The clinical introduction of MR-guided radiation therapy from a RTT perspective

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 Med...

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Main Authors:	R. Botman, S.U. Tetar, M.A. Palacios, B.J. Slotman, F.J. Lagerwaard, A.M.E. Bruynzeel
Format:	Article
Language:	English
Published:	Elsevier 2019-09-01
Series:	Clinical and Translational Radiation Oncology
Online Access:	http://www.sciencedirect.com/science/article/pii/S2405630819300771

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spelling	doaj-1e5a27d5004b440ea32ad78958d27eb52021-06-02T06:31:21ZengElsevierClinical and Translational Radiation Oncology2405-63082019-09-0118140145The clinical introduction of MR-guided radiation therapy from a RTT perspectiveR. Botman0S.U. Tetar1M.A. Palacios2B.J. Slotman3F.J. Lagerwaard4A.M.E. Bruynzeel5Corresponding author at: Amsterdam UMC, Location VU, Postbox 7057, 1007 MB Amsterdam, The Netherlands.; Dept. of Radiation Oncology, Amsterdam UMC, location VU University Medical Center, de Boelelaan 1117, 1081 HV Amsterdam, The NetherlandsDept. of Radiation Oncology, Amsterdam UMC, location VU University Medical Center, de Boelelaan 1117, 1081 HV Amsterdam, The NetherlandsDept. of Radiation Oncology, Amsterdam UMC, location VU University Medical Center, de Boelelaan 1117, 1081 HV Amsterdam, The NetherlandsDept. of Radiation Oncology, Amsterdam UMC, location VU University Medical Center, de Boelelaan 1117, 1081 HV Amsterdam, The NetherlandsDept. of Radiation Oncology, Amsterdam UMC, location VU University Medical Center, de Boelelaan 1117, 1081 HV Amsterdam, The NetherlandsDept. of Radiation Oncology, Amsterdam UMC, location VU University Medical Center, de Boelelaan 1117, 1081 HV Amsterdam, The NetherlandsThe 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. Keywords: MR-guided radiation therapy (MRgRT), Clinical workflow, stereotactic body radiation therapy (SBRT), Stereotactic MR-guided adaptive radiation therapy (SMART), On-table adaptation, RTT perspectivehttp://www.sciencedirect.com/science/article/pii/S2405630819300771
collection	DOAJ
language	English
format	Article
sources	DOAJ
author	R. Botman S.U. Tetar M.A. Palacios B.J. Slotman F.J. Lagerwaard A.M.E. Bruynzeel
spellingShingle	R. Botman S.U. Tetar M.A. Palacios B.J. Slotman F.J. Lagerwaard A.M.E. Bruynzeel The clinical introduction of MR-guided radiation therapy from a RTT perspective Clinical and Translational Radiation Oncology
author_facet	R. Botman S.U. Tetar M.A. Palacios B.J. Slotman F.J. Lagerwaard A.M.E. Bruynzeel
author_sort	R. Botman
title	The clinical introduction of MR-guided radiation therapy from a RTT perspective
title_short	The clinical introduction of MR-guided radiation therapy from a RTT perspective
title_full	The clinical introduction of MR-guided radiation therapy from a RTT perspective
title_fullStr	The clinical introduction of MR-guided radiation therapy from a RTT perspective
title_full_unstemmed	The clinical introduction of MR-guided radiation therapy from a RTT perspective
title_sort	clinical introduction of mr-guided radiation therapy from a rtt perspective
publisher	Elsevier
series	Clinical and Translational Radiation Oncology
issn	2405-6308
publishDate	2019-09-01
description	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. Keywords: MR-guided radiation therapy (MRgRT), Clinical workflow, stereotactic body radiation therapy (SBRT), Stereotactic MR-guided adaptive radiation therapy (SMART), On-table adaptation, RTT perspective
url	http://www.sciencedirect.com/science/article/pii/S2405630819300771
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The clinical introduction of MR-guided radiation therapy from a RTT perspective

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