Mexico City, Mexico

Comprehensive Brachy International

An essential and comprehensive introduction to brachytherapy in daily practice, covering gynaecological, head and neck, genitourinary, breast, skin and paediatric cancers and more.


The course is aimed primarily at trainees in radiotherapy, radiation oncologists, medical physicists and radiation therapists (RTTs) wishing to acquaint themselves with the latest developments in brachytherapy. This course is also highly recommended as an essential basis for prostate cancer, gynaecological cancer, and advanced medical physics brachytherapy courses.




The course aims to:

  • Cover the basic and general principles of brachytherapy: historical notes on evolution of brachytherapy, sources, after loading systems, imaging for brachytherapy, dosimetry, the essentials of ICRU reports, uncertainties in brachytherapy, radiobiology of different time dose patterns (LDR, HDR, PDR and permanent implants), radioprotection and organisation of a brachytherapy department.
  • Discuss different technical and dosimetrical aspects of interstitial, endoluminal and endocavitary brachytherapy
  • Discuss the main clinical subjects: gynaecological (cervix, endometrium), head and neck (oral cavity, oropharynx), urology (a.o. prostate seed implants), breast (a.o. APBI), skin, bladder and paediatric malignancies
  • Illustrate practical examples of brachytherapy treatment planning
  • Provide exercises for practical understanding.


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

  • Essentials of brachytherapy sources, physics, applicators and afterloaders
  • Essentials of brachytherapy dose planning, possibilities, and pitfalls of stepping source optimisation techniques
  • Essentials of low-dose rate, high-dose rate and pulsed-dose rate radiobiology
  • Indications and contraindications of brachytherapy in clinical oncology
  • Essentials of different applicators to perform brachytherapy.



  • Principles of radioactivity
  • Sources used in brachytherapy
  • Physics and dose calculation
  • Image-guided brachytherapy
  • Dosimetric uncertainties
  • Clinical radiobiology in brachytherapy: general principles
  • Radioprotection and afterloaders
  • Optimisation of stepping source brachytherapy.
  • Permanent seed and HDR prostate implants
  • Interstitial brachytherapy
  • Place of intracavitary brachytherapy in cervix, endometrium and vaginal cancer
  • Place of endoluminal brachytherapy in oesophageal and bronchus carcinoma
  • Brachytherapy for breast, bladder, anal canal, head and neck, and skin cancer
  • Brachytherapy for pediatric malignancies
  • Brachytherapy for uveal and choroidal melanoma
  • Recommendations for recording and reporting in interstitial, intracavitary and endoluminal brachytherapy
  • Use of DVH-parameters
  • Practical examples of interstitial, intracavitary
  • Applicator localisation for treatment planning
  • Permanent and temporary brachytherapy treatment planning
  • Practical exercises.



Before commencing this course participants should be qualified or in training as a medical doctor, medical physicist or radiation therapist (RTT) in the field of brachytherapy.



  • 18 hours of lectures
  • 6 hours of hands on practical sessions on applicators and treatment planning implantations
  • 5 hours of contouring case homework and discussions.


This course consists of didactic lectures, practical sessions with applicators, interactive sessions with treatment planning stations and clinical aspects and examples.



Evaluation form.



Brachytherapy, basic course, clinical aspects, state-of-the-art implantation techniques, physics.



Please consult the ESTRO website page of this course for further information.

2nd edition GEC-ESTRO Handbook, accessible with an ESTRO account (members and non-members).


Course director

Bradley Pieters, Radiation Oncologist, Amsterdam University Medical Centers, Amsterdam (NL)



  • Åsa Carlsson-Tedgren, Medical Physicist, Karolinska Institute, Stockholm (SE)
  • Cyrus Chargari, Radiation Oncologist, Gustave Roussy Cancer Campus, Villejuif (FR)
  • José Luis Guinot Rodríguez, Radiation Oncologist, Fundación Instituto Valenciano de Oncología, Valencia (ES)
  • Peter Hoskin, Clinical Oncologist, Mount Vernon Cancer Centre, London (UK) and The Christie, Manchester (UK)
  • Andrea Slocker Escarpa, Radiation Oncologist, Institut Català d’Oncologia, Barcelona (ES)


Contouring administrator

Andrea Slocker Escarpa, Radiation Oncologist, Institut Catala d’Oncologia, Barcelona (ES)

Available here

Hospital Español auditorium

Av. Ejército Nacional Mexicano 617

Granada, Miguel Hidalgo

11520 Mexico City


Information about registration will be published soon on the following page: and you can send email enquiries to: