Neoplasms

Symptoms and General Pathology

All Conditions

Digestive System Diseases

Respiratory Tract (Lung and Bronchial) Diseases

Heart and Blood Diseases

Neoplasm Metastasis

Syndrome

Hemorrhage

Gastrointestinal Hemorrhage

Hemoptysis

Mediastinal Diseases

Superior Vena Cava Syndrome

Gastrointestinal Diseases

Lung Diseases

Respiratory Tract Diseases

Signs and Symptoms, Respiratory

Thoracic Diseases

Vascular Diseases

* All patients will undergo volumetric MR imaging on treatment days in positioning appropriate for the specific treatment site.
* Patients will receive standard of care palliative radiation therapy

This will most frequently be supine with arms positioned so not in the way of treatment beams.

Volumetric MR imaging

Radiation therapy

Hyun Kim, M.D.

This proposed study is unique in that patients will not undergo computed tomography (CT) simulation at any point during their treatment course and will instead have same-session magnetic resonance (MR)-only simulation and treatment planning, on-table, using the adaptive radiotherapy (ART) workflow. In this manner, patients requiring urgent treatment could initiate treatment as early as the day of initial radiation oncology consultation.

Same-session MR-only Simulation and Treatment With MRI-guided Adaptive Palliative RadioTherapy

Pilot Study of Same-session MR-only Simulation and Treatment With MRI-guided Adaptive Palliative RadioTherapy (MAP-RT)

Individual participant data that underlie the results reported in this article, after deidentification (text, tables, figures and appendices). Participants who opted out of data sharing in the informed consent will not be included.

Washington University School of Medicine

Volumetric MR Imaging Planning

Age, Continuous

Sex: Female, Male

Ethnicity (NIH/OMB)

Race (NIH/OMB)

United States

Region of Enrollment

Feasibility of Same-session MRI-only Simulation as Defined as More Than 70% of Patients Receiving at Least 70% of Their Scheduled Treatment Fractions on the First On-table Attempt for Each Respective Fraction.

Overall Study

Spots Global Cancer Trial Database for volumetric mr imaging