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Updated: Jul 13, 2026

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Real-Time Magnetic Resonance Imaging Guidance to Enable Brachytherapy: A Case Series
John Mohan Mathew1, Robert Weersink2, Alejandro Berlin3
1Princess Margaret Cancer Centre, Radiation Medicine Program, Toronto, Ontario, Canada; Radiation Oncology, University of Toronto, Toronto, Ontario, Canada; Radiation Oncology, Government Medical College, Thiruvananthapuram, Kerala, India.
None:
Real-time magnetic resonance (MR) guidance during brachytherapy (MRgBT) offers superior soft tissue definition and precise target identification during catheter implantation while minimizing treatment-related complications. This report reviewed the use of MRgBT in a series of complex clinical situations where brachytherapy would have been impossible without MR guidance, and alternate treatment modalities would have involved potentially significant morbidity to the patients. We highlighted the safety and efficacy of MRgBT in controlling targetable disease in a specific group of patients without precluding the ability to go for subsequent treatment options when indicated.
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