3D T1-weighted turbo spin echo contrast-enhanced MRI at 1.5 T for frameless brain metastases radiotherapy

© 2021. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature..

PURPOSE: Performance of 3D-T1W-TSE has been proven superior to 3D-MP-GRE at 3 T on brain metastases (BM) contrast-enhanced (CE) MRI. However, its performance at 1.5 T is largely unknown and sparsely reported. This study aims to assess image quality, lesion detectability and conspicuity of 1.5 T 3D-T1W-TSE on planning MRI of frameless BM radiotherapy.

METHODS: 94 BM patients to be treated by frameless brain radiotherapy were scanned using 3D-T1W-TSE with immobilization on multi-vendor 1.5 T MRI-simulators. BMs were jointly diagnosed by 4 reviewers. Enhanced lesion conspicuity was quantitatively assessed by calculating contrast ratio (CR) and contrast-to-noise ratio (CNR). Signal-to-noise ratio (SNR) reduction of white matter due to the use of flexible coil was assessed. Lesion detectability and conspicuity were compared between 1.5 T planning MRI and 3 T diagnostic MRI by an oncologist and a radiologist in 10 patients.

RESULTS: 497 BMs were jointly diagnosed. The CR and CNR were 75.2 ± 39.9% and 14.2 ± 8.1, respectively. SNR reduced considerably from 31.7 ± 8.3 to 21.9 ± 5.4 with the longer distance to coils. 3 T diagnostic MRI and 1.5 T planning MRI yielded exactly the same detection of 84 BMs. Qualitatively, lesion conspicuity at 1.5 T was not inferior to that at 3 T. Quantitatively, lower brain SNR and lesion CNR were found at 1.5 T, while lesion CR at 1.5 T was highly comparable to that at 3 T.

CONCLUSION: 1.5 T 3D-T1W-TSE planning MRI of frameless BM radiotherapy was comprehensively assessed. Highly comparable BM detectability and conspicuity were achieved by 1.5 T planning MRI compared to 3 T diagnostic MRI. 1.5 T 3D-T1W-TSE should be valuable for frameless brain radiotherapy planning.

Medienart:

E-Artikel

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - volume:148

Enthalten in:

Journal of cancer research and clinical oncology - 148(2022), 7 vom: 07. Juli, Seite 1749-1759

Sprache:

Englisch

Beteiligte Personen:

Yuan, Jing [VerfasserIn]
Law, Stephen C K [VerfasserIn]
Wong, Ka Kin [VerfasserIn]
Lo, Gladys G [VerfasserIn]
Kam, Michael K M [VerfasserIn]
Kwan, Wing Hong [VerfasserIn]
Xue, Cindy [VerfasserIn]
Wong, Oi Lei [VerfasserIn]
Yu, Siu Ki [VerfasserIn]
Cheung, Kin Yin [VerfasserIn]

Links:

Volltext

Themen:

3D T1-weighted turbo spin echo
Brain metastases
Contrast Media
Contrast enhanced MRI
Journal Article
MR-guided-radiotherapy
Stereotactic radiotherapy

Anmerkungen:

Date Completed 14.06.2022

Date Revised 14.06.2022

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1007/s00432-021-03755-8

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM329073834