Clinical Implementational and Site-Specific Workflows for a 1.5T MR-Linac

David A. P. Dunkerley; Daniel E. Hyer; Jeffrey E. Snyder; Joel J. St-Aubin; Carryn M. Anderson; Joseph M. Caster; Mark C. Smith; John M. Buatti; Sridhar Yaddanapudi

doi:10.3390/jcm11061662

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Clinical Implementational and Site-Specific Workflows for a 1.5T MR-Linac

Journal article

Open access

Peer reviewed

Clinical Implementational and Site-Specific Workflows for a 1.5T MR-Linac

David A. P. Dunkerley, Daniel E. Hyer, Jeffrey E. Snyder, Joel J. St-Aubin, Carryn M. Anderson, Joseph M. Caster, Mark C. Smith, John M. Buatti and Sridhar Yaddanapudi

Journal of clinical medicine, Vol.11(6), p.1662

03/01/2022

DOI: 10.3390/jcm11061662

PMCID: PMC8954784

PMID: 35329988

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Abstract

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.

General & Internal Medicine

Life Sciences & Biomedicine

Medicine, General & Internal

Science & Technology

Details

Title: Subtitle: Clinical Implementational and Site-Specific Workflows for a 1.5T MR-Linac
Creators: David A. P. Dunkerley - University of Iowa Health Care
Daniel E. Hyer - University of Iowa Health Care
Jeffrey E. Snyder - University of Iowa Health Care
Joel J. St-Aubin - University of Iowa Health Care
Carryn M. Anderson - University of Iowa Health Care
Joseph M. Caster - University of Iowa Health Care
Mark C. Smith - University of Iowa Health Care
John M. Buatti - University of Iowa Health Care
Sridhar Yaddanapudi - University of Iowa Health Care
Resource Type: Journal article
Publication Details: Journal of clinical medicine, Vol.11(6), p.1662
DOI: 10.3390/jcm11061662
PMID: 35329988
PMCID: PMC8954784
NLM abbreviation: J Clin Med
ISSN: 2077-0383
eISSN: 2077-0383
Publisher: Mdpi
Number of pages: 12
Language: English
Date published: 03/01/2022
Academic Unit: Roy J. Carver Department of Biomedical Engineering; Radiation Oncology; Neurosurgery; Otolaryngology
Record Identifier: 9984304040402771

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