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Estimation of pulmonary motion in healthy subjects and patients with intrathoracic tumors using 3D-dynamic MRI: initial results.

Plathow C, Schoebinger M, Herth F, Tuengerthal S, Meinzer HP, Kauczor HU - Korean J Radiol (2009 Nov-Dec)

Bottom Line: Using global spirometry, an improvement could also be shown (vital capacity 2.9 +/- 0.5 versus 3.4 L +/- 0.6, FEV1 0.9 +/- 0.2 versus 1.4 +/- 0.2 L) after CHT, but this improvement was not significant.A 3D-dynamic MRI is able to quantify intraparenchymal lung motion.Local and global parenchymal pathologies can be precisely located and might be a new tool used to quantify even slight changes in lung motion (e.g. in therapy monitoring, follow-up studies or even benign lung diseases).

View Article: PubMed Central - PubMed

Affiliation: Department of Radiology, German Cancer Research Center Heidelberg, Germany. christian.plathow@uniklinikfreiburg.de

ABSTRACT

Objective: To estimate a new technique for quantifying regional lung motion using 3D-MRI in healthy volunteers and to apply the technique in patients with intra- or extrapulmonary tumors.

Materials and methods: Intraparenchymal lung motion during a whole breathing cycle was quantified in 30 healthy volunteers using 3D-dynamic MRI (FLASH [fast low angle shot] 3D, TRICKS [time-resolved interpolated contrast kinetics]). Qualitative and quantitative vector color maps and cumulative histograms were performed using an introduced semiautomatic algorithm. An analysis of lung motion was performed and correlated with an established 2D-MRI technique for verification. As a proof of concept, the technique was applied in five patients with non-small cell lung cancer (NSCLC) and 5 patients with malignant pleural mesothelioma (MPM).

Results: The correlation between intraparenchymal lung motion of the basal lung parts and the 2D-MRI technique was significant (r = 0.89, p < 0.05). Also, the vector color maps quantitatively illustrated regional lung motion in all healthy volunteers. No differences were observed between both hemithoraces, which was verified by cumulative histograms. The patients with NSCLC showed a local lack of lung motion in the area of the tumor. In the patients with MPM, there was global diminished motion of the tumor bearing hemithorax, which improved significantly after chemotherapy (CHT) (assessed by the 2D- and 3D-techniques) (p < 0.01). Using global spirometry, an improvement could also be shown (vital capacity 2.9 +/- 0.5 versus 3.4 L +/- 0.6, FEV1 0.9 +/- 0.2 versus 1.4 +/- 0.2 L) after CHT, but this improvement was not significant.

Conclusion: A 3D-dynamic MRI is able to quantify intraparenchymal lung motion. Local and global parenchymal pathologies can be precisely located and might be a new tool used to quantify even slight changes in lung motion (e.g. in therapy monitoring, follow-up studies or even benign lung diseases).

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Related in: MedlinePlus

Cumulative relative motion histogram for patient with malignant pleural mesothelioma (from Fig. 4). Following therapy, slight increase of overall lung motion, especially left side, can be observed.
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Figure 5: Cumulative relative motion histogram for patient with malignant pleural mesothelioma (from Fig. 4). Following therapy, slight increase of overall lung motion, especially left side, can be observed.

Mentions: The cumulative relative motion histogram for the same patient (Fig. 5), indicates a decrease in lung motion in the left lung before therapy is apparent. The increase in lung mobility after therapy is demonstrated as a shift of the motion curves to the right.


Estimation of pulmonary motion in healthy subjects and patients with intrathoracic tumors using 3D-dynamic MRI: initial results.

Plathow C, Schoebinger M, Herth F, Tuengerthal S, Meinzer HP, Kauczor HU - Korean J Radiol (2009 Nov-Dec)

Cumulative relative motion histogram for patient with malignant pleural mesothelioma (from Fig. 4). Following therapy, slight increase of overall lung motion, especially left side, can be observed.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2770821&req=5

Figure 5: Cumulative relative motion histogram for patient with malignant pleural mesothelioma (from Fig. 4). Following therapy, slight increase of overall lung motion, especially left side, can be observed.
Mentions: The cumulative relative motion histogram for the same patient (Fig. 5), indicates a decrease in lung motion in the left lung before therapy is apparent. The increase in lung mobility after therapy is demonstrated as a shift of the motion curves to the right.

Bottom Line: Using global spirometry, an improvement could also be shown (vital capacity 2.9 +/- 0.5 versus 3.4 L +/- 0.6, FEV1 0.9 +/- 0.2 versus 1.4 +/- 0.2 L) after CHT, but this improvement was not significant.A 3D-dynamic MRI is able to quantify intraparenchymal lung motion.Local and global parenchymal pathologies can be precisely located and might be a new tool used to quantify even slight changes in lung motion (e.g. in therapy monitoring, follow-up studies or even benign lung diseases).

View Article: PubMed Central - PubMed

Affiliation: Department of Radiology, German Cancer Research Center Heidelberg, Germany. christian.plathow@uniklinikfreiburg.de

ABSTRACT

Objective: To estimate a new technique for quantifying regional lung motion using 3D-MRI in healthy volunteers and to apply the technique in patients with intra- or extrapulmonary tumors.

Materials and methods: Intraparenchymal lung motion during a whole breathing cycle was quantified in 30 healthy volunteers using 3D-dynamic MRI (FLASH [fast low angle shot] 3D, TRICKS [time-resolved interpolated contrast kinetics]). Qualitative and quantitative vector color maps and cumulative histograms were performed using an introduced semiautomatic algorithm. An analysis of lung motion was performed and correlated with an established 2D-MRI technique for verification. As a proof of concept, the technique was applied in five patients with non-small cell lung cancer (NSCLC) and 5 patients with malignant pleural mesothelioma (MPM).

Results: The correlation between intraparenchymal lung motion of the basal lung parts and the 2D-MRI technique was significant (r = 0.89, p < 0.05). Also, the vector color maps quantitatively illustrated regional lung motion in all healthy volunteers. No differences were observed between both hemithoraces, which was verified by cumulative histograms. The patients with NSCLC showed a local lack of lung motion in the area of the tumor. In the patients with MPM, there was global diminished motion of the tumor bearing hemithorax, which improved significantly after chemotherapy (CHT) (assessed by the 2D- and 3D-techniques) (p < 0.01). Using global spirometry, an improvement could also be shown (vital capacity 2.9 +/- 0.5 versus 3.4 L +/- 0.6, FEV1 0.9 +/- 0.2 versus 1.4 +/- 0.2 L) after CHT, but this improvement was not significant.

Conclusion: A 3D-dynamic MRI is able to quantify intraparenchymal lung motion. Local and global parenchymal pathologies can be precisely located and might be a new tool used to quantify even slight changes in lung motion (e.g. in therapy monitoring, follow-up studies or even benign lung diseases).

Show MeSH
Related in: MedlinePlus