Bonus Episode: Bethany Williams & Rebekah Lawes - Therapeutic Radiographers in the MR Linac Series

Naman Julka-Anderson and Jo McNamara catch up with Bethany Williams and Rebekah Lawes about their careers, therapeutic radiographer led working and MR Linac workflow.

The Royal Marsden NHS Foundation Trust’s MR Linac was implemented with The Institute of Cancer Research, London (ICR), and funded by a £10-million grant from the Medical Research Council to the ICR and supported by The Royal Marsden Cancer Charity. 

To use this podcast as CPD, look at these reflection points: 

1. Reflect on potential patient benefits, challenges, and opportunities for improvement. 
2. Identify specific cases or scenarios where this technology could enhance treatment precision and outcomes.
3. Consider the enablers and barriers to therapeutic radiographer led workflows.

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Links from podcast:

Evolution of the MOMENTUM Study for Evidence-Based Implementation of MR-Guided Radiotherapy Using the 1.5 Tesla MR-Linac: https://www.redjournal.org/article/S0360-3016(23)06346-0/fulltext

Outcomes of Tolerability, Acute Toxicity and Quality of Life from MR-Guided Radiation Therapy (1.5T MR-Linac) for Liver Metastases in the MOMENTUM Study: https://www.redjournal.org/article/S0360-3016(23)05415-9/fulltext

Patient-Reported Outcomes of Rectal Cancer Patients Treated on a 1.5T MR-Linac within the MOMENTUM Study: https://www.redjournal.org/article/S0360-3016(23)05720-6/fulltext

Optimising the MR-Linac as a standard treatment modality: https://onlinelibrary.wiley.com/doi/10.1002/jmrs.712

Interim Toxicity Analysis From the Randomized HERMES Trial of 2- and 5-Fraction Magnetic Resonance Imaging–Guided Adaptive Prostate Radiation Therapy: https://www.redjournal.org/article/S0360-3016(23)07949-X/fulltext

Development of prostate bed delineation consensus guidelines for MRI-guided radiotherapy and assessment of its impact on interobserver variability: https://www.redjournal.org/article/S0360-3016(23)07848-3/fulltext

Gating and intrafraction drift correction on a 1.5 T MR-Linac: Clinical dosimetric benefits for upper abdominal tumors: Gating and intrafraction drift correction on a 1.5 T MR-Linac: Clinical dosimetric benefits for upper abdominal tumors - Radiotherapy and Oncology(thegreenjournal.com)

Therapeutic Radiographers at the Helm: Moving Towards Radiographer-Led MR-Guided Radiotherapy https://www.sciencedirect.com/science/article/pii/S1078817422001109#:~:text=TRs%20are%20pivotal%20in%20image,are%20indispensable%20for%20the%20MRIgRT

The Society and College of Radiographers (SCoR) publishes this guidance document for the therapeutic radiography profession and education providers with an overview of the educational and professional requirements for the profession to support safe, effective use of magnetic resonance imaging (MRI) in radiotherapy for the purposes of simulation (MRSim) or on-board radiotherapy guidance (MR-RT). https://www.sor.org/getmedia/3be2a7d1-2d57-4d6b-b4ef-60368a3b7eae/mri_guided_radiotherapy-1.pdf_2

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