course Content/Programme

The course will cover the following topics:

For all participants:

Multi-disciplinary introduction

• Introduction: From IGRT to in-room MRI-Guided Radiotherapy, the technology, medical and RTT

• MR-simulation and MR-guided Radiotherapy: common aspects and differences

• MRgRT and brachytherapy

In-room MRI

• Hybrid MR-guided RT machines: Low field vs. high field

• Clinical workflow of an in-room MRI-Guided Radiotherapy treatment

• In-room MR image processing and planning

Wrap up

• Online adaptive radiotherapy: workflow and criticalities

• RT and MR safety

 

For Radiation Oncologists and RTTs

MRI-guided adaptive radiotherapy

• MR Physics: Basic Introduction

• Artifacts in MRI: clinical point of view

• Decision Making: when do adapt a treatment fraction?

• Immobilization devices and MR simulation in MR-guided RT

• Management of breathing motion in MR-guided RT

 

For Radiation Oncologists

Clinical on-line MRI-guided radiotherapy

• Clinical Indications for MR-guided Radiotherapy treatment

• Patient selection criteria and compliance assessment

• Clinical Experience in MR-guided Radiotherapy

• Quantitative and functional imaging during MRI-guided Radiotherapy (RO/RTT)

 

For Physicists

MRI Physics

• Artifacts in MRI: physical point of view

• Quality Control for MR in Radiotherapy

• Motion management with MRI gating

Handling the magnetic field, motion and biology

• Dosimetry in the presence of magnetic fields

• Patient-specific QA in online adaptive MRgRT

• Quantitative and functional imaging during MRI-guided Radiotherapy (MP)

 

For RTTs:

On-line treatment towards functional guidance

• Patient Positioning: Brain, Head and Neck, Thorax, Upper Abdomen and Pelvis

• Practicalities for patient management and workflow

• Basic principles of OARs contouring on MR

• Quantitative and functional imaging during MRI-guided Radiotherapy (RO/RTT)

Course Design

The course will take place via zoom over a 4,5 weeks period and will be delivered using a blended learning approach, i.e. a combination of recorded online seminars and live teleconferencing.

A kick-off webinar will be offered as the official introduction with the teachers and peers

  • The theoretical components will be delivered using the ESTRO Moodle, the ESTRO Virtual Learning Environment (VLE), where recorded presentations will be available for participants to join at a time that suits them (only from 5 Oct onwards)
  • The Q&A webinars will occur via Zoom and mainly consists out of brief summaries from the recorded lectures with ample time for discussion

For the updated calendar please consult the ESTRO website page of this course.

Prerequisites

Defined for each of the disciplines, basic knowledge of radiation oncology, radiation physics and magnetic resonance imaging are prerequisites.

Teaching Methods

  • 9 hours live webinar
  • 20 hours of recorded tutorials

Methods of Assessment

• MCQ (pre & post course)

• Evaluation form

 

Programme

 

Thursday 5 October 2023 – 11:00-12:30 CET - course introduction and 3 live remote lectures.  From this date onwards the recorded lectures will be made available to all students

Wednesday 11 October 2023 – 11:00-12:00 CET - Q&A webinar for Part 1

Tuesday 17 October 2023 – 11:00-12:00 CET - Q&A webinar for Part 2

Tuesday 24 October 2023 – 11:00-12:00 CET – Q&A session for RO/Clinical

Wednesday 25 October 2023 – 11:00-12:00 CET – Q&A session for RTT

Thursday 26 October 2023 – 11:00-12:00 CET – Q&A session for MP

Thursday 2 November – 11:00-12:00 CET – Q&A webinar for Part 3

Tuesday 7 November – 11:00-12:30 CET – recap and closing session followed by demo presentations

 

 

 

Programme

Thursday 5 October 2023 – 11:00-12:30 CET - course introduction and 3 live remote lectures.  From this date onwards the recorded lectures will be made available to all students

Wednesday 11 October 2023 – 11:00-12:00 CET - Q&A webinar for Part 1

Tuesday 17 October 2023 – 11:00-12:00 CET - Q&A webinar for Part 2

Tuesday 24 October 2023 – 11:00-12:00 CET – Q&A session for RO/Clinical

Wednesday 25 October 2023 – 11:00-12:00 CET – Q&A session for RTT

Thursday 26 October 2023 – 11:00-12:00 CET – Q&A session for MP

Thursday 2 November – 11:00-12:00 CET – Q&A webinar for Part 3

Tuesday 7 November – 11:00-12:30 CET – recap and closing session followed by demo presentations

Accreditation

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).
  • the European Board for Accreditation in Medical Physics (EBAMP) as CPD event for Medical Physicists at EQF Level 7

Information on the status of the applications can be obtained from the ESTRO office.

Membership

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 2023 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.

Fees

 

Standard Rate

Desk Rate

Non members 

 500 EUR

 600 EUR

Members

 400 EUR 

 600 EUR

In-training Members*

 350 EUR

 600 EUR

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

The standard rate is applied until the early rate published on the front webpage of this course expires.

Desk rates are applied after the early rate published on the front webpage of this course expires.

 

Advance registration & payment are required.              

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

Cancellation

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.

 

Reduced fees

Members from emerging countries may register at a preferential rate of 350 Euro. Emerging country fee applies to individuals from low-income and lower-middle-income economies according to the World Bank listing here.

Additionally, all specialties from the following countries can benefit from this preferential rate: 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.  In addition, medical physicists from Cyprus can email education@estro.org to apply for this fee.

The preferential rate of 350 Euro is granted automatically when you click on the  BOOK NOW  button and the three conditions below are met:

  1. Only ESTRO members for 2023 are eligible (please make sure your 2023 membership is in order before you click on the BOOK NOW  button)
  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