AUTHOR=Boldrini Luca , Intven Martijn , Bassetti Michael , Valentini Vincenzo , Gani Cihan TITLE=MR-Guided Radiotherapy for Rectal Cancer: Current Perspective on Organ Preservation JOURNAL=Frontiers in Oncology VOLUME=Volume 11 - 2021 YEAR=2021 URL=https://www.frontiersin.org/journals/oncology/articles/10.3389/fonc.2021.619852 DOI=10.3389/fonc.2021.619852 ISSN=2234-943X ABSTRACT=Online magnetic resonance imaging guided radiotherapy (MRgRT) is one of the most recent technological advances in radiotherapy. MRgRT permits both the visualization of tumor and healthy tissue while the patient is on the treatment table and online daily plan adaptations following the observed anatomical changes. In the context of rectal cancer, online MRgRT is a very promising modality due to the pronounced geographical variability of tumor and surrounding healthy tissues. This current perspective paper will discuss possible applications of online MRgRT in particular in terms of radiotherapy dose escalation and response prediction in organ preservation approaches for rectal cancer.