In-room MRI-guided RT (ONLINE COURSE, starting 8th October 2020)

 

Registration by email: 10 July - 3 August

Online

We encourage participants to register to the course before the end of the day on 6th October in order to take advantage of all the benefits of the course, however it is possible to register after this date by contacting the ESTRO office.

 

This new 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

  • Vincenzo Valentini, Radiation Oncologist, Fondazione Policlinico Universitario “A. Gemelli” IRCCS, Rome (IT)
  • Cihan Gani, Radiation Oncologist, University Hospital Tuebingen, Tuebingen (DE)
  • Olga Green, Medical Physicist, Washington University School of Medicine St Louis, MO (USA)
  • 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 recent technological development in Image Guided Radiotherapy has led to the introduction of new 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 open new frontiers in the world of adaptive radiotherapy. The complexity of this new 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 sytems 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

The online course will be structured as follows:

- a synchronous online kick-off meeting via Teams on 8 October

- pre-recorded lectures will be available from 8 October onwards in ESTRO Moodle

- from 8 October to 11 November, weekly one synchronous online Q&A session with the faculty (exact timings TBC)

- on 11 November:

  • MCQ test to be taken by all participants
  • A 2 hour synchronous session recap of the course
  • Formal closing of the course with a synchronous wrap-up event via Teams

Prerequisites

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

Teaching Methods

  • Online pre-recorded lectures will be made available from 8 October onwards
  • Online Q&A sessions with the faculty (4, one weekly) between 8 October and 11 November

Methods of Assessment

  • • MCQ
  • • Evaluation form

Programme

- a synchronous online kick-off meeting via Teams on 8 October

- pre-recorded lectures will be available from 8 October onwards in ESTRO Moodle

- from 8 October to 11 November, weekly one synchronous online Q&A session with the faculty (exact timings TBC)

- on 11 November:

  • MCQ test to be taken by all participants
  • A 2 hour synchronous session recap of the course
  • Formal closing of the course with a synchronous wrap-up event via Teams

The topics of the pre-recorded lectures are the following:

  • Introduction: From IGRT to in-room MRI-Guided Radiotherapy, the technology, medical and RTT perspective
  • MR-simulation and MR-guided Radiotherapy: common aspects and differences 
  • Clinical workflow of an in-room MRI-Guided Radiotherapy treatment
  • Basic knowledge on in-room MR image processing and planning
  • Low-Field versus High Field MRI hybrid machines
  • Quality controls for commissioning and routine treatment
  • Patient quality assurance in MR-guided RT and dose accumulation
  • Quality Control for MR in Radiotherapy
  • MR-gating systems: criticalities and control quality
  • MR Physics: Basic Introduction
  • Artifacts in MRI: clinical point of view
  • Clinical Experience in MR-guided Radiotherapy
  • Clinical Indications for MR-guided Radiotherapy treatment
  • Breathing techniques in MR-guided RT
  • Patient Positioning: Brain, Head and Neck, Thorax, Upper Abdomen and Pelvis
  • Dosimetry in presence of magnetic fields
  • Principles of deformable image registration
  • Quantitative and functional imaging during MRI-guided Radiotherapy
  • Artifacts in MRI: physical point of view
  • Immobilization devices and MR simulation in MR-guided RT
  • Decision Making: when do adapt a treatment fraction?
  • Patient selection criteria and compliance assessment
  • Quantitative and functional imaging during MRI-guided Radiotherapy
  • Practicalities for patient management
  • Basic principles of OARs contouring on MR
  • Online adaptive radiotherapy: workflow and criticalities
  • RT and MR safety
  • Dose Accumulation

We would like to inform you that we will be updating our IT infrastructure over the summer period. The update will provide our community with a faster and more seamless user experience when registering to our events.

As a result, between 10 July and 3 August 2020, online registrations to our activities will be temporarily unavailable. During this period, you will still be able to register to the teaching courses and contouring workshops of your interest by sending a request to education@estro.org.

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 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.

Fees

 

Standard Rate

Desk Rate

ESTRO members working in countries with a less competitive economic background*/ In-training members**

 350 EUR

 600 EUR

Members

 400 EUR 

 600 EUR

Non Members

 500 EUR

 600 EUR

*  All specialties: 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 

RTTs and physicists only: Cyprus  

RTTs only: Italy 

To apply for the above rate, please contact education@estro.org at least 2 weeks before the start of the course. Thereafter, the desk rate will be applied.

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

The standard rate is applied up to 2 weeks before the starting date of the course. 
Desk rates are applied 2 weeks before the starting date of the course.

 

          

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.

 

Fee for ESTRO members working in countries with a less competitive economic background:

ESTRO members working in countries with a less competitive economic background can benefit from the above fees if three conditions are met:

  1. Only ESTRO members for 2020 are eligible (please make sure your 2020 membership is in order before you apply for the reduced fees)
  2. Sponsored candidates are not entitled to these fees (the invoicing address has to be the one of the participant)  
  3. Your application is submitted 2 weeks before the course start date