Elekta Unity Workflow and Usability Bibliography

This bibliography highlights the studies on workflow implementation of online MR-guided adaptive treatment on Elekta Unity. It includes peer-reviewed articles with recommendations for improved clinical and resource efficiency. Articles are shown in descending order of publication date.

Towards simulation-free MR-linac treatment: utilizing male pelvis PSMA-PET/CT and population-based electron density assignments.

Phys Med Biol. 2023;68:195012. Carr ME; Jelen U; Picton M; Batumalai V; Crawford D; Peng V; Twentyman T; de Leon J; Jameson M. doi: 10.1088/1361-6560/acf5c6.

Optimising the MR-Linac as a standard treatment modality.

J Med Radiat Sci. 2023;0:01-08. de Leon J; Twentyman T; Carr M; Jameson M; Batumalai V. doi: 10.1002/jmrs.712.

A new workflow of the on-line 1.5-T MR-guided adaptive radiation therapy.

Jpn J Radiol. 2023. Uno T; Tsuneda M; Abe K; Fujita Y; Harada R; Saito M; Kanazawa A; Kodate A; Abe Y; Ikeda Y; Nemoto MW; Yokota H. doi: 10.1007/s11604-023-01457-4.

Practice-based training strategy for therapist-driven prostate MR-Linac adaptive radiotherapy.

Tech Innov Patient Support Radiat Oncol. 2023;27:100212. Li W; Padayachee J; Navarro I; Winter J; Dang J; Raman S; Kong V; Berlin A; Catton C; Glicksman R; Malkov V; McPartlin A; Kataki K; Lindsay P; Chung P. doi: 10.1016/j.tipsro.2023.100212.

ACPSEM position paper on ROMP scope of practice and staffing levels for magnetic resonance linear accelerators.

Phys Eng Sci Med. 2023;46:521-527. Marsh L; Rykers K; Sobolewski M. doi: 10.1007/s13246-023-01253-4.

Risk analysis of the Unity 1.5 T MR-Linac adapt-to-position workflow.

J Appl Clin Med Phys. 2023;24:e13850. Liang J; Scripes PG; Tyagi N; Subashi E; Wunner T; Cote N; Chan CY; Ng A; Brennan V; Zakeri K; Wildberger C; Mechalakos J. doi: 10.1002/acm2.13850.

Evaluation of therapeutic radiographer contouring for magnetic resonance image guided online adaptive prostate radiotherapy.

Radiother Oncol. 2023;180:109457. Adair Smith G; Dunlop A; Alexander SE; Barnes H; Casey F; Chick J; Gunapala R; Herbert T; Lawes R; Mason SA; Mitchell A; Mohajer J; Murray J; Nill S; Patel P; Pathmanathan A; Sritharan K; Sundahl N; Tree AC; Westley R; Williams B; McNair HA. doi: 10.1016/j.radonc.2022.109457.

Introduction of radiation therapist-led adaptive treatments on a 1.5 T MR-Linac.

J Med Radiat Sci. 2022;70:94-98. Picton M; Crawford D; Jameson M; Alvares S; Hogan L; Loo C; Moutrie Z; Jelen U; Pagulayan C; Dunkerley N; Twentyman T; de Leon J; Batumalai V. doi: 10.1002/jmrs.643.

Comparing patient acceptability of MR_guided radiotherapy to conventional CBCT on two Elekta systems: a questionnaire_based survey.

Journal of Radiotherapy in Practice. 2022;22:e50. Whiteside Lee; Nelder Claire; Pitt Eleanor; Hodgson Clare; Choudhury Ananya; Eccles Cynthia. doi: 10.1017/s1460396922000206.

Old dogs, new tricks: MR-Linac training and credentialing of radiation oncologists, radiation therapists and medical physicists.

J Med Radiat Sci. 2022;70:99-106. Hogan L; Jameson M; Crawford D; Alvares S; Loo C; Picton M; Moutrie Z; Pagulayan C; Jelen U; Dunkerley N; Twentyman T; de Leon J; Batumalai V. doi: 10.1002/jmrs.640.

Online adaptive MR-guided radiotherapy: Conformity of contour adaptation for prostate cancer, rectal cancer and lymph node oligometastases among radiation therapists and radiation oncologists.

Tech Innov Patient Support Radiat Oncol. 2022;23:33-40. Rasing MJA; Sikkes GG; Vissers NGPM; Kotte ANTJ; Boudewijn JH; Doornaert PAH; Eppinga WSC; Intven M; Rutgers RHA; Scheeren A; Snoeren LMW; Vlig TB; van der Voort van Zyp JRN; Wijkhuizen LM; van Rossum PSN; Peters M; Jürgenliemk-Schulz IM. doi: 10.1016/j.tipsro.2022.08.004.

Radiographer-led online image guided adaptive radiotherapy: A qualitative investigation of the therapeutic radiographer role.

