Abstract
A recent extension of image guidance in radiation therapy has been brought about by the introduction of the MR-linac; a hybrid system comprising an MR imager and a medical linear accelerator. The University of Texas MD Anderson Cancer Center is one of seven institutes around the world that have collaborated with the manufacturer to develop this system and bring it into clinical use. In the process, a great deal has been learned about the influence of the magnetic field on radiation dose deposition and upon dosimetry systems. A number of dosimetry systems have been evaluated and issues affecting their performance have been investigated. The potential value of three-dimensional dosimetry systems has been explored.
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