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Optimising the MR-Linac as a standard treatment modality.
Jeremy de Leon1, Tania Twentyman1, Madeline Carr1,2
1GenesisCare, Alexandria, New South Wales, Australia.
Journal of Medical Radiation Sciences
|August 4, 2023
Summary
Magnetic resonance linear accelerators (MR-Linac) enhance cancer treatment visualization and real-time plan adaptation. Integrating this technology into busy departments requires careful planning to optimize clinical and resource efficiency for improved patient outcomes.
Area of Science:
- Medical Physics
- Radiation Oncology
- Radiotherapy Technology
Background:
- Magnetic resonance linear accelerators (MR-Linac) represent a significant advancement in radiotherapy.
- They offer real-time visualization of targets and organs at risk, enabling adaptive treatment planning.
- Concerns exist regarding increased treatment time and resource utilization.
Purpose of the Study:
- To share experiences integrating an MR-Linac into a high-volume clinical setting.
- To provide recommendations for enhancing clinical and resource efficiency with MR-Linac technology.
- To explore future innovations for optimizing MR-Linac productivity.
Main Methods:
- Retrospective analysis of MR-Linac integration workflow.
- Assessment of treatment times and resource allocation.
- Qualitative review of clinical and operational challenges and solutions.
Main Results:
- Integration of MR-Linac technology into a busy department is feasible.
- Specific workflow adjustments and resource management strategies can mitigate concerns about extended treatment times.
- Identification of key areas for operational improvement.
Conclusions:
- Online MR-guided adaptive radiotherapy offers reduced uncertainties but necessitates efficient integration strategies.
- Proactive planning and continuous optimization are crucial for maximizing the benefits of MR-Linac technology in busy clinical environments.
- Future technological advancements hold promise for further enhancing MR-Linac efficiency and productivity.

