Magnetic resonance imaging basics for the prostate brachytherapist.

Brachytherapy

Department of Radiation Physics, University of Texas MD Anderson Cancer Center, Houston, TX; Department of Radiation Oncology, Helen F. Graham Cancer Center, Newark, DE; Department of Radiation Oncology, Bodine Cancer Center, Thomas Jefferson University, Philadelphia, PA. Electronic address:

Published: April 2017

AI Article Synopsis

  • MRI is being increasingly integrated into radiation therapy, especially in prostate brachytherapy, for improved imaging and treatment accuracy.
  • The workflow for brachytherapy includes five main components: diagnosis, implantation, treatment planning, implant verification, and delivery, all enhanced by MRI technology.
  • The review covers the physics of MRI, its application in various stages of brachytherapy, and the challenges of implementing an MRI-supported program in clinical settings.

Article Abstract

Magnetic resonance imaging (MRI) is increasingly being used in radiation therapy, and integration of MRI into brachytherapy in particular is becoming more common. We present here a systematic review of the basic physics and technical aspects of incorporating MRI into prostate brachytherapy. Terminology and MRI system components are reviewed along with typical work flows in prostate high-dose-rate and low-dose-rate brachytherapy. In general, the brachytherapy workflow consists of five key components: diagnosis, implantation, treatment planning (scan + plan), implant verification, and delivery. MRI integration is discussed for diagnosis; treatment planning; and MRI-guided brachytherapy implants, in which MRI is used to guide the physical insertion of the brachytherapy applicator or needles. Considerations and challenges for establishing an MRI brachytherapy program are also discussed.

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Source
http://dx.doi.org/10.1016/j.brachy.2017.03.004DOI Listing

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