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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 J+Med+Radiat+Sci
2017 ; 64
(1
): 61-68
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The integration of MRI in radiation therapy: collaboration of radiographers and
radiation therapists
#MMPMID28211218
Rai R
; Kumar S
; Batumalai V
; Elwadia D
; Ohanessian L
; Juresic E
; Cassapi L
; Vinod SK
; Holloway L
; Keall PJ
; Liney GP
J Med Radiat Sci
2017[Mar]; 64
(1
): 61-68
PMID28211218
show ga
The increased utilisation of magnetic resonance imaging (MRI) in radiation
therapy (RT) has led to the implementation of MRI simulators for RT treatment
planning and influenced the development of MRI-guided treatment systems. There is
extensive literature on the advantages of MRI for tumour volume and organ-at-risk
delineation compared to computed tomography. MRI provides both anatomical and
functional information for RT treatment planning (RTP) as well as quantitative
information to assess tumour response for adaptive treatment. Despite many
advantages of MRI in RT, introducing an MRI simulator into a RT department is a
challenge. Collaboration between radiographers and radiation therapists is
paramount in making the best use of this technology. The cross-disciplinary
training of radiographers and radiation therapists alike is an area rarely
discussed; however, it is becoming an important requirement due to detailed
imaging needs for advanced RT treatment techniques and with the emergence of
hybrid treatment systems. This article will discuss the initial experiences of a
radiation oncology department in implementing a dedicated MRI simulator for RTP,
with a focus on the training required for both radiographer and RT staff. It will
also address the future of MRI in RT and the implementation of MRI-guided
treatment systems, such as MRI-Linacs, and the role of both radiation therapists
and radiographers in this technology.