Cargando…

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...

Descripción completa

Detalles Bibliográficos
Autores principales: 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
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
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
_version_ 1784676179304775680
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
work_keys_str_mv AT dunkerleydavidap clinicalimplementationalandsitespecificworkflowsfora15tmrlinac
AT hyerdaniele clinicalimplementationalandsitespecificworkflowsfora15tmrlinac
AT snyderjeffreye clinicalimplementationalandsitespecificworkflowsfora15tmrlinac
AT staubinjoelj clinicalimplementationalandsitespecificworkflowsfora15tmrlinac
AT andersoncarrynm clinicalimplementationalandsitespecificworkflowsfora15tmrlinac
AT casterjosephm clinicalimplementationalandsitespecificworkflowsfora15tmrlinac
AT smithmarkc clinicalimplementationalandsitespecificworkflowsfora15tmrlinac
AT buattijohnm clinicalimplementationalandsitespecificworkflowsfora15tmrlinac
AT yaddanapudisridhar clinicalimplementationalandsitespecificworkflowsfora15tmrlinac