Task group 284 report: magnetic resonance imaging simulation in radiotherapy: considerations for clinical implementation, optimization, and quality assurance

Carri K. Glide-Hurst, Eric S. Paulson, Kiaran McGee, Neelam Tyagi, Yanle Hu, James Balter, John Bayouth

Research output: Contribution to journalComment/debatepeer-review

Abstract

The use of dedicated magnetic resonance simulation (MR-SIM) platforms in Radiation Oncology has expanded rapidly, introducing new equipment and functionality with the overall goal of improving the accuracy of radiation treatment planning. However, this emerging technology presents a new set of challenges that need to be addressed for safe and effective MR-SIM implementation. The major objectives of this report are to provide recommendations for commercially available MR simulators, including initial equipment selection, siting, acceptance testing, quality assurance, optimization of dedicated radiation therapy specific MR-SIM workflows, patient-specific considerations, safety, and staffing. Major contributions include guidance on motion and distortion management as well as MRI coil configurations to accommodate patients immobilized in the treatment position. Examples of optimized protocols and checklists for QA programs are provided. While the recommendations provided here are minimum requirements, emerging areas and unmet needs are also highlighted for future development.

Original languageEnglish (US)
Pages (from-to)e636-e670
JournalMedical physics
Volume48
Issue number7
DOIs
StatePublished - Jul 2021

Keywords

  • magnetic resonance simulation
  • MR-SIM
  • quality assurance
  • radiotherapy

ASJC Scopus subject areas

  • Biophysics
  • Radiology Nuclear Medicine and imaging

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