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

被引：45

作者：

Corradini, Stefanie ^{[1
]}

Alongi, Filippo ^{[2
,3
]}

Andratschke, Nicolaus ^{[4
]}

Azria, David ^{[5
]}

Bohoudi, Omar ^{[6
]}

Boldrini, Luca ^{[7
]}

Bruynzeel, Anna ^{[6
]}

Hoerner-Rieber, Juliane ^{[8
,9
]}

Juergenliemk-Schulz, Ina ^{[10
]}

Lagerwaard, Frank ^{[6
]}

McNair, Helen ^{[11
,12
]}

Raaymakers, Bas ^{[10
]}

Schytte, Tine ^{[13
,14
]}

Tree, Alison ^{[11
,12
]}

Valentini, Vincenzo ^{[7
]}

Wilke, Lotte ^{[4
]}

Zips, Daniel ^{[15
]}

Belka, Claus ^{[1
]}

机构：

[1] Ludwig Maximilians Univ Munchen, Dept Radiat Oncol, Univ Hosp, Marchioninistr 15, D-81377 Munich, Germany

[2] Sacro Cuore Don Calabria Hosp, IRCCS, Dept Adv Radiat Oncol, Negrar Verona, Italy

[3] Univ Brescia, Brescia, Italy

[4] Univ Zurich, Univ Hosp Zurich, Dept Radiat Oncol, Zurich, Switzerland

[5] Univ Montpellier, Montpellier Canc Inst, Univ Federat Radiat Oncol Montpellier Nimes, Dept Radiat Oncol,ICM,INSERM,U1194, Montpellier, France

[6] Univ Amsterdam, Med Ctr, Dept Radiat Oncol, Amsterdam, Netherlands

[7] Fdn Policlin Univ A Gemelli, IRCCS, Dept Bioimaging Radiat Oncol & Hematol, Rome, Italy

[8] Heidelberg Univ, Dept Radiat Oncol, Heidelberg, Germany

[9] German Canc Res Ctr, Clin Cooperat Unit Radiat Oncol, Heidelberg, Germany

[10] Univ Med Ctr Utrecht, Dept Radiat Oncol, Utrecht, Netherlands

[11] Royal Marsden NHS Fdn Trust, London, England

[12] Inst Canc Res, London, England

[13] Odense Univ Hosp, Dept Oncol, Odense, Denmark

[14] Univ Southern Denmark, Dept Clin Res, Odense, Denmark

[15] Univ Tubingen, Dept Radiat Oncol, Tubingen, Germany

来源：

RADIOTHERAPY AND ONCOLOGY | 2021年 / 159卷

关键词：

MR-guided radiotherapy; MR-Linac; Radiotherapy; Implementation; Adaptation; Online adaptive; STEREOTACTIC RADIOTHERAPY; PRACTICAL IMPLEMENTATION; ADAPTIVE RADIOTHERAPY; GUIDED RADIOTHERAPY; THERAPY SMART; ACCELERATOR; STRATEGIES; MANAGEMENT; IMRT;

D O I：

10.1016/j.radonc.2021.03.025

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

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. (c) 2021 Elsevier B.V. All rights reserved. Radiotherapy and Oncology 159 (2021) 146-154

引用

页码：146 / 154

页数：9

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