PURPOSE: To update the 2011 ESTRO-EFOMP core curriculum (CC) for education and training of medical physics experts (MPE)s working in radiotherapy (RT), in line with recent EU guidelines, and to provide a framework for European countries to develop their own curriculum. MATERIAL AND METHODS: Since September 2019, 27 European MPEs representing ESTRO, EFOMP and National Societies, with expertise covering all subfields of RT physics, have revised the CC for recent advances in RT. The ESTRO and EFOMP Education Councils, all European National Societies and international stakeholders have been involved in the revision process. RESULTS: A 4-year training period has been proposed, with a total of 240 ECTS (European Credit Transfer and Accumulation System). Training entrance levels have been defined ensuring the necessary physics and mathematics background. The concept of competency-based education has been reinforced by introducing the CanMEDS role framework. The updated CC includes (ablative) stereotactic-, MR-guided- and adaptive RT, particle therapy, advanced automation, complex quantitative data analysis (big data/artificial intelligence), use of biological images, and personalized treatments. Due to the continuously increasing RT complexity, more emphasis has been given to quality management. Clear requirements for a research project ensure a proper preparation of MPE residents for their central role in science and innovation in RT. CONCLUSION: This updated, 3rd edition of the CC provides an MPE training framework for safe and effective practice of modern RT, while acknowledging the significant efforts needed in some countries to reach this level. The CC can contribute to further harmonization of MPE training in Europe.
- MeSH
- biofyzika záření výchova MeSH
- kurikulum MeSH
- lidé MeSH
- radiační onkologie * výchova MeSH
- umělá inteligence * MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- Geografické názvy
- Evropa MeSH
1. vydání, multimediální verze 298 stran : ilustrace, tabulky ; 29 cm
Vysokoškolská učebnice, která se zaměřuje na radiologickou fyziku, konkrétně na aplikaci ionizujícího záření.
PURPOSE: ESTRO-EFOMP intend to update the core curriculum (CC) for education and training of medical physicists in radiotherapy in line with the European Commission (EC) guidelines on Medical Physics Experts (MPE), the CanMEDS methodology and recent developments in radiotherapy. As input, a survey of the current structure of radiotherapy MPE national training schemes (NTS) in Europe was carried out. METHODS: A 35-question survey was sent to all European medical physics national societies (NS) with a focus on existence of an NTS, its format and duration, required entry-level education, and financial support for trainees. RESULTS: Twenty-six of 36 NS responded. Twenty had an NTS. Minimum required pre-training education varied from BSc in physics or related sciences (5/2) to MSc in medical physics, physics or related sciences (6/5/2) with 50-210 ECTS in fundamental physics and mathematics. The training period varied from 1 to 5 years (median 3 years with 50% dedicated to radiotherapy). The ratio of time spent on university lectures versus hospital training was most commonly 25%/75%. In 14 of 20 countries with an NTS, a research project was mandatory. Residents were paid in 17 of 20 countries. The recognition was mostly obtained by examination. Medical physics is recognised as a healthcare profession in 19 of 26 countries. CONCLUSIONS: The NTS entrance level, duration and curriculum showed significant variations. This survey serves to inform the design of the updated CC to define a realistic minimum training level for safe and effective practice aiming at further harmonization in line with EC guidelines.
- MeSH
- biofyzika záření MeSH
- kurikulum MeSH
- lidé MeSH
- radiační onkologie * MeSH
- stupeň vzdělání MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- Geografické názvy
- Evropa MeSH
Intensity-modulated radiation therapy (IMRT) is presently the recommended technique for the treatment of locally advanced head and neck carcinomas. Proton therapy would allow to reduce the volume of irradiated normal tissue and, thus, to decrease the risk of late dysphagia, xerostomia, dysgeusia and hypothyroidism. An exhaustive research was performed with the search engine PubMed by focusing on the papers about the physical difficulties that slow down use of proton therapy for head and neck carcinomas. Range uncertainties in proton therapy (±3 %) paradoxically limit the use of the steep dose gradient in distality. Calibration uncertainties can be important in the treatment of head and neck cancer in the presence of materials of uncertain stoichiometric composition (such as with metal implants, dental filling, etc.) and complex heterogeneities. Dental management for example may be different with IMRT or proton therapy. Some uncertainties can be somewhat minimized at the time of optimization. Inter- and intrafractional variations and uncertainties in Hounsfield units/stopping power can be integrated in a robust optimization process. Additional changes in patient's anatomy (tumour shrinkage, changes in skin folds in the beam patch, large weight loss or gain) require rescanning. Dosimetric and small clinical studies comparing photon and proton therapy have well shown the interest of proton therapy for head and neck cancers. Intensity-modulated proton therapy is a promising treatment as it can reduce the substantial toxicity burden of patients with head and neck squamous cell carcinoma compared to IMRT. Robust optimization will allow to perform an optimal treatment and to use proton therapy in current clinical practice.
- MeSH
- biofyzika záření * MeSH
- celková dávka radioterapie MeSH
- dlaždicobuněčné karcinomy hlavy a krku radioterapie MeSH
- dysgeuzie etiologie prevence a kontrola MeSH
- hypotyreóza etiologie prevence a kontrola MeSH
- kritické orgány MeSH
- lidé MeSH
- nádory hlavy a krku radioterapie MeSH
- nejistota MeSH
- plánování radioterapie pomocí počítače MeSH
- poruchy polykání etiologie prevence a kontrola MeSH
- protonová terapie * MeSH
- radiační onkologie * MeSH
- radiační poranění etiologie prevence a kontrola MeSH
- radioterapie řízená obrazem MeSH
- radioterapie s modulovanou intenzitou škodlivé účinky MeSH
- teoretické modely MeSH
- translační biomedicínský výzkum * MeSH
- xerostomie etiologie prevence a kontrola MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- přehledy MeSH
xiii, 367 stran : ilustrace ; 23 cm
- Konspekt
- Lékařské vědy. Lékařství
- NLK Obory
- radiologie, nukleární medicína a zobrazovací metody
- fyzika, biofyzika
- NLK Publikační typ
- kolektivní monografie
1. vydání 163 stran : ilustrace, tabulky ; 30 cm
- MeSH
- biofyzika záření MeSH
- fotometrie MeSH
- lasery MeSH
- luminiscenční měření MeSH
- optika a fotonika MeSH
- spektrofotometrie MeSH
- Konspekt
- Biochemie. Molekulární biologie. Biofyzika
- NLK Obory
- fyzika, biofyzika
- NLK Publikační typ
- učebnice vysokých škol
- MeSH
- biofyzika záření MeSH
- dávka záření * MeSH
- hygiena práce MeSH
- ionizující záření MeSH
- lidé MeSH
- monitorování radiace * MeSH
- radiační ochrana * MeSH
- radiometrie metody využití MeSH
- referenční hodnoty MeSH
- statistika jako téma MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- kongresy MeSH
- práce podpořená grantem MeSH
1. vyd. 334 s. : il. (některé barev.), tab. ; 30 cm
