Multicenter evaluation of parametric response mapping as an indicator of bronchiolitis obliterans syndrome after hematopoietic stem cell transplantation. Issue 8 (6th March 2020)

• Record Type: Journal Article
• Authors: Cheng, Guang‐Shing; Selwa, Katherine E.; Hatt, Charles; Ram, Sundaresh; Fortuna, Aleksa B.; Guerriero, Margaret; Himelhoch, Ben; McAree, Daniel; Hoffman, Timothy C.; Brisson, Joseph; Nazareno, Ryan; Bloye, Kiernan; Johnson, Timothy D.; Remberger, Mats; Mattsson, Jonas; Vummidi, Dharshan; Kazerooni, Ella E.; Lama, Vibha N.; Galban, Stefanie; Boeckh, Michael; Yanik, Gregory A.; Galban, Craig J.
• Is Part Of: American journal of transplantation. Volume 20:Issue 8(2020)
• Page Start: 2198
• Page End: 2205
• Publication Date: 2020-03-06
• Subjects: biomarker -- bone marrow/hematopoietic stem cell transplantation -- bronchiolitis obliterans syndrome (BOS) -- clinical research/practice -- diagnostic techniques and imaging: computed tomography -- translational research/ science; Transplantation of organs, tissues, etc -- Periodicals; 617.95
• DOI: 10.1111/ajt.15814
• Languages: English
• ISSNs: 1600-6135

Abstract

Abstract : Parametric response mapping (PRM) is a novel computed tomography (CT) technology that has shown potential for assessment of bronchiolitis obliterans syndrome (BOS) after hematopoietic stem cell transplantation (HCT). The primary aim of this study was to evaluate whether variations in image acquisition under real‐world conditions affect the PRM measurements of clinically diagnosed BOS. CT scans were obtained retrospectively from 72 HCT recipients with BOS and graft‐versus‐host disease from Fred Hutchinson Cancer Research Center, Karolinska Institute, and the University of Michigan. Whole lung volumetric scans were performed at inspiration and expiration using site‐specific acquisition and reconstruction protocols. PRM and pulmonary function measurements were assessed. Patients with moderately severe BOS at diagnosis (median forced expiratory volume at 1 second [FEV1] 53.5% predicted) had similar characteristics between sites. Variations in site‐specific CT acquisition protocols had a negligible effect on the PRM‐derived small airways disease (SAD), that is, BOS measurements. PRM‐derived SAD was found to correlate with FEV1% predicted and FEV1/ forced vital capacity ( R = −0.236, P = .046; and R = −0.689, P < .0001, respectively), which suggests that elevated levels in the PRM measurements are primarily affected by BOS airflow obstruction and not CT scan acquisition parameters. Based on these results, PRM may be applied broadly for post‐HCT diagnosis and monitoring of BOS. Abstract : Parametric response mapping, a potential indicator of bronchiolitis obliterans syndrome following hematopoietic cell transplant, was examined in a multicenter setting and is shown to be applicable using a variety of high resolution CT scan techniques.