Advanced Radiotherapy

Course Content

Module 1 – Image-Guided Brachytherapy (IGBT) for Cervix Cancer
Fundamentals -IGBT Cervix Terms and Definitions -Techniques and Equipment -Dose Targets and Organs at Risk Constraints -Dose Prescription -Commissioning IGBT Cervix Contouring -MRI-based Contouring of High-risk Clinical Target Volume (CTV) -CT-based Contouring of High-risk CTV -Contouring Organs at Risk Using CT and MRI -CT-Magnetic Resonance Fusion for Contouring Dosimetry -Applicator Reconstruction -Methods of Dose Optimisation -Dose Optimisation – Tandem-ring -Dose Optimisation – Interstitial Needles -Plan Evaluation and Dose Modification Patient Care -Logistics -Role of the Advanced Practitioner -Feminine Aftercare

Module 2 – Intensity Modulated Radiotherapy (IMRT)
Fundamentals -Introduction to IMRT -Target Volume Definition -Introduction to Objective Functions -Gamma Index for Clinicians -Gamma Index for Physicists Dosimetry -Mathematics of Optimisation -Forward Planned IMRT -Inverse Planned IMRT -IMRT Reporting and Prescribing -Practical Aspects of IMRT Quality Assurance Tumour Sites -Breast Contouring -Breast IMRT -Paediatric Cranio-spinal Radiation Therapy -Pelvic and Para-aortic Nodes -Prostate Contouring -Head and Neck Contouring

Module 3 – Stereotactic Radiotherapy (SRT)
Fundamentals Introduction to SRT Fiducial Systems for Brain Radiation Therapy Small Field Dosimetry for SRT Imaging for SRT Image Segmentation for SRT Brain -Clinical Indications for Brain SRT -Immobilisation Systems for Brain SRT -Treatment Process for Brain SRT -Linac Preparation, Plan Checking and Treatment Process for Cranial Stereotactic Radiosurgery and SRT -Body -Clinical Rationale and Contouring for Lung SRT -Immobilisation Systems for Body RT -Treatment Planning for Lung SRT

Module 4 – Prostate Brachytherapy
Introduction Imaging Modalities and Volume Definition Implantation Technique Low Dynamic Range Planning High Dynamic Range Planning – Catheter Reconstruction High Dynamic Range Planning: Plan Optimisation and Evaluation Logistics Commissioning and Quality Assurance

Module 5 – Image-Guided Radiotherapy (IGRT)
Fundamentals Fundamentals of IGRT Imaging Techniques and Technologies Image Quality and Optimisation Geometric Error and Impact Reducing Geometric Errors Tumour sites -IGRT for Head and Neck -IGRT for Lung -IGRT for Prostate and Bladder Cancers

Proton Beam Therapy
Introduction to Proton Beam Indications and Evidence for Proton Beam Therapy Characteristics of Clinical Proton Beams Treatment Planning and Delivery for Active Pencil Beam Scanning Radiation Protection for Proton Beams Patient Pathway in PBT Pencil Beam Scanning Acute and Late Effects of Proton Treatments

Clinical Oncology
This separate pathway features around 100 dedicated oncology sessions handpicked from our Radiology (R-ITI) programme. This pathway is suitable for all healthcare professionals working in oncology. It can be purchased as an individual module (see the ‘buy it now’ section below for details) or as part of the full R-ITI programme.

Module 1b – Thoracic and Respiratory
Airway Anatomy CT Anatomy: Lobes, Segments and Airways CT Anatomy: Pulmonary Lobule and Fissures Staging of Lung Cancer Imaging of Lung Cancer Thoracic Lymphoma Diagnosis of Pulmonary Embolism Guidelines for the Management of Suspected Acute Pulmonary Embolism Malignant Mesothelioma Anterior Mediastinal Masses Mediastinal Masses: Middle and Posterior Mediastinum Causes of Mediastinal Nodal Disease Superior Vena Cava Obstruction: CT Imaging Findings of Pathology and Anatomy

Module 1c – Vascular and Interventional
Superior Vena Cava Obstruction: Imaging and Treatment Venous Interventions in the Liver: TIPS and Budd-Chiari Syndrome

Module 2 – Musculoskeletal and Trauma
-Lower Back Pain Imaging Approach -Radiculopathy -Benign and Malignant Lesions of the Ribs -Sacral Lesions -The Sclerotic Clavicle -Approach to a Bone Lesion -Bone Lesions of the Epiphysis -Bone Lesions of the Diaphysis -Mass Posterior Knee -Spinal Tumours -Surface Lesion of Bone

