Harkenrider Matthew M, Shea Steven M, Wood Abbie M, Chinsky Bonnie, Bajaj Amishi, Mysz Michael, Yacoub Joseph H, Goldberg Ari, Liotta Margaret, Potkul Ronald, Surucu Murat, Roeske John, Small William
Department of Radiation Oncology.
Department of Radiology.
J Contemp Brachytherapy. 2017 Apr;9(2):177-186. doi: 10.5114/jcb.2017.66892. Epub 2017 Mar 30.
Adaptive magnetic resonance imaging (MRI)-based brachytherapy results in improved local control and decreased high-grade toxicities compared to historical controls. Incorporating MRI into the workflow of a department can be a major challenge when initiating an MRI-based brachytherapy program. This project aims to describe the goals, challenges, and solutions when initiating an MRI-based cervical cancer brachytherapy program at our institution.
We describe the 6-month multi-disciplinary planning phase to initiate an MRI-based brachytherapy program. We describe the specific challenges that were encountered prior to treating our first patient.
We describe the solutions that were realized and executed to solve the challenges that we faced to establish our MRI-based brachytherapy program. We emphasize detailed coordination of care, planning, and communication to make the workflow feasible. We detail the imaging and radiation physics solutions to safely deliver MRI-based brachytherapy. The focus of these efforts is always on the delivery of optimal, state of the art patient care and treatment delivery within the context of our available institutional resources.
Previous publications have supported a transition to MRI-based brachytherapy, and this can be safely and efficiently accomplished as described in this manuscript.
与历史对照相比，基于自适应磁共振成像（MRI）的近距离放射治疗可改善局部控制并降低高级别毒性。在启动基于MRI的近距离放射治疗计划时，将MRI纳入科室工作流程可能是一项重大挑战。本项目旨在描述在我们机构启动基于MRI的宫颈癌近距离放射治疗计划时的目标、挑战和解决方案。
我们描述了启动基于MRI的近距离放射治疗计划的为期6个月的多学科规划阶段。我们描述了在治疗首例患者之前遇到的具体挑战。
我们描述了为解决在建立基于MRI的近距离放射治疗计划过程中所面临的挑战而实现和执行的解决方案。我们强调精心协调护理、规划和沟通以使工作流程可行。我们详细介绍了安全实施基于MRI的近距离放射治疗的成像和放射物理学解决方案。这些努力始终聚焦于在我们现有的机构资源范围内提供最佳的、先进的患者护理和治疗。
先前的出版物支持向基于MRI的近距离放射治疗过渡，并且如本手稿所述，这可以安全、高效地完成。
