Assessment of glioma response to radiotherapy using 3D pulsed-continuous arterial spin labeling and 3D segmented volume. Issue 11 (November 2016)

• Record Type: Journal Article
• Authors: Wang, Peng; Li, Jianrui; Diao, Qiang; Lin, YuanKai; Zhang, Jun; Li, Lin; Yang, Gang; Fang, Xiaokun; Li, Xie; Chen, YingQi; Zheng, Ling; Lu, Guangming
• Is Part Of: European journal of radiology. Volume 85:Issue 11(2016)
• Page Start: 1987
• Page End: 1992
• Publication Date: 2016-11
• Subjects: ASL arterial spin labeling -- pcASL pulsed-continuous arterial spin labeling -- CBF cerebral blood flow -- TBF tumor blood flow -- TBFmean mean tumor blood flow -- TBFmax maximum tumor blood flow -- rTBF relative TBF -- DSC dynamic susceptibility contrast -- PASL pulsed ASL -- CASL continuous ASL -- SNR signal-to-noise ratio -- WHO World Health Organization -- 3D three dimensional -- DTI diffusion tensor imaging -- MRI magnetic resonance imaging -- MRS magnetic resonance spectroscopy; Gliomas -- Pulsed-continuous arterial spin labeling (pcASL) -- Radiotherapy -- Cerebral blood flow (CBF) -- Tumor blood flow (TBF); Medical radiology -- Periodicals; Radiology -- Periodicals; Radiologie médicale -- Périodiques; Medical radiology; Periodicals; 616.075705
• DOI: 10.1016/j.ejrad.2016.08.009
• Languages: English
• ISSNs: 0720-048X

Abstract

Abstract: Background: Gliomas are the most common primary brain tumors in adults, in some cases, radiotherapy may be the preferred treatment option especially for elderly people who cannot endure surgery. Therefore, it is necessary to evaluate the effects of radiotherapy on glioma. Arterial spin labeling (ASL) is an MR imaging technique that allows for a quantitative determination of cerebral blood flow (CBF) noninvasively. Tumor volume is still an important determinant for evaluating treatment response. The purpose of this study was to investigate the relationship between the tumor perfusion parameters and tumor volume and assess the effects of radiotherapy on glioma using pulsed-continuous arterial spin labeling (pcASL) technique. Methods: 35 patients with gliomas, histologically classified as low-grade group (n = 16) and high-grade group (n = 19), treated with radiotherapy only or before using other therapies were included in this study. MR examinations, including T1 weighted image and pcASL, were performed before and 4, 8, 12, 16 weeks after radiotherapy. Regional CBF of normal tissue, mean tumor blood flow (TBFmean ), maximum tumor blood flow (TBFmax ), and tumor volume were evaluated at each time point. Both the percentage change in CBF (CBF ratio), TBFmean (TBFmean ratio), TBFmax (TBFmax ratio) and the percentage change in tumor volume (volume ratio) were calculated using values obtained before and after radiotherapy. The correlation between the volume ratio and CBF ratio, TBFmean ratio, TBFmax ratio was assessed using linear regression analysis and Pearson's correlation. Results: The TBFmean and TBFmax of high-grade gliomas were significantly higher than that of low-grade group. In high-grade group, a strong correlation was demonstrated between the tumor volume and the TBFmax before radiotherapy (R 2 = 0.35, rs = 0.59, p < 0.05). There was also a significant correlation between the TBFmax before radiotherapy and the tumor volume ratio before and 8 weeks after radiotherapy (R 2 = 0.56, rs = −0.74, p < 0.05). Conclusion: The TBFmax measured using pcASL could assess tumoral grade and also could become a potential tool for evaluating the therapeutic effects of radiation.