The clinical introduction of MR-guided radiation therapy from a RTT perspective
| Autor: | R. Botman, Shyama Tetar, Frank J. Lagerwaard, Miguel A. Palacios, Anna M.E. Bruynzeel, Berend J. Slotman |
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| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Process (engineering) medicine.medical_treatment R895-920 Plan (drawing) Article 030218 nuclear medicine & medical imaging 03 medical and health sciences Medical physics. Medical radiology. Nuclear medicine 0302 clinical medicine RTT perspective Multidisciplinary approach MR-guided radiation therapy (MRgRT) Medicine Radiology Nuclear Medicine and imaging Medical physics Clinical workflow stereotactic body radiation therapy (SBRT) Adaptation (computer science) RC254-282 business.industry Perspective (graphical) Neoplasms. Tumors. Oncology. Including cancer and carcinogens Stereotactic MR-guided adaptive radiation therapy (SMART) Radiation therapy Workflow Oncology 030220 oncology & carcinogenesis On-table adaptation business Mri guided |
| Zdroj: | Clinical and Translational Radiation Oncology Botman, R, Tetar, S U, Palacios, M A, Slotman, B J, Lagerwaard, F J & Bruynzeel, A M E 2019, ' The clinical introduction of MR-guided radiation therapy from a RTT perspective ', Clinical and Translational Radiation Oncology, vol. 18, pp. 140-145 . https://doi.org/10.1016/j.ctro.2019.04.019 Clinical and Translational Radiation Oncology, Vol 18, Iss, Pp 140-145 (2019) |
| ISSN: | 2405-6308 |
| DOI: | 10.1016/j.ctro.2019.04.019 |
| Popis: | Highlights • The use of MRgRT in clinical practice requires thorough preparation. • MRgRT combining with daily plan adaptation indicates adjusting existing workflows. • Clinical implementation of adaptive MRgRT requires a multidisciplinary approach. • Role and responsibilities of RTT will expand with growing clinical experience. The latest development in radiation oncology departments towards high precision and adaptive radiation therapy is the clinical introduction of magnetic resonance image guided radiation therapy (MRgRT). Early 2016, patient treatment using MRgRT was started at Amsterdam UMC, location VU University Medical Center. Introducing this novel technique in clinical practice requires thorough preparation with regard to important topics, such as MR-safety and training, equipping the treatment vault and console room, development of MRgRT workflow and logistical issues. Certainly when MRgRT is combined with daily plan adaptation, this indicates adjusting existing workflows and protocols. The MRgRT workflow requires a multidisciplinary process, and while each discipline has had its own tasks and responsibilities, with growing clinical experience there has been a shift towards RTT responsibilities. In this overview we discuss preclinical training and preparation for the implementation of (adaptive) MRgRT, with a particular focus on the perspective of RTTs. Although the reviewed logistics are partly the result of the decision to perform daily plan re-optimization, our experience can be extrapolated to implementation of alternative approaches for MRgRT. |
| Databáze: | OpenAIRE |
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