Verification of CT/MRI imaging protocol compliance for radiotherapy

INTRODUCTION: The role of imaging in radiotherapy is becoming increasingly important. Verification of imaging parameters prior to treatment planning is essential for safe and effective clinical practice. METHODS: This study described the development and clinical implementation of ImageCompliance, an automated, GUI-based script designed to verify and enforce correct CT and MRI parameters during radiotherapy planning. RESULTS: Since its deployment, ImageCompliance has processed more than 48,000 CT and MRI studies. The integration of the centralized database eliminated the need for manual uploads, reducing workflow inefficiencies. The multi-tier warning system facilitated timely identification of deviations from protocol, thereby supporting clinical decision-making and ensuring protocol adherence. CONCLUSION: The clinical implementation of ImageCompliance safeguards geometric and dosimetric accuracy, informs margin selection, and enhances governance over imaging protocols. It represents an effective strategy for the verification of CT/MRI imaging protocol compliance for radiotherapy.