The current and future role of the MRI radiographer in radiation oncology: A collaborative, experiential reflection on the Australian rollout of dedicated MRI simulators

Abstract

Magnetic Resonance Imaging (MRI) has proven value in radiotherapy treatment planning (RTP). MRI provides excellent soft tissue contrast, and improves lesion detection, definition and extent, allowing for increased conformal treatment. Recent installation of dedicated MRI simulators and MRI‐guided linear accelerators (MR Linacs) within radiation oncology departments has led to a sudden and rapid expansion in the scope of practice for many radiation therapists and MRI radiographers. The lack of current recommendations, guidelines and credentialing for both MRI radiographers and radiation therapists working within these atypical MRI environments poses a significant challenge for the education and training of staff, and the safe operation of these units. This commentary discusses current pathways for radiographers and radiation therapists entering the emerging field of MRI‐guided radiation oncology, and the future role of the MRI radiographer in addressing the unique issues found in non‐standard MRI environments. The authors draw on their collective experience as MRI radiographers assisting the rollout of dedicated MRI simulators in radiation oncology departments across Australia and reflect on the need for close collaboration between radiographers, radiation therapists and their respective departments. There is also a critical role for professional bodies to play in supporting existing and future roles in MRI and recognising advanced practitioner scope of practice.

Professional certification for radiation therapists—adapting to a new language in MRI

“… 7 It is evident from the literature that there needs to be consistency in training, credentialling, and exposure to a cross‐section of examinations of various complexity. 2 …”

“…For departments that have implemented an MR Sim and/or MR Linac, there has been provision of vendor specific training which have led to individual departmental credentialing frameworks and workflows 7 . It is evident from the literature that there needs to be consistency in training, credentialling, and exposure to a cross‐section of examinations of various complexity 2 …”

“…Current practice utilising MR Linacs has resulted in a change of role and scope of practice for radiation therapists and their MDT. 1 , 2 …”

“…Radiation Therapy practitioners are part of a multidisciplinary team (MDT) responsible for accurate target delineation and treatment delivery. Current practice utilising MR Linacs has resulted in a change of role and scope of practice for radiation therapists and their MDT 1,2 …”

“…Current practice utilising MR Linacs has resulted in a change of role and scope of practice for radiation therapists and their MDT. 1,2 This special issue of Journal of Medical Radiation Sciences discusses the educational needs of the profession as it adopts and adapts to this new technology.…”