Radiography (Lond). 2021;27:1085-1093. McNair HA; Joyce E; O'Gara G; Jackson M; Peet B; Huddart RA; Wiseman T. doi: 10.1016/j.radi.2021.04.012.

Evaluation of daily online contour adaptation by radiation therapists for prostate cancer treatment on an MRI-guided linear accelerator.

Clin Transl Radiat Oncol. 2021;27:50-56. Willigenburg T; de Muinck Keizer DM; Peters M; Claes A; Lagendijk JJW; de Boer HCJ; van der Voort van Zyp JRN. doi: 10.1016/j.ctro.2021.01.002.

Indications of Online Adaptive Replanning Based On Organ Deformation.

Pract Radiat Oncol. 2020;10:e95-e102. Lim SN; Ahunbay EE; Nasief H; Zheng C; Lawton C; Li XA. doi: 10.1016/j.prro.2019.08.007.

Laser-free pelvic alignment in an online adaptive radiotherapy environment.

Tech Innov Patient Support Radiat Oncol. 2020;13:21-23. Barnes H; Mohajer J; Dunlop A; Adair Smith G; Herbert T; Lawes R; Tree A; McNair H. doi: 10.1016/j.tipsro.2020.01.001.

Clinical workflow for treating patients with a metallic hip prosthesis using magnetic resonance imaging-guided radiotherapy.

Phys Imaging Radiat Oncol. 2020;15:85-90. Keesman R; van der Bijl E; Janssen TM; Vijlbrief T; Pos FJ; van der Heide UA. doi: 10.1016/j.phro.2020.07.010.

Therapeutic Radiographers at the Helm: Moving Towards Radiographer-Led MR-Guided Radiotherapy.

J Med Imaging Radiat Sci. 2020;51:364-372. Hales RB; Rodgers J; Whiteside L; McDaid L; Berresford J; Budgell G; Choudhury A; Eccles CL. doi: 10.1016/j.jmir.2020.05.001.

Image guided radiotherapy moving towards real time adaptive radiotherapy; global positioning system for radiotherapy?

Tech Innov Patient Support Radiat Oncol. 2019;12:1-2. McNair H; Buijs M. doi: 10.1016/j.tipsro.2019.10.006.

Magnetic Resonance Imaging only Workflow for Radiotherapy Simulation and Planning in Prostate Cancer.

Clin Oncol (R Coll Radiol). 2018;30:692-701. Kerkmeijer LGW; Maspero M; Meijer GJ; van der Voort van Zyp JRN; de Boer HCJ; van den Berg CAT. doi: 10.1016/j.clon.2018.08.009.

Evaluation of the palliative radiotherapy pathway in a single institute: Can an MR Linac improve efficiency?

J Med Imaging Radiat Sci. 2022;53:S44-S50. Benson R; Clough A; Nelder C; Pitt E; Portner R; Vassiliou M; McDaid L; Choudhury A; Rembielak A; Eccles C. doi: 10.1016/j.jmir.2021.11.010.

Comparing patient acceptability of MR_guided radiotherapy to conventional CBCT on two Elekta systems: a questionnaire_based survey

Journal of Radiotherapy in Practice. 2022;22. Whiteside L; Nelder C; Pitt E; Hodgson C; Choudhury A; Eccles C. doi: 10.1017/s1460396922000206.

Improvement in male pelvis magnetic resonance image contouring following radiologist-delivered training.

J Med Radiat Sci. 2023;71:114-122. Oar B; Brown A; Newman G; Boles A; Rumley CN; Doyle R; Baines J; Tan A. doi: 10.1002/jmrs.727.

Prospective evaluation of patient-reported anxiety and experiences with adaptive radiation therapy on an MR-linac

Tech Innov Patient Support Radiat Oncol. 2024;29:100240. Moreira A; Li W; Berlin A; Carpino-Rocca C; Chung P; Conroy L; Dang J; Dawson L; Glicksman R; Hosni A; Keller H; Kong V; Lindsay P; Shessel A; Stanescu T; Taylor E; Winter J; Yan M; Letourneau D; Milosevic M; Velec M. doi: 10.1016/j.tipsro.2024.100240.

Patient Expectation and Experience of MR-guided Radiotherapy using a 1.5T MR-Linac

Tech Innov Patient Support Radiat Oncol. 2023;29:100224. de Mol van Otterloo S.R.; Westerhoff J.M.; RutgersR.H.A.; MeijersL.T.C.; Daamen L.A.; IntvenM.P.W.; Verkooijen H.M.. doi: 10.1016/j.tipsro.2023.100224.

A look-up-table development to facilitate CT simulation of MR-Linac treatment.

Phys Imaging Radiat Oncol. 2024;29:100524. Hughes N; Salzillo TC; Vedam S; Lim TY; Wang X; Wang H; Mohammedsaid M; Fuller CD; Wang J; Yang J. doi: 10.1016/j.phro.2023.100524.