MR-linac

MR-guided VMAT – a case of when not if?

MR-guided radiotherapy is now being delivered in tens of centres around the world, with clinicians, clinical scientists, researchers, engineers and dual-trained radiographers working collaboratively to share their growing experience. The potential advantage of doing so is clear: the radiotherapy treatment will be based on a real-time picture of patient anatomy at high spatial resolution, with […]

Steven Jackson, Dr Rob Chuter

The Christie NHS Foundation Trust, University of Manchester

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Radiotherapy for liver malignancies

Liver malignancies include primary liver cancer (hepato-cellular carcinoma [HCC], cholangiocarcinoma) and liver metastases. The incidence of primary liver cancer is increasing in the UK and in the last decade the incidence rates of HCC have increased by 60% with mortality increasing at a similar pace. Surgical resection and transplantation (for HCC) are traditionally regarded as […]

Dr Maria Hawkins, Dr Sean O'Cathail

MRC Oxford Institute for Radiation Oncology, University of Oxford

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Online MR image-guided radiotherapy: MR-linac

The concept of combining magnetic resonance imaging (MRI) technology with a linear accelerator (linac) was first realised in the early 2000s. The subsequent development of the MR-linac has enabled online MR image-guided radiotherapy (MRgRT) and thus online adaptive radiotherapy. Currently there are two clinical systems available with two more in development phase (table 1). The […]

Dr Helen McNair, Trina Herbert, Ian Hanson, Simeon Nill

The Royal Marsden NHS Foundation Trust, The Institute of Cancer Research

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