Course Prerequisites
- Please note that this course has the following prerequisites which must be completed before it can be accessed
About This Course
Radiotherapy – Learn Online & Get Certification by RCR, IPEM, CoR & HEE
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 Health Education England e-Learning 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.
Learning Objectives
From The Royal College of Radiologists,
The Institute of Physics and Engineering in Medicine,
The College of Radiographers
Health Education England
Target Audience
- Oncologists
Curriculum
Module 1 – Image-Guided Brachytherapy (IGBT) for Cervix Cancer
1. Fundamentals
1.1. IGBT Cervix Terms and Definitions
1.2. Techniques and Equipment
1.3. Dose Targets and Organs at Risk Constraints
1.4. Dose Prescription
1.5. Commissioning IGBT Cervix
2. Contouring
2.1. MRI-based Contouring of High-risk Clinical Target Volume (CTV)
2.2. CT-based Contouring of High-risk CTV
2.3. Contouring Organs at Risk Using CT and MRI
2.4. CT-Magnetic Resonance Fusion for Contouring
3. Dosimetry
3.1. Applicator Reconstruction
3.2. Methods of Dose Optimisation
3.3. Dose Optimisation – Tandem-ring
3.4. Dose Optimisation – Interstitial Needles
3.5. Plan Evaluation and Dose Modification
4. Patient Care
4.1. Logistics
4.2. Role of the Advanced Practitioner
4.3. Feminine Aftercare
Module 2 – Intensity Modulated Radiotherapy (IMRT)
1. Fundamentals
1.1. Introduction to IMRT
1.2. Target Volume Definition
1.3. Introduction to Objective Functions
1.4. Gamma Index for Clinicians
1.5. Gamma Index for Physicists
2. Dosimetry
2.1. Mathematics of Optimisation
2.2. Forward Planned IMRT
2.3. Inverse Planned IMRT
2.4. IMRT Reporting and Prescribing
2.5. Practical Aspects of IMRT Quality Assurance
3. Tumour Sites
3.1. Breast Contouring
3.2. Breast IMRT
3.3. Paediatric Cranio-spinal Radiation Therapy
3.4. Pelvic and Para-aortic Nodes
3.5. Prostate Contouring
3.6. Head and Neck Contouring
Module 3 – Stereotactic Radiotherapy (SRT)
1. Fundamentals
2. Introduction to SRT
3. Fiducial Systems for Brain Radiation Therapy
4. Small Field Dosimetry for SRT
5. Imaging for SRT
6. Image Segmentation for SRT
7. Brain
7.1. Clinical Indications for Brain SRT
7.2. Immobilisation Systems for Brain SRT
7.3. Treatment Process for Brain SRT
7.4. Linac Preparation, Plan Checking and Treatment Process for Cranial Stereotactic Radiosurgery and SRT
8. Body
8.1. Clinical Rationale and Contouring for Lung SRT
8.2. Immobilisation Systems for Body RT
8.3. Treatment Planning for Lung SRT
Module 4 – Prostate Brachytherapy
1. Introduction
2. Imaging Modalities and Volume Definition
3. Implantation Technique
4. Low Dynamic Range Planning
5. High Dynamic Range Planning – Catheter Reconstruction
6. High Dynamic Range Planning: Plan Optimisation and Evaluation
7. Logistics
8. Commissioning and Quality Assurance
Module 5 – Image-Guided Radiotherapy (IGRT)
1. Fundamentals
1.1. Fundamentals of IGRT
1.2. Imaging Techniques and Technologies
1.3. Image Quality and Optimisation
1.4. Geometric Error and Impact
1.5. Reducing Geometric Errors
2. Tumour sites
2.1. IGRT for Head and Neck
2.2. IGRT for Lung
2.3. IGRT for Prostate and Bladder Cancers
Proton Beam Therapy
1. Introduction to Proton Beam
2. Indications and Evidence for Proton Beam Therapy
3. Characteristics of Clinical Proton Beams
4. Treatment Planning and Delivery for Active Pencil Beam Scanning
5. Radiation Protection for Proton Beams
6. Patient Pathway in PBT Pencil Beam Scanning
7. 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
1. Airway Anatomy
2. CT Anatomy: Lobes, Segments and Airways
3. CT Anatomy: Pulmonary Lobule and Fissures
4. Staging of Lung Cancer
5. Imaging of Lung Cancer
6. Thoracic Lymphoma
7. Diagnosis of Pulmonary Embolism
8. Guidelines for the Management of Suspected Acute Pulmonary Embolism
9. Malignant Mesothelioma
10. Anterior Mediastinal Masses
11. Mediastinal Masses: Middle and Posterior Mediastinum
12. Causes of Mediastinal Nodal Disease
13. Superior Vena Cava Obstruction: CT Imaging Findings of Pathology and Anatomy
Module 1c – Vascular and Interventional
