ESTRO-ACROP recommendations on the clinical implementation of hybrid MR-linac systems in radiation oncology

Publication date

2021-06

Authors

Corradini, Stefanie
Alongi, Filippo
Andratschke, Nicolaus
Azria, David
Bohoudi, Omar
Boldrini, Luca
Bruynzeel, Anna
Hörner-Rieber, Juliane
Jurgenliemk-Schulz, Ina M.ISNI 0000000396650739
Lagerwaard, Frank

Editors

Advisors

Supervisors

Document Type

Article

Collections

Open Access logo

License

taverne

Abstract

Online magnetic resonance-guided radiotherapy (oMRgRT) represents one of the most innovative applications of current image-guided radiation therapy (IGRT). The revolutionary concept of oMRgRT systems is the ability to acquire MR images for adaptive treatment planning and also online imaging during treatment delivery. The daily adaptive planning strategies allow to improve targeting accuracy while avoiding critical structures. This ESTRO-ACROP recommendation aims to provide an overview of available systems and guidance for best practice in the implementation phase of hybrid MR-linac systems. Unlike the implementation of other radiotherapy techniques, oMRgRT adds the MR environment to the daily practice of radiotherapy, which might be a new experience for many centers. New issues and challenges that need to be thoroughly explored before starting clinical treatments will be highlighted.

Keywords

Adaptation, Implementation, MR-guided radiotherapy, MR-Linac, Online adaptive, Radiotherapy, Taverne, Hematology, Oncology, Radiology Nuclear Medicine and imaging, Journal Article

Citation

Corradini, S, Alongi, F, Andratschke, N, Azria, D, Bohoudi, O, Boldrini, L, Bruynzeel, A, Hörner-Rieber, J, Jürgenliemk-Schulz, I, Lagerwaard, F, McNair, H, Raaymakers, B, Schytte, T, Tree, A, Valentini, V, Wilke, L, Zips, D & Belka, C 2021, 'ESTRO-ACROP recommendations on the clinical implementation of hybrid MR-linac systems in radiation oncology', Radiotherapy & Oncology, vol. 159, pp. 146-154. https://doi.org/10.1016/j.radonc.2021.03.025