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Session: Therapy: MR-guided RT Dosimetry and QA [Return to Session]

Evaluation of MRI-Guided Linear Accelerator Based Stereotactic Radiosurgery for Brain Metastasis

M De Ornelas*, N Dogan, W Amestoy, H Guerrero, T Diwani, E Mellon, Sylvester Comprehensive Cancer Center, University of Miami, Miami, FL


SU-IePD-TRACK 6-7 (Sunday, 7/25/2021) 5:30 PM - 6:00 PM [Eastern Time (GMT-4)]

Purpose: Assess the feasibility of an MRI-guided linac system in treating brain metastasis by comparing the plan quality to a frameless automated linac-based SRS system for treatment of brain metastasis.

Methods: Ten patients with a single metastatic lesion were retrospectively planned using a frameless automated linac-based SRS planning system with HDMLC (2.5mm leaf-width) and an MRI-guided linac system with double-focused double-stacked multileaf collimator (4.15mm leaf-width). Lesion sizes ranged from 0.3cc to 27.1cc, with an average of 5.1cc. Energy for all plans was 6MV FFF and normalization set to cover 99.5% of the target volume with the prescription dose. The HDMLC plans utilized VMAT technique with 4-5 non-coplanar arcs at 1200 MU/min while the MRI-guided linac system used step-and-shoot technique with multiple coplanar beams at 600 MU/min. Plan quality was assessed by the following metrics: gradient index (GI), RTOG conformity index (CI(R)(T)(O)(G)), brain volume receiving 12Gy or more (V12Gy) and maximum dose (D(m)(a)(x)) for brainstem, optic chiasm, and optic nerves. Two-sided Wilcoxon sign-rank test (statistical significance at p<0.05) was used to test differences between metrics.

Results: All plans met OAR constraints. D(m)(a)(x) to the brainstem, optic chiasm and nerves were not significantly different between the plans. HDMLC-linac plans were statistically better in terms of GI (p=0.00), CI(R)(T)(O)(G) (p=0.00) and V12 (p=0.01).

Conclusion: Our study demonstrates that MRI-guided linac system can provide comparable organs-at-risk sparing to the HDMLC-linac for treatment of single metastatic lesions, although the HDMLC-linac plans had better GI, CI(R)(T)(O)(G), and V12. The GI for the MRI-guided plans improved with increasing target volumes, achieving acceptable values (<4.0) for targets greater than 3cc, suggesting it could be used for SRS treatment of single metastasis targets larger than this size.



    Stereotactic Radiosurgery, MRI, Line Spread Function


    TH- External Beam- Photons: intracranial stereotactic/SBRT

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