MR-LINAC, a New Partner in Radiation Oncology: Current Landscape

Technological advances in radiation oncology are oriented towards improving treatment precision and tumor control. Among these advances, magnetic-resonance-image-guided radiation therapy (MRgRT) stands out, with technological advances to deliver targeted treatments adapted to a tumor’s anatomy on th...

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Main Authors: Abrahams Ocanto, Lisselott Torres, Miguel Montijano, Diego Rincón, Castalia Fernández, Beatriz Sevilla, Daniela Gonsalves, Macarena Teja, Marcos Guijarro, Luis Glaría, Raúl Hernánz, Juan Zafra-Martin, Noelia Sanmamed, Amar Kishan, Filippo Alongi, Drew Moghanaki, Himanshu Nagar, Felipe Couñago
Format: Article
Language:English
Published: MDPI AG 2024-01-01
Series:Cancers
Subjects:
Online Access:https://www.mdpi.com/2072-6694/16/2/270
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author Abrahams Ocanto
Lisselott Torres
Miguel Montijano
Diego Rincón
Castalia Fernández
Beatriz Sevilla
Daniela Gonsalves
Macarena Teja
Marcos Guijarro
Luis Glaría
Raúl Hernánz
Juan Zafra-Martin
Noelia Sanmamed
Amar Kishan
Filippo Alongi
Drew Moghanaki
Himanshu Nagar
Felipe Couñago
author_facet Abrahams Ocanto
Lisselott Torres
Miguel Montijano
Diego Rincón
Castalia Fernández
Beatriz Sevilla
Daniela Gonsalves
Macarena Teja
Marcos Guijarro
Luis Glaría
Raúl Hernánz
Juan Zafra-Martin
Noelia Sanmamed
Amar Kishan
Filippo Alongi
Drew Moghanaki
Himanshu Nagar
Felipe Couñago
author_sort Abrahams Ocanto
collection DOAJ
description Technological advances in radiation oncology are oriented towards improving treatment precision and tumor control. Among these advances, magnetic-resonance-image-guided radiation therapy (MRgRT) stands out, with technological advances to deliver targeted treatments adapted to a tumor’s anatomy on the day while minimizing incidental exposure to organs at risk, offering an unprecedented therapeutic advantage compared to X-ray-based IGRT delivery systems. This new technology changes the traditional workflow in radiation oncology and requires an evolution in team coordination to administer more precise treatments. Once implemented, it paves the way for newer indication for radiation therapy to safely deliver higher doses than ever before, with better preservation of healthy tissues to optimize patient outcomes. In this narrative review, we assess the technical aspects of the novel linear accelerators that can deliver MRgRT and summarize the available published experience to date, focusing on oncological results and future challenges.
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spelling doaj.art-eb726595ccd44685b4ff5d0700f0c0a02024-01-26T15:34:38ZengMDPI AGCancers2072-66942024-01-0116227010.3390/cancers16020270MR-LINAC, a New Partner in Radiation Oncology: Current LandscapeAbrahams Ocanto0Lisselott Torres1Miguel Montijano2Diego Rincón3Castalia Fernández4Beatriz Sevilla5Daniela Gonsalves6Macarena Teja7Marcos Guijarro8Luis Glaría9Raúl Hernánz10Juan Zafra-Martin11Noelia Sanmamed12Amar Kishan13Filippo Alongi14Drew Moghanaki15Himanshu Nagar16Felipe Couñago17Department of Radiation Oncology, Hospital Universitario San Francisco de Asís, GenesisCare, 28002 Madrid, SpainDepartment of Radiation Oncology, Hospital Universitario San Francisco de Asís, GenesisCare, 28002 Madrid, SpainDepartment of Radiation Oncology, Hospital Universitario San Francisco de Asís, GenesisCare, 28002 Madrid, SpainDepartment of Radiation Oncology, Hospital Universitario San Francisco de Asís, GenesisCare, 28002 Madrid, SpainDepartment of Radiation Oncology, Hospital Universitario San Francisco de Asís, GenesisCare, 28002 Madrid, SpainDepartment of Radiation