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Updated: Feb 5, 2026

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MRI Mapping of Cerebrovascular Reactivity via Gas Inhalation Challenges
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Delivering Functional Imaging on the MRI-Linac: Current Challenges and Potential Solutions.
Summary
Magnetic resonance imaging (MRI) can map tumor microenvironment features for adaptive radiotherapy. This review explores challenges and solutions for implementing functional MRI on MRI-linear accelerators (linacs).
Area of Science:
- Oncology
- Radiotherapy
- Medical Imaging
Background:
- Magnetic resonance imaging (MRI) offers versatile tumor microenvironment assessment.
- Key features include cell death, proliferation, metabolism, angiogenesis, and hypoxia.
- These metrics hold potential for adaptive radiotherapy planning.
Purpose of the Study:
- To review challenges in implementing functional MRI on MRI-linear accelerators (linacs).
- To explore potential solutions for overcoming these challenges.
- To facilitate the integration of advanced MRI techniques into radiotherapy.
Main Methods:
- Literature review of functional MRI techniques.
- Analysis of challenges specific to MRI-linac integration.
- Discussion of proposed solutions and future directions.
Main Results:
- Functional MRI methods are established on diagnostic scanners.
- Significant technical and logistical hurdles exist for MRI-linac implementation.
- Potential solutions involve hardware modifications, advanced pulse sequences, and workflow optimization.
Conclusions:
- Integrating functional MRI with MRI-linacs is feasible but challenging.
- Addressing these challenges will enhance adaptive radiotherapy.
- Further research and development are needed for widespread clinical adoption.
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