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BACKGROUND: MR-guided radiotherapy (MRgRT) offers new opportunities but also introduces workflow complexities requiring dedicated optimization. Implementing magnetic resonance linear accelerator (MR-Linac) technology comes with challenges such as prolonged treatment times and workflow integration issues. PURPOSE: We present here our experience and share practical tips and tricks to streamline MR-Linac implementation, optimize workflow efficiency, and improve coordination. METHODS: at our institution were analyzed. Treatments were assessed based on session recordings, difficulties encountered were identified, and solutions documented. RESULTS: A total of 726 fractions were delivered, with a mean treatment time of 48 minutes. Key optimizations included standardized operating procedures (SOPs) and structured briefing sheets, leading to reduced delays and improved treatment consistency. CONCLUSION: Strategic workflow standardization and optimized communication tools significantly improved the ability to deliver high-quality, patient-centered care by streamlining processes and enhancing coordination among team members. These insights provide practical guidance for centers integrating MR-Linac technology.
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Michel et al. (2025) studied this question.
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