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

Task group 284 report: magnetic resonance imaging simulation in radiotherapy: considerations for clinical implementation, optimization, and quality assurance.
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任务组284报告:放疗中的磁共振成像模拟:用于临床实施,优化和质量保证的考虑。

DOI:
10.1002/mp.14695
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发表时间:
2021-07
期刊:
影响因子:
3.8
通讯作者:
Bayouth J
Bayouth J
中科院分区:
医学3区
文献类型:
--
作者:
Glide-Hurst CK;Paulson ES;McGee K;Tyagi N;Hu Y;Balter J;Bayouth J

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放射肿瘤学中专用磁共振模拟(MR-SIM)平台的使用迅速扩大,引入了新的设备和功能,总体目标是提高放射治疗计划的准确性。然而,这种新兴技术提出了一系列新的挑战,需要解决安全有效的MR-SIM实施。本报告的主要目的是为市售MR模拟器提供建议,包括初始设备选择、选址、验收测试、质量保证、专用放射治疗特定MR-SIM工作流程的优化、患者特定注意事项、安全性和人员配备。主要贡献包括指导运动和失真管理以及MRI线圈配置,以适应患者固定在治疗位置。提供了QA程序的优化方案和检查表的示例。虽然这里提出的建议是最低要求,但也强调了未来发展的新领域和未满足的需求。
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.
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