Correction of diffusion-weighted magnetic resonance imaging for brachytherapy of locally advanced cervical cancer. (August 2014)

• Record Type: Journal Article
• Authors: Haack, Søren; Kallehauge, Jesper F.; Jespersen, Sune N.; Lindegaard, Jacob C.; Tanderup, Kari; Pedersen, Erik M.
• Is Part Of: Acta oncologica. Volume 53:Number 8(2014)
• Page Start: 1073
• Page End: 1078
• Publication Date: 2014-08
• Subjects: Oncology -- Periodicals; Cancer -- Treatment -- Periodicals; 616.992
• DOI: 10.3109/0284186X.2014.938831
• Languages: English
• ISSNs: 0284-186X

Abstract

<abstract> <title>Abstract</title> <p> <bold>Background</bold>. Geometrical distortion is a major obstacle for the use of echo planar diffusion-weighted magnetic resonance imaging (DW-MRI) in planning of radiotherapy. This study compares geometrical distortion correction methods of DW-MRI at time of brachytherapy (BT) in locally advanced cervical cancer patients.</p> <p> <bold>Material and methods.</bold> In total 21 examinations comprising DW-MRI, dual gradient echo (GRE) for B<sub>0</sub> field map calculation and T2-weighted (T2W) fat-saturated MRI of eight patients with locally advanced cervical cancer were acquired during BT with a plastic tandem and ring applicator in situ. The ability of B<sub>0</sub> field map correction (B<sub>0</sub>M) and deformable image registration (DIR) to correct DW-MRI geometric image distortion was compared to the non-corrected DW-MRI including evaluation of apparent diffusion coefficient (ADC) for the gross tumor volume (GTV).</p> <p> <bold>Results.</bold> Geometrical distortion correction decreased tandem displacement from 3.3 ± 0.9 mm (non-corrected) to 2.9 ± 1.0 mm (B<sub>0</sub>M) and 1.9 ± 0.6 mm (DIR), increased mean normalized cross-correlation from 0.69 ± 0.1 (non- corrected) to 0.70 ± 0.10 (B<sub>0</sub>M) and 0.77 ± 0.1 (DIR), and increased the Jaccard similarity coefficient from 0.72 ± 0.1 (non-corrected) to 0.73 ± 0.06 (B<sub>0</sub>M) and 0.77 ± 0.1 (DIR). For all parameters only DIR corrections were significant (p < 0.05). ADC of the GTV did not change significantly with either correction method.</p> <p> <bold>Conclusion.</bold> DIR significantly improved geometrical accuracy of DW-MRI, with remaining residual uncertainties of less than 2 mm, while no significant improvement was seen using B<sub>0</sub> field map correction</p> </abstract>