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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.
Journal of Applied Clinical Medical Physics
|March 17, 2025
Summary
Implementing magnetic resonance linear accelerator (MR-Linac) technology requires workflow optimization. Standardized procedures and communication tools streamline processes, improving efficiency and patient care in MR-guided radiotherapy.
Area of Science:
- Medical Physics
- Radiation Oncology
- Radiotherapy Technology
Background:
- Magnetic Resonance-guided Radiotherapy (MRgRT) presents advanced capabilities but introduces workflow complexities.
- Implementing Magnetic Resonance Linear Accelerator (MR-Linac) technology faces challenges like extended treatment durations and integration difficulties.
Purpose of the Study:
- To share practical strategies for streamlining MR-Linac implementation.
- To optimize workflow efficiency and enhance team coordination during MR-Linac treatments.
Main Methods:
- Analysis of the first 150 patients treated with a 1.5T MR-Linac Unity.
- Review of treatment session recordings to identify challenges and document solutions.
Main Results:
- A total of 726 fractions were delivered with a mean treatment time of 48 minutes.
- Standardized operating procedures (SOPs) and structured briefing sheets reduced delays and improved treatment consistency.
Conclusions:
- Workflow standardization and improved communication tools enhance coordination and streamline processes.
- These strategies facilitate high-quality, patient-centered care in MR-Linac integration.

