Task group 284 report: magnetic resonance imaging simulation in radiotherapy: considerations for clinical implementation, optimization, and quality assurance
- 1 January 2021
- journal article
- research article
- Published by Wiley in Medical Physics
- Vol. 48 (7) , E636-E670
Abstract
The use of dedicated magnetic resonance simulation (MR‐SIM) platforms in Radiation Oncology has expanded rapidly, introducing new equipment and functionality with the overall goal of improving the accuracy of radiation treatment planning. However, this emerging technology presents a new set of challenges that need to be addressed for safe and effective MR‐SIM implementation. The major objectives of this report are to provide recommendations for commercially available MR simulators, including initial equipment selection, siting, acceptance testing, quality assurance, optimization of dedicated radiation therapy specific MR‐SIM workflows, patient‐specific considerations, safety, and staffing. Major contributions include guidance on motion and distortion management as well as MRI coil configurations to accommodate patients immobilized in the treatment position. Examples of optimized protocols and checklists for QA programs are provided. While the recommendations provided here are minimum requirements, emerging areas and unmet needs are also highlighted for future development.Keywords
Funding Information
- National Cancer Institute (R01CA204189)
This publication has 120 references indexed in Scilit:
- ACR guidance document on MR safe practices: 2013Journal of Magnetic Resonance Imaging, 2013
- An evaluation of four CT–MRI co-registration techniques for radiotherapy treatment planning of prone rectal cancer patientsBritish Journal of Radiology, 2012
- Single blind randomized Phase III trial to investigate the benefit of a focal lesion ablative microboost in prostate cancer (FLAME-trial): study protocol for a randomized controlled trialTrials, 2011
- Assessing the image quality of pelvic MR images acquired with a flat couch for radiotherapy treatment planningBritish Journal of Radiology, 2011
- Results of a Multi-Institutional Benchmark Test for Cranial CT/MR Image RegistrationInternational Journal of Radiation Oncology - Biology - Physics (IJROBP), 2010
- Results of a Multi-Institution Deformable Registration Accuracy Study (MIDRAS)International Journal of Radiation Oncology - Biology - Physics (IJROBP), 2010
- SEMAC: Slice encoding for metal artifact correction in MRIMagnetic Resonance in Medicine, 2009
- Turning Up the Heat on MRIJournal of the American College of Radiology, 2008
- Readout-segmented EPI for rapid high resolution diffusion imaging at 3TEuropean Journal of Radiology, 2008
- Tumor delineation: The weakest link in the search for accuracy in radiotherapyJournal of Medical Physics, 2008