Module 3 – Gastro-intestinal
-Oesophagus: Tumours of the Oesophagus -Oesophagus: Staging of Tumours -Tumours of the Oesophagus: Treatments -Neoplastic Conditions of the Stomach and Duodenum -Malignant Tumours of the Small Bowel -Small Bowel: G-I Stromal Tumours (Hollow Organ and Mesentery) -Carcinoma of the Colon -Staging Colorectal Cancer -Colorectal Cancer: Follow-Up and Treatment, Management of Recurrence -Imaging of the Solid Viscera -Pharynx: Normal Anatomy and Examination Techniques -Gallbladder and Biliary Tract: Staging of Cholangiocarcinoma -Gallbladder and Biliary Tract: Staging of Cholangiocarcinoma -Normal Liver Anatomy and Examination Techniques -Liver: Malignant Tumours of the Liver – Hepatoma -Malignant Tumours of the Liver: Others -Pancreas: Normal Anatomy and Examination Techniques, Anomalies and Anatomic Variants -Pancreatic Adenocarcinoma -Other Pancreatic Neoplasms -Staging of Pancreatic Adenocarcinoma -Staging Stomach Cancer

Module 4c – Genito-urinary and Adrenal
-Anatomy of the Kidney -Anatomy of the Ureter -Anatomy of the Bladder -Anatomy of the Prostate -CT of the Urinary Tract -MRI of the Urinary Tract -TRUS Guided Biopsy of the Prostate Gland -Benign Renal Tumours -Renal Cell Cancer I -Renal Cell Cancer 2 -Bladder Cancer -Clinical Aspects, Epidemiology and Diagnosis of Prostate Cancer -Staging Prostate Cancer -Malignant Testicular Tumours -Cancer of the Penis -Imaging of Indeterminate Renal Mass -Imaging of an Incidental Adrenal Mass

Module 5 – Paediatrics
-Hilar Enlargement -Neuroblastoma -Renal Tumours -Infratentorial Tumours -Supratentorial Tumours -The Child Who Has Gone Off Their Legs -Intraspinal Tumours

Module 6a – Head and Neck
-Skull Base Including the Temporal Bone -Imaging Anatomy of the Suprahyoid Neck -Salivary Glands -Imaging Neck Masses in Adults

Module 6b – Neuroradiology
-Neurovascular Anatomy -Functional Neuroanatomy -Primary Tumours: Gliomas, Astros and Oligos -Choroid Plexus, Glioneuronal and Pineal Region Tumours -Medulloblastoma -Primary Tumours: Pituitary and Hypothalamus -Characteristic Appearances and Differential Diagnosis of Meningiomas -Vestibular Schwannomas -Intracranial Metastases: Imaging and Differential Diagnosis -Central Nervous System Lymphoma -Radiation Injury -Primary Tumours of the Spinal Cord -Spinal Extramedullary Tumours -Spine Secondaries -CT Spinal Imaging -Petrous Temporal Bone: Infection, Cholesteatoma and Glomus Tumour -Facial Sinuses -Emergency CT Brain Interpretation -Spinal Imaging -Plain Skull Radiograph

Module 7 – Radionuclide Radiology
-Bone: Basic Concepts and Normal Bone -Primary Tumour and Metastasis -The Role of Nuclear Medicine in the Management of Thyroid Cancer -Static Renal Imaging: DMSA -Monitoring the Effects of Cancer Therapy -Colorectal Cancer 18 FDG PET/CT -Gastro-oesophageal Cancer 18 FDG PET/CT -Lung Cancer FDG PET -Lymphoma 18 FDG PET Study -Neuroendocrine Imaging with mIBG Somatostatin Receptor Scintigraphy (SRS) -Malignant Melanoma 99m Tc: Sentinel Node -Breast Cancer Sentinel Node

Module 8a – Physics
-Radionuclide Imaging Overview -Positron Emission Tomography (PET)

About Course

Radiotherap-e covers the knowledge and practical skills required to implement advanced radiotherapy techniques safely and efficiently. It is suitable for fully qualified practitioners, including clinical oncologists, physicists, radiographers and dosimetrists, around the world.

Training in the latest radiotherapy techniques

Accessible online, the programme is packed with interactive features, such as animations, video clips and self-assessment exercises, to reinforce learning on the complex principles involved. Step-by-step descriptions of practical procedures are given, alongside clinical examples. You can also compare techniques, equipment and protocols.

Practise your radiotherapy skills in a virtual environment

You can practise your skills using customised tools that simulate radiotherapy techniques, such as contouring, dose calculation and optimisation.

Clinical oncology

You can also purchase a separate pathway dedicated to clinical oncology. See the course content and buy it now sections below for details.

Radiotherap-e has been produced in the UK by The Royal College of Radiologists, the Institute of Physics and Engineering in Medicine, the College of Radiographers and NHS England elearning for healthcare.

This online radiotherapy course is formally recognised and endorsed for continuing professional development by the UK College of Radiographers, one of the leading professional bodies in this field.

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