[On-line Adaptive Radiotherapy Using MRI-Guided Technique]

In our institution, we installed MRI-guided radiotherapy system (MRIdian, ViewRay Inc.), allowing to perform on-line adaptive radiotherapy (ART). The MRIdian has three ⁶⁰Co sources with 120 degrees apart, equipped with MRI system using a static magnetic field of 0.35 T. The tumor can be monitored and identified in real-time Cine-MRI during treatments, and gated-radiotherapy is possible based on the boundaries. On-line ART can provide the optimum delivery where high dose coverages to the tumor and sparing dose to health organs can be achieved. However, patient specific QA in on-line ART has a limitation of activities, because patients stay in the couth while planning. In this report, we summarized the commissioning of the MRIdian, and the patient specific QA established in on-line ART was described.