SU‐E‐J‐192: Static Breath‐Hold MRI Based Measurement of Change in Pulmonary Function Following a Course of Radiation Therapy

K. Ding, K. Cao, K. du, Q. Chen, D. Ennis, G. Christensen, J. Reinhardt, B. Libby, Stanley H Benedict, K. Sheng

Research output: Contribution to journalArticle

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Abstract

Purpose: Radiation Therapy (RT) induced pulmonary function change may depend on the location, underlying function of that lung prior to radiations, radiation dose/fractionation and other factors. We propose to evaluate the radiation induced pulmonary function change using static breath‐hold MRI scans with vascular information and 3D deformable image registration which can provide pulmonary function relative to RT dose on a regional basis. Methods: A MRI scan pair near the end of inhale and near the end of exhale with breath hold were acquired for one lung cancer patient before RT and 6 months after RT. The patient was treated with SBRT with 55 Gy to PTVs in the right and the left lung respectively. B‐spline based vesselness preserving image registration algorithm was applied to register the MRI pair for the calculation of local lung expansion as a measurement of regional pulmonary function (PF). The PF maps before RT and after RT were then mapped to the planning CT using the same algorithm tuned for MRI‐CT registration. The pulmonary function change was calculated via the PF ratio between two MRI pairs. Results: Strong spatial correlation was found between the irradiated lung region and the region with greatly decreased PF. Based on dose and PFC distribution, no strong determinant factor was found for PF lost in the left lung while the right lung shows that all the lung tissue receiving dose larger than 28 Gy will have a decreased PF. Conclusions: We demonstrated a method that uses static breath‐hold MRI based lung imaging to evaluate radiation induced pulmonary function change which can be applied to study the dose and the pulmonary function change in a regional basis. This work is supported by NIH grant support 1R21CA144063.

Original languageEnglish (US)
Number of pages1
JournalMedical Physics
Volume39
Issue number6
DOIs
StatePublished - 2012
Externally publishedYes

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Radiotherapy
Lung
Radiation
Magnetic Resonance Imaging
Dose Fractionation
Organized Financing
Blood Vessels
Lung Neoplasms

ASJC Scopus subject areas

  • Biophysics
  • Radiology Nuclear Medicine and imaging

Cite this

SU‐E‐J‐192 : Static Breath‐Hold MRI Based Measurement of Change in Pulmonary Function Following a Course of Radiation Therapy. / Ding, K.; Cao, K.; du, K.; Chen, Q.; Ennis, D.; Christensen, G.; Reinhardt, J.; Libby, B.; Benedict, Stanley H; Sheng, K.

In: Medical Physics, Vol. 39, No. 6, 2012.

Research output: Contribution to journalArticle

Ding, K. ; Cao, K. ; du, K. ; Chen, Q. ; Ennis, D. ; Christensen, G. ; Reinhardt, J. ; Libby, B. ; Benedict, Stanley H ; Sheng, K. / SU‐E‐J‐192 : Static Breath‐Hold MRI Based Measurement of Change in Pulmonary Function Following a Course of Radiation Therapy. In: Medical Physics. 2012 ; Vol. 39, No. 6.
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