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Facilitating 1.5T MR-Linac adoption: Workflow strategies and practical tips
Madeline Michel1, Zelda Paquier2, Christelle Bouchart1
1Radiation Oncology Department, Hôpital Universitaire de Bruxelles (HUB), Université libre de Bruxelles (ULB), Institut Jules Bordet, Brussels, Belgium.
Background:
MR-guided radiotherapy (MRgRT) offers new opportunities but also introduces workflow complexities requiring dedicated optimization. Implementing magnetic resonance linear accelerator (MR-Linac) technology comes with challenges such as prolonged treatment times and workflow integration issues.
Purpose:
We present here our experience and share practical tips and tricks to streamline MR-Linac implementation, optimize workflow efficiency, and improve coordination.
Methods:
The first 150 patients treated with a 1.5T MR-Linac Unity® at our institution were analyzed. Treatments were assessed based on session recordings, difficulties encountered were identified, and solutions documented.
Results:
A total of 726 fractions were delivered, with a mean treatment time of 48 minutes. Key optimizations included standardized operating procedures (SOPs) and structured briefing sheets, leading to reduced delays and improved treatment consistency.
Conclusion:
Strategic workflow standardization and optimized communication tools significantly improved the ability to deliver high-quality, patient-centered care by streamlining processes and enhancing coordination among team members. These insights provide practical guidance for centers integrating MR-Linac technology.
