在0.35 T磁共振成像引导的线性加速器上进行准确,可重复和几何精确的扩散加权成像
Joseph Weygand1, Tess Armstrong2, John Michael Bryant1
1Department of Radiation Oncology, Moffitt Cancer Center, Tampa, FL, USA.
Physics and imaging in radiation oncology
|December 4, 2023
概括
使用回声平面成像 (EPI) 的精确扩散加权成像 (DWI) 现在可以在0.35T的MR-linac (MRL) 上实现. 这项研究证明了用于纵向患者监测的精确表面扩散系数 (ADC) 映射.
科学领域:
- 磁共振成像是一种磁共振成像技术.
- 放射治疗 物理 物理
- 医学成像技术 医学成像技术
背景情况:
- 扩散加权成像 (DWI) 评估组织细胞性和增殖.
- 以前的DWI与0.35TMR-linac (MRL) 的整合缺乏定量准确性.
- 基于回声平面成像 (EPI) 的DWI协议正在为MRL系统开发.
研究的目的:
- 为了评估0.35T MRL的表面扩散系数 (ADC) 地图的准确性,可重复性和几何精度.
- 为了证明在MRL上使用DWI进行纵向体内患者成像的潜力.
- 为了比较0.35T MRL和3.0T诊断扫描仪之间的DWI性能.
主要方法:
- 在0.35T的MRL上使用基于EPI的DWI协议生成ADC地图.
- 幻影研究评估了对参考值的准确性和可重复性.
- 通过将MRL和诊断扫描仪ADC地图与CT图像进行比较,量化了几何扭曲.
- 在活体中,在两台扫描仪上获得了五名肉瘤患者的ADC地图.
主要成果:
- 对0.35T的MRL的幻影ADC量化是准确的,在高ADC值中存在小差异.
- 平均几何扭曲为0.35毫米 (中心) 和0.66毫米 (离中心) 的MRL,而诊断扫描仪的0.85毫米和2.14毫米.
- 在肉瘤患者的MRL上,预治疗in vivo的平均ADC为910x10-6mm2/s.
结论:
- 准确,可重复和几何精确的ADC地图可以在0.35T时使用EPI DWI方法获得.
- 这些发现支持使用DWI进行长度监测,用于治疗MRL的患者.
- 基于EPI的DWI显示了增强MRL指导放射治疗的希望.
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