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Perspective ARTICLE Provisionally accepted The full-text will be published soon. Notify me

Front. Oncol. | doi: 10.3389/fonc.2019.01013

STAT-ART: The promise and practice of a rapid palliative single session of MR-guided online adaptive radiotherapy (ART)

 Kathryn E. Mittauer1, 2*, Patrick M. Hill2, Mark W. Geurts2, 3, Anna-Maria A. De Costa2, Randall J. Kimple2,  Michael F. Bassetti2 and  John E. Bayouth2
  • 1Miami Cancer Institute, Baptist Hospital of Miami, United States
  • 2University of Wisconsin-Madison, United States
  • 3Aspirus Wausau Hospital, United States

This work describes a novel application of MR-guided online adaptive radiotherapy (MRgoART) in the management of patients whom urgent palliative care is indicated using statum-adaptive radiotherapy (STAT-ART). The implementation of STAT-ART, as performed at our institution, is presented including a discussion of the advantages and limitations compared to the standard of care for palliative radiotherapy on conventional c-arm linacs. MR-based treatment planning techniques of STAT-ART for density overrides and deformable image registration (DIR) of diagnostic CT to the treatment MR are also addressed.

Keywords: Online adaptive radiotherapy, MRgoART, MR-guidance, MRgRT, Art, MR-guided radiotherapy, Deformable image registration (DIR)

Received: 01 Jun 2019; Accepted: 20 Sep 2019.

Copyright: © 2019 Mittauer, Hill, Geurts, De Costa, Kimple, Bassetti and Bayouth. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Dr. Kathryn E. Mittauer, Miami Cancer Institute, Baptist Hospital of Miami, Miami, United States, kathrynm@baptisthealth.net