Magnetic resonance imaging basics for the prostate brachytherapist

Jihong Wang, Kari Tanderup, Adam Cunha, Antonio L. Damato, Gil'ad N. Cohen, Rajat J. Kudchadker, Firas Mourtada

Research output: Contribution to journalReview articlepeer-review

16 Scopus citations

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.

Original languageEnglish (US)
Pages (from-to)715-727
Number of pages13
JournalBrachytherapy
Volume16
Issue number4
DOIs
StatePublished - Jul 2017

Keywords

  • Brachytherapy
  • HDR
  • LDR
  • MRI
  • Prostate
  • Quality assurance

ASJC Scopus subject areas

  • Oncology
  • Radiology Nuclear Medicine and imaging

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