Ljubljana, Slovenia

Image-Guided and Adaptive Radiotherapy

Learn the principles of image guided and adaptive radiotherapy; understand how to implement and evaluate them in your own institution, depending on workflow and resources


The course is aimed at all professionals in the field of radiation oncology who are involved in target localisation at any point in the treatment chain. This includes radiation oncologists, medical physicists,

and radiation therapists (RTTs). A good understanding of issues related to target delineation, target localisation and patient set-up is a prerequisite as well as some experience in the field. As the emphasis

will be on the integration of image guidance and adaptive techniques as well as their practical implementation, the “team effort” is important. Simultaneous participation of physicists, radiation oncologists and radiation therapists is strongly encouraged.

The course aims to:

  • Cover both theoretical and practical aspects related to the clinical implementation of in-room imaging and plan adaptation in radiotherapy
  • Review imaging techniques that can be applied in the workflow of conformal radiotherapy and understand how individual links in the chain of events will influence clinical outcome (from treatment prescription to preparation and planning, to patient set-up and verification)
  • Identify potential sources of errors in target delineation / localisation and how IGRT can be of help, with special emphasis on conformal radiotherapy, intensity modulated radiotherapy, adaptive radiotherapy and management of organ motion
  • Discuss the concept “target delineation
    • target localisation” at each particular step in the treatment chain and identify appropriate techniques to increase both efficiency as well as efficacy
  • Discuss the concept of treatment adaptation and its implementation in the context of the present technological capabilities
  • Offer an overview of available technologies and how to integrate these in clinical practice
  • Compare available strategies and help define applicability for particular use
  • Present the functionality of the equipment and technology, and identify limitations of a particular method
  • Present practical recommendations for establishing an efficient image-guided workflow through optimal integration of available technologies and to emphasise the importance of teamwork and training
  • Present the components of a QA strategy of IGRT systems.

Course Overview

Learning Outcomes

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

  • Understand the principles of image guided and adaptive radiotherapy Implement image guidance for major patient groups in their home clinic
  • Understand the relevant choices for the selection of the best image guidance protocol for their home situation
  • How to start adaptive radiotherapy in their clinic
  • Know the benefits of various image guidance and ART protocols.

Course Content

This is a 5-day course organised to identify the influence of image guidance at important steps in the workflow of radiation therapy. The following items will be covered in view of in-room imaging for therapy guidance:

  • Image guidance required for treatment prescription
  • Image guidance in treatment preparation and treatment planning
  • Image guidance in patient set-up and target localisation during treatment
  • Strategies and software tools for adaptive radiotherapy
  • Image guidance in treatment follow-up
  • MR-guided radiotherapy.

Teaching Methods

  • Lectures and workshops
  • Regular breakout sessions for MDs, physicists and radiation therapists. Time will be allocated as follows:
    • 23 hours of lectures
    • 3 hours of tutorials
    • 4 hours of case discussions / exercise.

Methods of Assessment

  • MCQ
  • Evaluation form.

Affiliations TBC



Key Words

Image guidance, adaptive radiotherapy.

Further Reading

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


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


Course Director

  • Coen Rasch, Radiation Oncologist, Leiden University Medical Centre (NL)


  • Rianne de Jong, Radiation Therapist, Academic Medical Centre, Amsterdam (NL)
  • Andrew Hope, Radiation Oncologist, Princess Margaret Hospital, Toronto (CA)
  • Uwe Oelfke, Medical Physicist, The Royal Marsden NHS Foundation Trust, London (UK)
  • Parag Parikh, Radiation Oncologist, Henry Ford Cancer Institute, Detroit (USA)
  • Jan-Jakob Sonke, Medical Physicist, Netherlands Cancer Institute, Amsterdam (NL)
  • Marcel van Herk, Medical Physicist, The Christie, University of Manchester, Manchester (UK)

Local Organiser

  • Prof. Primož Strojan, MD, PhD, Institute of Oncology, Ljubljana (SL)

Available here.


Grand Hotel Union

Miklošičeva cesta 1

1000 Ljubljana


Grand Hotel Union Eurostars in Ljubljana . Official Website


ESTRO members can order products at substantially reduced prices. To benefit from the member registration rate, you must subscribe for the ESTRO membership 2022 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


  800 EUR

 900 EUR

ESTRO Members

  650 EUR 

 775 EUR

In-training members*

  500 EUR

 675 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 2022 are eligible (please make sure your 2022 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).