Speight, Richard, Dubec, Michael, Eccles, Cynthia L 
ORCID: 0000-0002-5445-5428, George, Ben, Henry, Ann, Herbert, Trina, Johnstone, Robert I, Liney, Gary P, McCallum, Hazel and Schmidt, Maria A
(2021)
IPEM topical report: guidance on the use of MRI for external beam radiotherapy treatment planning*.
PHYSICS IN MEDICINE AND BIOLOGY, 66 (5).
055025-055025.
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, and where appropriate references are given for any relevant legislation, other guidance documentation and information in 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 use for treatment response assessment, MRI-only RT and other RT treatment types such as brachytherapy and gamma radiosurgery are not considered within the scope of this document. 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 a 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.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | MRI, radiotherapy treatment planning, guidelines |
| Divisions: | Faculty of Health and Life Sciences Faculty of Health and Life Sciences > Institute of Population Health Faculty of Health and Life Sciences > Institute of Population Health > School of Health Sciences |
| Depositing User: | Symplectic Admin |
| Date Deposited: | 19 Jul 2021 10:43 |
| Last Modified: | 18 Jan 2023 21:35 |
| DOI: | 10.1088/1361-6560/abdc30 |
| Open Access URL: | https://eprints.whiterose.ac.uk/170571/ |
| Related URLs: | |
| URI: | https://livrepository.liverpool.ac.uk/id/eprint/3130573 |
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