3D Radiotherapy with a Special Emphasis on Implementation of MRI/CT Based Brathytherapy in Cervical Cancer: 4th AROI - ESTRO-GYN Teaching Course

Mumbai, India

[ Early Deadline: 10 December 2019 ]

The course is aimed at teams consisting of radiation oncologists and medical physicists from institutions with concrete plans to implement 3D radiotherapy for cervical cancer, with a special interest in MR/ CT Image Based Brachytherapy. The Institutions which participated in previous editions of Gynaecology AROI ESTRO teaching course in Bengaluru, Lucknow and Rishikesh between  2017- 2019 are encouraged to register and will be selected on priority for the course. Also, Institutions who have the necessary infrastructure for 3D brachytherapy  (afterloader, access to 3D (US/ CT/ MR) imaging, CT/MR compatible applicators and a relevant treatment planning system) to facilitate the initiation of implementation of 3D techniques after the course can apply. The course is conducted on regular basis every year and this will be 4th Edition which will focus on feedback, hurdles, progress and further development of a network to systematically work on research and implementation issues specific to India and other developing countries. The workshop involving both the advanced track and freshers should be prepared to invest time in implementation of 3D techniques in between courses and to take part in homework / feedback efforts. A finite number of teams from various set-ups and geographical locations in India will be invited by AROI. Participants from neighboring countries and other Asia Pacific (APAC) Region (max 5-10) may also apply to participate.

AROI Course Directors

  • Umesh Mahantshetty, Radiation Oncologist, Tata Memorial Hospital, Mumbai (IN)
  • Jamema Swamidas, Medical Physicist, ACTREC, Tata Memorial Centre, Mumbai (IN)

ESTRO Course Directors

  • Richard Pötter, Radiation Oncologist, Medical University Hospital, Vienna (AT)
  • Kari Tanderup, Medical Physicist, University Hospital, Aarhus (DK)


  • Christine Haie-Meder, Radiation Oncologist, Institut Gustave Roussy, Villejuif (FR) 

Guest Faculty       

  • Abhishek Basu, Radiation Oncologist, Medical College Kolkata, Kolkata (IN)
  • Supriya Chopra Sasti, Professor, Radiation Oncology, ACTREC, Tata Memorial Centre, Mumbai (IN)
  • A Dheera, Radiation Medical Physicist, Tata Memorial Hospital, Mumbai (IN)
  • Ajeet Gandhi, Radiation Oncologist, RMLIMS, Lucknow (IN)
  • Manoj Gupta, Professor and Head of Department of Radiation Oncology, AIIMS, Rishikesh (IN)
  • Lavanya Naidu, Radiation Oncologist, Tata Memorial Hospital, Mumbai (IN)
  • Bhavana Rai, Radiation Oncologist, PGIMER, Chandigarh (IN) 

Local Organizer

  • Dr JP Agarwal, Professor and Head, Department of Radiation Oncology, Tata Memorial Hospital, Mumbai (IN)

The course aims to:

  • Learn about principles of 3D image-based EBRT and brachytherapy including techniques and treatment planning
  • Provide understanding of commissioning, quality assurance, principles of planning, plan evaluation and reporting of 2D and 3D brachytherapy in cervical cancer
  • Introduce 3D image-based target concepts of GTV, CTV and PTV including both EBRT and brachytherapy in cervical cancer
  • Enable practical implementation of 3D techniques in EBRT and brachytherapy in cervical cancer
  • Provide an overview on the radiation therapy (external radiation and brachytherapy) in cervical cancer.
  • Enhance the practical implementation and logistics in the existing environment.
  • Further roadmap and steps of intervention to improve the existing standards.

Provide a platform to implement and develop an Indian network for future research and development in cervical cancer radiotherapy

Learning Outcomes

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

• Understand the rationale of 3D and apply concepts of advanced brachytherapy techniques in clinical practice

• Understand and apply ICRU 89 concepts: GTV, CTV, PTV at diagnosis and at time of brachytherapy for 2D and 3D brachytherapy

Perform contouring and treatment planning for 3D image guided EBRT and brachytherapy in clinical practice

• Implement procedures for 3D image guided brachytherapy in cervical cancer in own department

• Implement advanced EBRT techniques in cervical cancer in own department.

Course Content

  • Normal and pathologic anatomy of female pelvis
  • Image based anatomy including US, CT, MRI and conventional radiography at diagnosis and at BT
  • CTV/ITV/PTV for external irradiation
  • IMRT/VMAT, IGRT and treatment planning for external irradiation
  • Combination of external irradiation and brachytherapy
  • Dose, dose-rate and fractionation and overall treatment time
  • Radiobiological effects from combined external irradiation and brachytherapy, linear quadratic model
  • Prescribing, recording and reporting including ICRU- GEC-ESTRO 89 recommendations 
  • Therapeutic outcome: radio-chemotherapy, image based EBRT and brachytherapy
  • Introduction to EMBRACE studies
  • Commissioning and Quality Assurance of various processes involved 3D brachytherapy treatment planning.
  • Feedback and review of hurdles in implementation
  • Workshops with hands-on contouring and treatment planning


Before commencing this course participants should have: 

  • Basic knowledge of principles and experience with multi-modality management of cervical cancer
  • Basic knowledge of and experience with radiological patho-anatomy relevant to cervical cancer
  • Experience with existing external beam and brachytherapy workflows and processes in cervical cancer.
  • Basic infrastructure in your department which facilitates post-course implementation of 3D image guided brachytherapy (afterloader, access to volumetric imaging, MRI/CT compatible applicators, and treatment planning system).

Teaching Methods

  • Lectures / tutorials: 16 hours
  • Practical workshop: 8 hours
  • Applicators commissioning and reconstruction: 6 hours – Physicists
  • Video presentations: 2 hours - Clinicians

Description: The tutorials include discussions of basics, evidence-based treatments, contouring guidelines, various processes involved in advanced EBRT and brachytherapy techniques and quality assurance. The practical hands on demonstration covers a direct learning process involved in approach, brachytherapy techniques, contouring exercises, evaluation and discussions on 3D radiotherapy. 

Methods of Assessment

Contouring (FALCON tool) and dose planning exercises (pre- and post-course homework) 

  • Interactive feedback through audience voting on specific questions during lectures
  • MCQ (interactive session at the end of the course)
  • ESTRO teaching course evaluation form.
  • Exclusive feedback sessions for “Experienced track” participants

Further Reading

To be provided if available




Available here



Tata Memorial Hospital

Dr. E Borges Road, Parel

Mumbai - 400 012 India


We recommend that you search suitable accommodation through one of the online booking websites.  ESTRO will not be providing any accommodation for this course.



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 2020 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.



Early rate

Late rate

In-training members*   450 EUR  625 EUR
Members   600 EUR   725 EUR
Non Members   750 EUR  850 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.

On-site registration will not be available.

Participants from the Indian Subcontinent are kindly invited to register here


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.