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Clinical Implementational and Site-Specific Workflows for a 1.5T MR-Linac
MR-guided adaptive radiotherapy (MRgART) provides opportunities to benefit patients through enhanced use of advanced imaging during treatment for many patients with various cancer treatment sites. This novel technology presents many new challenges which vary based on anatomic treatment location, tec...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8954784/ https://www.ncbi.nlm.nih.gov/pubmed/35329988 http://dx.doi.org/10.3390/jcm11061662 |
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author | Dunkerley, David A. P. Hyer, Daniel E. Snyder, Jeffrey E. St-Aubin, Joël J. Anderson, Carryn M. Caster, Joseph M. Smith, Mark C. Buatti, John M. Yaddanapudi, Sridhar |
author_facet | Dunkerley, David A. P. Hyer, Daniel E. Snyder, Jeffrey E. St-Aubin, Joël J. Anderson, Carryn M. Caster, Joseph M. Smith, Mark C. Buatti, John M. Yaddanapudi, Sridhar |
author_sort | Dunkerley, David A. P. |
collection | PubMed |
description | MR-guided adaptive radiotherapy (MRgART) provides opportunities to benefit patients through enhanced use of advanced imaging during treatment for many patients with various cancer treatment sites. This novel technology presents many new challenges which vary based on anatomic treatment location, technique, and potential changes of both tumor and normal tissue during treatment. When introducing new treatment sites, considerations regarding appropriate patient selection, treatment planning, immobilization, and plan-adaption criteria must be thoroughly explored to ensure adequate treatments are performed. This paper presents an institution’s experience in developing a MRgART program for a 1.5T MR-linac for the first 234 patients. The paper suggests practical treatment workflows and considerations for treating with MRgART at different anatomical sites, including imaging guidelines, patient immobilization, adaptive workflows, and utilization of bolus. |
format | Online Article Text |
id | pubmed-8954784 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-89547842022-03-26 Clinical Implementational and Site-Specific Workflows for a 1.5T MR-Linac Dunkerley, David A. P. Hyer, Daniel E. Snyder, Jeffrey E. St-Aubin, Joël J. Anderson, Carryn M. Caster, Joseph M. Smith, Mark C. Buatti, John M. Yaddanapudi, Sridhar J Clin Med Article MR-guided adaptive radiotherapy (MRgART) provides opportunities to benefit patients through enhanced use of advanced imaging during treatment for many patients with various cancer treatment sites. This novel technology presents many new challenges which vary based on anatomic treatment location, technique, and potential changes of both tumor and normal tissue during treatment. When introducing new treatment sites, considerations regarding appropriate patient selection, treatment planning, immobilization, and plan-adaption criteria must be thoroughly explored to ensure adequate treatments are performed. This paper presents an institution’s experience in developing a MRgART program for a 1.5T MR-linac for the first 234 patients. The paper suggests practical treatment workflows and considerations for treating with MRgART at different anatomical sites, including imaging guidelines, patient immobilization, adaptive workflows, and utilization of bolus. MDPI 2022-03-16 /pmc/articles/PMC8954784/ /pubmed/35329988 http://dx.doi.org/10.3390/jcm11061662 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Dunkerley, David A. P. Hyer, Daniel E. Snyder, Jeffrey E. St-Aubin, Joël J. Anderson, Carryn M. Caster, Joseph M. Smith, Mark C. Buatti, John M. Yaddanapudi, Sridhar Clinical Implementational and Site-Specific Workflows for a 1.5T MR-Linac |
title | Clinical Implementational and Site-Specific Workflows for a 1.5T MR-Linac |
title_full | Clinical Implementational and Site-Specific Workflows for a 1.5T MR-Linac |
title_fullStr | Clinical Implementational and Site-Specific Workflows for a 1.5T MR-Linac |
title_full_unstemmed | Clinical Implementational and Site-Specific Workflows for a 1.5T MR-Linac |
title_short | Clinical Implementational and Site-Specific Workflows for a 1.5T MR-Linac |
title_sort | clinical implementational and site-specific workflows for a 1.5t mr-linac |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8954784/ https://www.ncbi.nlm.nih.gov/pubmed/35329988 http://dx.doi.org/10.3390/jcm11061662 |
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