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IPEM topical report: guidance on the use of MRI for external beam radiotherapy treatment planning

Speight, R; Dubec, M; Eccles, CL; George, B; Henry, A; Herbert, T; Johnstone, R; ... Schmidt, MA; + view all (2021) IPEM topical report: guidance on the use of MRI for external beam radiotherapy treatment planning. Physics in Medicine & Biology , 66 (5) , Article 055025. 10.1088/1361-6560/abdc30. Green open access

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Abstract

This document gives guidance for multidisciplinary teams within institutions setting up and using an MRI-guided radiotherapy (RT) treatment planning service. It has been written by a multidisciplinary working group from the Institute of Physics and Engineering in Medicine (IPEM). Guidance has come from the experience of the institutions represented in the IPEM working group, in consultation with other institutions, as well as information taken from the literature. Guidance is only given for MRI acquired for external beam RT treatment planning in a CT-based workflow, i.e. when MRI is acquired and registered to CT with the purpose of aiding delineation of target or organ at risk volumes. MRI-only RT and other RT treatment types such as brachytherapy and gamma radiosurgery are not considered in scope here, although some of the major themes discussed are relevant. The aim was to produce guidance that will be useful for institutions who are setting up and using a dedicated MR scanner for RT (referred to as an MR-sim) and those who will have limited time on an MR scanner potentially managed outside of the RT department, often by radiology. Although not specifically covered in this document, there is an increase in the use of hybrid MRI-linac systems worldwide and brief comments are included to highlight any crossover with the early implementation of this technology. In this document, advice is given on introducing an RT workload onto a non-RT-dedicated MR scanner, as well as planning for installation of an MR scanner dedicated for RT. Next, practical guidance is given on the following, in the context of RT planning: training and education for all staff working in and around an MR scanner; RT patient set-up on an MR scanner; MRI sequence optimisation for RT purposes; commissioning and quality assurance (QA) to be performed on an MR scanner; and MRI to CT registration, including commissioning and QA.

Type: Article
Title: IPEM topical report: guidance on the use of MRI for external beam radiotherapy treatment planning
Location: England
Open access status: An open access version is available from UCL Discovery
DOI: 10.1088/1361-6560/abdc30
Publisher version: https://doi.org/10.1088/1361-6560/abdc30
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
Keywords: Guidelines, MRI, Radiotherapy treatment planning
UCL classification: UCL
UCL > Provost and Vice Provost Offices > UCL BEAMS
UCL > Provost and Vice Provost Offices > UCL BEAMS > Faculty of Engineering Science
UCL > Provost and Vice Provost Offices > UCL BEAMS > Faculty of Engineering Science > Dept of Med Phys and Biomedical Eng
URI: https://discovery.ucl.ac.uk/id/eprint/10119329
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