Florence, Italy

Lower GI

Learn all about radiation therapy and how to improve it for anal and rectal cancer on this interactive course. It covers planning, delivering and monitoring radiation therapy using modern technologies on their own or in combination with other systemic treatments

Mainly radiation oncologists, physicists, radiation therapists (RTTs) and researchers in the field of radiation oncology/biology who seek to improve and deepen their knowledge and practical skills in the treatment of lower gastro-intestinal malignancies (anal, rectal cancer). 

Course director

  • Emmanouil Fokas, Radiation Oncologist, Klinikum der Johann Wolfgang Goethe-Universität, Frankfurt, Germany


  • Regina Beets-Tan, Radiologist, Netherlands Cancer Institute, Amsterdam (NL) 
  • Ane Appelt, Medical Physicist, University of Leeds & St James’s University Hospital, Leeds (UK)
  • Rob Glynne-Jones, Radiation Oncologist, Mount Vernon Centre for Cancer Treatment, London (UK)
  • Brechtje A.Grotenhuis, MD PhD, Surgical oncologist, Netherlands Cancer Institute, Amsterdam (NL)
  • Karin Haustermans, Radiation Oncologist, University Hospital Gasthuisberg, Leuven (BE)
  • Corrie A.M. Marijnen, Radiation Oncologist, Leiden University Medical Center, Leiden (NL)
  • Claus Rödel, Radiation Oncologist, Johann Wolfgang Goethe University, Frankfurt (DE)) Frankfurt, Germany

Contouring administrator

  • Maria Antonietta Gambacorta, Radiation Oncologist, Università Cattolica del Sacro Cuore, Rome (IT)

Local Organiser

  • Prof Livi, Full Professor in Radiation Oncology, Chair of department of Radiation Oncology - Azienda Ospedaliero-Universitaria Careggi, University of Florence

Learning Outcomes

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

  • Understand and justify indications for radiation therapy in different clinical scenarios
  • Integrate modern imaging into radiotherapy treatment planning and delivery
  • Tailor target volume delineation according to tumour location and stage
  • Optimise dose distribution and compare different RT techniques 
  • Assess the usefulness of available IGRT technologies
  • Monitor tumour response and discuss possible clinical consequences 
  • Understand and exploit the interactions between radiation therapy and concurrent systemic treatment
  • Improve radiation (and concurrent systemic treatment) delivery by optimised supportive care.


Course Content

Experts in the field will provide short lectures, interactive case discussions, small teaching groups on all technical aspects of radiotherapy planning and delivery, and open debates on controversial issues in multidisciplinary care. This will include state-of-the art teaching of pivotal clinical trials on anal and rectal cancer treatment and explanation of the background of current guidelines. This course will then have a particular focus on how to improve radiation therapy delivery, all the way down from initial patient set-up, treatment planning, delineation of target volumes, optimisation of dose distribution, image-guided monitoring of radiation delivery, and assessment of tumour response. 



Before commencing this course, participants should: 

  • Have studied the pivotal clinical trials that have established the role of radiation therapy and combined modality treatment approaches for anal and rectal cancer 
  • Be familiar with standard procedures of radiation therapy planning and delivery
  • Be aware of open questions and ongoing controversies in the multidisciplinary care of both tumour entities.


Teaching Methods

Lectures, interactive case discussions, small teaching groups on all technical aspects of RT planning and delivery, open debates on multidisciplinary care.


Methods of Assessment

  • Small working groups with experts
  • Survey Monkey based evaluation form
  • Turning Point questionnaires.



The scientific programme is available here.

Key Words

Rectal cancer, anal cancer, technical aspects of radiation treatment planning and delivery, concurrent systemic treatment, multidisciplinary care.


The course has been granted 14 European CME credits (ECMEC®s) by the European Accreditation Council for Continuing Medical Education (EACCME®).

Centro Servizi e Formazione Montedomini

Via Faenza 48 (black),

50123 Firenze,



ESTRO members can order products at substantially reduced prices. To benefit from the member registration rate, you must subscribe for the ESTRO membership 2023 BEFORE registering to the course. To become an ESTRO member, benefit from the member registration rate and discover the many other member advantages, please visit the membership page.



Early rate

Late rate


 700 EUR

 800 EUR

ESTRO Members

  550 EUR 

 675 EUR

In-training members*

  400 EUR

 575 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.

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

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 (3 months before the course date).