Relation between radiation-induced whole lung functional loss and regional structural changes in partial irradiated
Peter van Luijk1, Alena Novakova-Jiresova, Hette Faber
1Department of Radiation Oncology, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Purpose:
Radiation-induced pulmonary toxicity is characterized by dose, region, and time-dependent severe changes in lung morphology and function. This study sought to determine the relation between the structural and functional changes in the irradiated rat lung at three different phases after irradiation.
Materials And Methods:
Six groups of animals were irradiated to 16-22 Gy to six different lung regions, each containing 50% of the total lung volume. Before and every 2 weeks after irradiation, the breathing rate (BR) was measured, and at Weeks 8, 26, and 38 CT was performed. From the computed tomography scans, the irradiated lung tissue was delineated using a computerized algorithm. A single quantitative measure for structural change was derived from changes of the mean and standard deviation of the density within the delineated lung. Subsequently, this was correlated with the BR in the corresponding phase.
Results:
In the mediastinal and apex region, the BR and computed tomography density changes did not correlate in any phase. After lateral irradiation, the density changes always correlated with the BR; however, in all other regions, the density changes only correlated significantly (r(2) = 0.46-0.85, p < 0.05) with the BR in Week 26.
Conclusion:
Changes in pulmonary function correlated with the structural changes in the absence of confounding heart irradiation.