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Comparison of four dimensional computed tomography and magnetic resonance imaging in abdominal radiotherapy planning.


ABSTRACT:

Background and purpose

Four-dimensional (4D) computed tomography (CT) is widely used in radiotherapy (RT) planning and remains the current standard for motion evaluation. We assess a 4D magnetic resonance imaging (MRI) sequence in terms of motion and image quality in a phantom, healthy volunteers and patients undergoing RT.

Materials and methods

The 4D-MRI sequence is a prototype T1-weighted 3D gradient echo with radial acquisition with self-gating. The accuracy of the 4D-MRI respiratory sorting based method was assessed using a MRI-CT compatible respiratory simulation phantom. In volunteers, abdominal viscera were evaluated for artefact, noise, structure delineation and overall image quality using a previously published four-point scoring system. In patients undergoing abdominal RT, the tumour (or a surrogate) was utilized to assess the range of motion on both 4D-CT and 4D-MRI. Furthermore, imaging quality was evaluated for both 4D-CT and 4D-MRI.

Results

In phantom studies 4D-MRI demonstrated amplitude of motion error of less than 0.2?mm for five, seven and ten bins. 4D-MRI provided excellent image quality for liver, kidney and pancreas. In patients, the median amplitude of motion seen on 4D-CT and 4D-MRI was 11.2?mm (range 2.8-20.3?mm) and 10.1?mm (range 0.7-20.7?mm) respectively. The median difference in amplitude between 4D-CT and 4D-MRI was -0.6?mm (range -3.4-5.2?mm). 4D-MRI demonstrated superior edge detection (median score 3 versus 1) and overall image quality (median score 2 versus 1) compared to 4D-CT.

Conclusions

The prototype 4D-MRI sequence demonstrated promising results and may be used in abdominal targeting, motion gating, and towards implementing MRI-based adaptive RT.

SUBMITTER: Oar A 

PROVIDER: S-EPMC7807635 | biostudies-literature | 2018 Jul

REPOSITORIES: biostudies-literature

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Publications

Comparison of four dimensional computed tomography and magnetic resonance imaging in abdominal radiotherapy planning.

Oar Andrew A   Liney Gary G   Rai Robba R   Deshpande Shrikant S   Pan Li L   Johnston Meredith M   Jameson Michael M   Kumar Shivani S   Lee Mark M  

Physics and imaging in radiation oncology 20180701


<h4>Background and purpose</h4>Four-dimensional (4D) computed tomography (CT) is widely used in radiotherapy (RT) planning and remains the current standard for motion evaluation. We assess a 4D magnetic resonance imaging (MRI) sequence in terms of motion and image quality in a phantom, healthy volunteers and patients undergoing RT.<h4>Materials and methods</h4>The 4D-MRI sequence is a prototype T1-weighted 3D gradient echo with radial acquisition with self-gating. The accuracy of the 4D-MRI resp  ...[more]

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