Masato Tsuneda , Kota Abe , Yukinao Abe , Yohei Ikeda , Asuka Kodate , Aki Kanazawa , Makoto Saito , Rintaro Harada , Miho Watanabe , Takashi Uno
{"title":"胃粘膜相关淋巴组织淋巴瘤在1.5-T MR-Linac上的新工作流程和运动分析","authors":"Masato Tsuneda , Kota Abe , Yukinao Abe , Yohei Ikeda , Asuka Kodate , Aki Kanazawa , Makoto Saito , Rintaro Harada , Miho Watanabe , Takashi Uno","doi":"10.1016/j.tipsro.2025.100323","DOIUrl":null,"url":null,"abstract":"<div><div>We developed and evaluated a multiplane cine magnetic resonance imaging (MRI) workflow for magnetic resonance (MR)-guided online adaptive radiation therapy (MRgOART) for gastric mucosa-associated lymphoid tissue (MALT) lymphoma. Two patients underwent MRgOART using this workflow, which enabled real-time assessments of stomach motion and ensured accurate target coverage within a planning target volume. Our workflow allowed visualization of the stomach with complex intrafractional motion caused by respiration and peristalsis. The total treatment time was clinically acceptable. All fractions satisfied our dose constraints. Our workflow supports precise MRgOART delivery for targets with variable shapes and motion, such as gastric MALT lymphoma.</div></div>","PeriodicalId":36328,"journal":{"name":"Technical Innovations and Patient Support in Radiation Oncology","volume":"35 ","pages":"Article 100323"},"PeriodicalIF":2.8000,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"New workflow and motion analysis for gastric mucosa-associated lymphoid tissue lymphoma on a 1.5-T MR-Linac\",\"authors\":\"Masato Tsuneda , Kota Abe , Yukinao Abe , Yohei Ikeda , Asuka Kodate , Aki Kanazawa , Makoto Saito , Rintaro Harada , Miho Watanabe , Takashi Uno\",\"doi\":\"10.1016/j.tipsro.2025.100323\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><div>We developed and evaluated a multiplane cine magnetic resonance imaging (MRI) workflow for magnetic resonance (MR)-guided online adaptive radiation therapy (MRgOART) for gastric mucosa-associated lymphoid tissue (MALT) lymphoma. Two patients underwent MRgOART using this workflow, which enabled real-time assessments of stomach motion and ensured accurate target coverage within a planning target volume. Our workflow allowed visualization of the stomach with complex intrafractional motion caused by respiration and peristalsis. The total treatment time was clinically acceptable. All fractions satisfied our dose constraints. Our workflow supports precise MRgOART delivery for targets with variable shapes and motion, such as gastric MALT lymphoma.</div></div>\",\"PeriodicalId\":36328,\"journal\":{\"name\":\"Technical Innovations and Patient Support in Radiation Oncology\",\"volume\":\"35 \",\"pages\":\"Article 100323\"},\"PeriodicalIF\":2.8000,\"publicationDate\":\"2025-07-22\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Technical Innovations and Patient Support in Radiation Oncology\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2405632425000241\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"Nursing\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Technical Innovations and Patient Support in Radiation Oncology","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2405632425000241","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"Nursing","Score":null,"Total":0}
New workflow and motion analysis for gastric mucosa-associated lymphoid tissue lymphoma on a 1.5-T MR-Linac
We developed and evaluated a multiplane cine magnetic resonance imaging (MRI) workflow for magnetic resonance (MR)-guided online adaptive radiation therapy (MRgOART) for gastric mucosa-associated lymphoid tissue (MALT) lymphoma. Two patients underwent MRgOART using this workflow, which enabled real-time assessments of stomach motion and ensured accurate target coverage within a planning target volume. Our workflow allowed visualization of the stomach with complex intrafractional motion caused by respiration and peristalsis. The total treatment time was clinically acceptable. All fractions satisfied our dose constraints. Our workflow supports precise MRgOART delivery for targets with variable shapes and motion, such as gastric MALT lymphoma.