Peer-Reviewed Publication
J Appl Clin Med Phys2026;27(5):e70638.May 1, 2026Journal Article

Strategies for enhancing delivery efficiency on MR-Linac: A dosimetric study and historical plan review.

Ying Zhang1, Shanshan Tang1, Christopher Kabat1, Justin Visak1, Tsuicheng Chiu1, Ruiqi Li1, Steve Jiang1, Mu-Han Lin1
1Medical Artificial Intelligence and Automation (MAIA) Lab & Department of Radiation Oncology, UT Southwestern Medical Center, Dallas, Texas, USA.

Abstract

PURPOSE: The Elekta Unity MR-Linac enables online adaptive radiotherapy (oART) with integrated 1.5T MRI. Given its relatively low dose rate, identifying optimal IMRT planning parameters is essential to achieve efficient delivery. This study investigates parameter optimization strategies that enhance delivery efficiency while maintaining high dosimetric quality. METHODS: A dosimetric study was des…

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