MRI-Guided Adaptive Radiation Therapy

被引：7
作者：
Benitez, Cecil M. [1 ]
Chuong, Michael D. [2 ]
Kuenzel, Luise A. [3 ,4 ,5 ,6 ,7 ,8 ,9 ,10 ]
Thorwarth, Daniela [11 ,12 ]
机构：
[1] UCLA, Dept Radiat Oncol, Med Ctr, Los Angeles, CA USA
[2] Miami Canc Inst, Dept Radiat Oncol, Baptist Hlth South Florida, Miami, FL USA
[3] Natl Ctr Tumor Dis NCT, Dresden, Germany
[4] German Canc Res Ctr, Heidelberg, Germany
[5] Tech Univ Dresden, Fac Med, Dresden, Germany
[6] Tech Univ Dresden, Univ Hosp Carl Gustav Carus, Dresden, Germany
[7] Helmholtz Zentrum Dresden Rossendorf HZDR, Dresden, Germany
[8] Tech Univ Dresden, Univ Hosp, Fac Med Carl Gustav Carus, Dresden, Germany
[9] Tech Univ Dresden, Fac Med, OncoRay Natl Ctr Radiat Res Oncol, Helmholtz Zentrum Dresden Rossendorf, Dresden, Germany
[10] Tech Univ Dresden, Univ Hosp Carl Gustav Carus, Helmholtz Zentrum Dresden Rossendorf, Dresden, Germany
[11] Univ Tubingen, Dept Radiat Oncol, Sect Biomed Phys, Tubingen, Germany
[12] Univ Hosp Tubingen, Dept Radiat Oncol, Sect Biomed Phys, Hoppe Seyler Str 3, D-72076 Tubingen, Germany
来源：
SEMINARS IN RADIATION ONCOLOGY | 2024年 / 34卷 / 01期
关键词：
CLINICAL-EVALUATION; PANCREATIC-CANCER; PROSTATE-CANCER; RADIOTHERAPY; LINAC; FEASIBILITY; HEAD; VERIFICATION; PROGRESSION; EXPERIENCE;
D O I：
10.1016/j.semradonc.2023.10.013
中图分类号：
R73 [肿瘤学];
学科分类号：
100214 ;
摘要：
Magnetic resonance imaging-guided radiation therapy (MRIgRT) has improved soft tissue contrast over computed tomography (CT) based image-guided RT. Superior visualization of the target and surrounding radiosensitive structures has the potential to improve onco-logical outcomes partly due to safer dose-escalation and adaptive planning. In this review, we highlight the workflow of adaptive MRIgRT planning, which includes simulation imaging, daily MRI, identifying isocenter shifts, contouring, plan optimization, quality control, and delivery. Increased utilization of MRIgRT will depend on addressing technical limita-tions of this technology, while addressing treatment efficacy, cost-effectiveness, and workflow training.
引用
收藏
页码：84 / 91
页数：8
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