MR imaging in radiation therapy planning. Work in progress

Magnetic resonance (MR) imaging may provide information about tumor location, extent, and margins unavailable from other imaging modalities. The impact of MR on radiation therapy planning was investigated in this study. Thirty patients about to undergo radiation therapy underwent routine radiography and computed tomography (CT) to define the extent of their disease. A radiation therapy plan, including portal placement and size, was drawn up based on this information alone. The patients also underwent MR studies. After the original therapy plan was created, the MR study results were made available to the radiation therapist. In 53% (16/30) of the cases, MR information led to a measurable change in the therapy plan; in an additional 33% (10/30), MR information increased confidence in the original plan. MR may become a necessary procedure for radiation therapy planning in many cases.