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March 18, 2025

SABR: the new kid on the block for treatment of ventricular tachycardia?

Sudden cardiac death is responsible for 4-5 million annual deaths worldwide. The primary cause of sudden cardiac death is ventricular tachycardia (VT), a cardiac arrhythmia commonly seen in patients with structural heart disease and impaired ventricular function. Conventional VT treatment approaches include antiarrhythmic drugs (AAD), invasive catheter ablation and implantable cardioverter defibrillators (ICD). While these […]

Daniel Hunnybun, Justin Lee, Stephen Riley, Peter Metherall, Matthew Hatton

Northern General Hospital; Weston Park Cancer Centre

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February 17, 2025

Clinical implementation of an MR-Sim in radiotherapy

MRI has had an emerging role in radiotherapy (RT) for a number of years, providing improved visualisation of the tumour and organs at risk (OAR) when compared with CT to improve contouring accuracy. A project team was established in 2016 to procure an MRI scanner designed specifically for RT planning to improve treatment accuracy. MRI […]

Sarah Whittle, Chris Forrest, Dr Richard Speight

Leeds Teaching Hospital NHS Trust

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February 17, 2025

World-class radiotherapy in the UK: right patient, right treatment, right time

Cancer patients in the UK face a growing crisis in cancer care, with record high waiting times for treatment becoming normal. This delay is alarming, as every four weeks of delay in cancer treatment can lead to a 10% increase in mortality for some cancers. The association between delay and increased mortality may be even […]

Dr Katie Wakeham, Sarah Quinlan MBE, Tim Cooper

Imperial College Healthcare NHS Trust; Radiotherapy UK

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September 11, 2024

The multidisciplinary meeting: what the radiologist needs

The multidisciplinary team meeting (MDT) has become the cornerstone of UK cancer care. It places a growing and already significant burden on the workload of most British radiologists at a time when our numbers are way below what is needed to meet current demand. It is vital, therefore, that MDT time is used wisely while […]

Dr Bruce Fox

Derriford Hospital

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September 11, 2024

Novel MR acceleration methods

A quiet revolution has taken place in MRI over the past two years, with the introduction into routine clinical practice of so-called MR advanced acceleration technology (MR AAT), promising vast reductions in acquisition times and the potential to scan more patients without impacting image quality and without the need to purchase additional MRI systems and […]

Mike Hutton

Newcastle upon Tyne Hospitals NHS Foundation Trust

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June 12, 2024

Autocontouring for heart sparing lung radiotherapy

Lung cancer is the leading cause of cancer death in the UK and radiotherapy is an important treatment option, particularly for patients who are not well enough to have surgery. The importance of dose to the heart from lung radiotherapy is increasingly recognised. Recent research from our group at Manchester shows that giving radiation to […]

Dr Tom Marchant

The Christie NHS Foundation Trust

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June 12, 2024

Cone beam CT-guided online adaptive radiotherapy

Online adaptive radiotherapy (oART) is becoming more commonplace, initially with MR-guided capabilities, and now with cone beam CT (CBCT)-guided adaptive machines across the UK. There are more than 100 Varian Ethos machines installed globally, which provide CBCT-guided capabilities. At Royal Surrey NHS Foundation Trust we are soon to have our second Ethos machine installed at […]

Dr Matthew Bolt, Rachel Hollingdale

Royal Surrey NHS Foundation Trust

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April 17, 2024

4D-MRI methods for radiotherapy

4D-MRI aims to temporally resolve motion in three spatial dimensions. The term was introduced in 2005 by von Siebenthal et al, who developed a method for proton therapy planning. Following the nomenclature of Stemkens et al’s 4D-MRI review, one can distinguish between respiratory-correlated 4D-MRI, which consists of volumetric images depicting different phases of the respiratory […]