Oncology, Hospital Universitario San Francisco de Asís, GenesisCare, 28002 Madrid, SpainDepartment of Radiation Oncology, Hospital Universitario San Francisco de Asís, GenesisCare, 28002 Madrid, SpainDepartment of Radiation Oncology, Hospital Universitario San Francisco de Asís, GenesisCare, 28002 Madrid, SpainDepartment of Radiation Oncology, Hospital Universitario San Francisco de Asís, GenesisCare, 28002 Madrid, SpainDepartment of Radiation Oncology, Hospital Universitario San Francisco de Asís, GenesisCare, 28002 Madrid, SpainDepartment of Radiation Oncology, Hospital Universitario San Francisco de Asís, GenesisCare, 28002 Madrid, SpainGroup of Translational Research in Cancer Immunotherapy, Centro de Investigaciones Médico-Sanitarias (CIMES), Instituto de Investigación Biomédica de Málaga (IBIMA), Universidad de Málaga (UMA), 29010 Málaga, SpainDepartment of Radiation Oncology, Hospital Universitario Clínico San Carlos, 28040 Madrid, SpainDepartment of Radiation Oncology, University of California, Los Angeles, CA 90095, USAAdvanced Radiation Oncology Department, Cancer Care Center, IRCCS Sacro Cuore Don Calabria Hospital, 37024 Negrar, ItalyUCLA Department of Radiation Oncology, University of California Los Angeles, Los Angeles, CA 90095, USADepartment of Radiation Oncology, Weill Cornell Medicine, New York, NY 10065, USADepartment of Radiation Oncology, Hospital Universitario San Francisco de Asís, GenesisCare, 28002 Madrid, SpainTechnological advances in radiation oncology are oriented towards improving treatment precision and tumor control. Among these advances, magnetic-resonance-image-guided radiation therapy (MRgRT) stands out, with technological advances to deliver targeted treatments adapted to a tumor’s anatomy on the day while minimizing incidental exposure to organs at risk, offering an unprecedented therapeutic advantage compared to X-ray-based IGRT delivery systems. This new technology changes the traditional workflow in radiation oncology and requires an evolution in team coordination to administer more precise treatments. Once implemented, it paves the way for newer indication for radiation therapy to safely deliver higher doses than ever before, with better preservation of healthy tissues to optimize patient outcomes. In this narrative review, we assess the technical aspects of the novel linear accelerators that can deliver MRgRT and summarize the available published experience to date, focusing on oncological results and future challenges.https://www.mdpi.com/2072-6694/16/2/270adaptative radiotherapyimage guidancestereotactic body radiotherapyradiotherapy
spellingShingle Abrahams Ocanto
Lisselott Torres
Miguel Montijano
Diego Rincón
Castalia Fernández
Beatriz Sevilla
Daniela Gonsalves
Macarena Teja
Marcos Guijarro
Luis Glaría
Raúl Hernánz
Juan Zafra-Martin
Noelia Sanmamed
Amar Kishan
Filippo Alongi
Drew Moghanaki
Himanshu Nagar
Felipe Couñago
MR-LINAC, a New Partner in Radiation Oncology: Current Landscape
Cancers
adaptative radiotherapy
image guidance
stereotactic body radiotherapy
radiotherapy
title MR-LINAC, a New Partner in Radiation Oncology: Current Landscape
title_full MR-LINAC, a New Partner in Radiation Oncology: Current Landscape
title_fullStr MR-LINAC, a New Partner in Radiation Oncology: Current Landscape
title_full_unstemmed MR-LINAC, a New Partner in Radiation Oncology: Current Landscape
title_short MR-LINAC, a New Partner in Radiation Oncology: Current Landscape
title_sort mr linac a new partner in radiation oncology current landscape
topic adaptative radiotherapy
image guidance
stereotactic body radiotherapy
radiotherapy
url https://www.mdpi.com/2072-6694/16/2/270
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