1. Superior Vena Cava Obstruction: Imaging and Treatment
2. Venous Interventions in the Liver: TIPS and Budd-Chiari Syndrome
Module 2 – Musculoskeletal and Trauma
1. Lower Back Pain Imaging Approach
2. Radiculopathy
3. Benign and Malignant Lesions of the Ribs
4. Sacral Lesions
5. The Sclerotic Clavicle
6. Approach to a Bone Lesion
7. Bone Lesions of the Epiphysis
8. Bone Lesions of the Diaphysis
9. Mass Posterior Knee
10. Spinal Tumours
11. Surface Lesion of Bone
Module 3 – Gastro-intestinal
1. Oesophagus: Tumours of the Oesophagus
2. Oesophagus: Staging of Tumours
3. Tumours of the Oesophagus: Treatments
4. Neoplastic Conditions of the Stomach and Duodenum
5. Malignant Tumours of the Small Bowel
6. Small Bowel: G-I Stromal Tumours (Hollow Organ and Mesentery)
7. Carcinoma of the Colon
8. Staging Colorectal Cancer
9. Colorectal Cancer: Follow-Up and Treatment, Management of Recurrence
10. Imaging of the Solid Viscera
11. Pharynx: Normal Anatomy and Examination Techniques
12. Gallbladder and Biliary Tract: Staging of Cholangiocarcinoma
13. Gallbladder and Biliary Tract: Staging of Cholangiocarcinoma
14. Normal Liver Anatomy and Examination Techniques
15. Liver: Malignant Tumours of the Liver – Hepatoma
16. Malignant Tumours of the Liver: Others
17. Pancreas: Normal Anatomy and Examination Techniques, Anomalies and Anatomic Variants
18. Pancreatic Adenocarcinoma
19. Other Pancreatic Neoplasms
20. Staging of Pancreatic Adenocarcinoma
30. Staging Stomach Cancer
Module 4a – Breast
1. Introduction to Breast Imaging
2. Breast Calcification
3. Staging of Breast Cancer and Metastatic Disease
Module 4b – Gynaecology-Obstretrics
1. Staging Cervical and Endometrial Cancer
2. Ovarian Cancer: Imaging at Diagnosis
3. Gynaecological Cancer: Imaging in Follow-Up
4. Complications of Treatment
Module 4c – Genito-urinary and Adrenal
1. Anatomy of the Kidney
2. Anatomy of the Ureter
3. Anatomy of the Bladder
4. Anatomy of the Prostate
5. CT of the Urinary Tract
6. MRI of the Urinary Tract
7. TRUS Guided Biopsy of the Prostate Gland
8. Benign Renal Tumours
9. Renal Cell Cancer I
10. Renal Cell Cancer 2
11. Bladder Cancer
12. Clinical Aspects, Epidemiology and Diagnosis of Prostate Cancer
13. Staging Prostate Cancer
14. Malignant Testicular Tumours
15. Cancer of the Penis
16. Imaging of Indeterminate Renal Mass
17. Imaging of an Incidental Adrenal Mass
Module 5 – Paediatrics
1. Hilar Enlargement
2. Neuroblastoma
3. Renal Tumours
4. Infratentorial Tumours
5. Supratentorial Tumours
6. The Child Who Has Gone Off Their Legs
7. Intraspinal Tumours
Module 6a – Head and Neck
1. Skull Base Including the Temporal Bone
2. Imaging Anatomy of the Suprahyoid Neck
3. Salivary Glands
4. Imaging Neck Masses in Adults
Module 6b – Neuroradiology
1. Neurovascular Anatomy
2. Functional Neuroanatomy
3. Primary Tumours: Gliomas, Astros and Oligos
4. Choroid Plexus, Glioneuronal and Pineal Region Tumours
5. Medulloblastoma
6. Primary Tumours: Pituitary and Hypothalamus
7. Characteristic Appearances and Differential Diagnosis of Meningiomas
8. Vestibular Schwannomas
9. Intracranial Metastases: Imaging and Differential Diagnosis
10. Central Nervous System Lymphoma
11. Radiation Injury
12. Primary Tumours of the Spinal Cord
13. Spinal Extramedullary Tumours
14. Spine Secondaries
15. CT Spinal Imaging
16. Petrous Temporal Bone: Infection, Cholesteatoma and Glomus Tumour
17. Facial Sinuses
18. Emergency CT Brain Interpretation
19. Spinal Imaging
20. Plain Skull Radiograph
Module 7 – Radionuclide Radiology
1. Bone: Basic Concepts and Normal Bone
2. Primary Tumour and Metastasis
3. The Role of Nuclear Medicine in the Management of Thyroid Cancer
4. Static Renal Imaging: DMSA
5. Monitoring the Effects of Cancer Therapy
6. Colorectal Cancer 18 FDG PET/CT
7. Gastro-oesophageal Cancer 18 FDG PET/CT
8. Lung Cancer FDG PET
9. Lymphoma 18 FDG PET Study
10. Neuroendocrine Imaging with mIBG Somatostatin Receptor Scintigraphy (SRS)
11. Malignant Melanoma 99m Tc: Sentinel Node
12. Breast Cancer Sentinel Node
Module 8a – Physics
1. Radionuclide Imaging Overview
2. Positron Emission Tomography (PET)
