How is your institution incorporating MRI planning into cervical EBRT/brachy?

With the results of the EMBRACE protocol, how do you approach MRI planning? Do you plan with applicators in situ, or use preimplant (post EBRT) imaging to merge with CT planning? What are the common mistakes/pitfalls of different approaches?

Answer from: Radiation Oncologist at Academic Institution

Our department began utilizing MRI-based cervical brachytherapy in 2014. An MRI-based brachytherapy program is multi-disciplinary effort that required support from all departments, and it took about 6 months for us to implement. We have since progressed from MRI-based intracavitary only implants t...

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Radiation Oncologist at Columbia University Medical Center/ New York Presbyterian / Hudson Valley Hospital
Thank you!

Answer from: Radiation Oncologist at Academic Institution

I agree with everything @William Small and @Matthew M. Harkenrider have outlined. Although challenging, it is certainly worth the effort to establish an MRI-based brachytherapy program. The system and workflow will naturally evolve from your available resources and staff. We transitioned to MR...

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Radiation Oncologist at Columbia University Medical Center/ New York Presbyterian / Hudson Valley Hospital
Thank you for the helpful information! We did our ...

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How is your institution incorporating MRI planning into cervical EBRT/brachy?

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