Detection of late radiation damage on left atrial fibrosis using cardiac late gadolinium enhancement magnetic resonance imaging

Autor: Y. Jessica Huang, PhD, Alexis Harrison, MD, Vikren Sarkar, PhD, Prema Rassiah-Szegedi, PhD, Hui Zhao, PhD, Martin Szegedi, PhD, Long Huang, PhD, Brent Wilson, MD, PhD, David K. Gaffney, MD, PhD, Bill J. Salter, PhD
Jazyk: angličtina
Rok vydání: 2016
Předmět:
Zdroj: Advances in Radiation Oncology, Vol 1, Iss 2, Pp 106-114 (2016)
Druh dokumentu: article
ISSN: 2452-1094
DOI: 10.1016/j.adro.2016.04.002
Popis: Purpose: This is a proof-of-principle study investigating the feasibility of using late gadolinium enhancement magnetic resonance imaging (LGE-MRI) to detect left atrium (LA) radiation damage. Methods and materials: LGE-MRI data were acquired for 7 patients with previous external beam radiation therapy (EBRT) histories. The enhancement in LA scar was delineated and fused to the computed tomography images used in dose calculation for radiation therapy. Dosimetric and normal tissue complication probability analyses were performed to investigate the relationship between LA scar enhancement and radiation doses. Results: The average LA scar volume for the subjects was 2.5 cm3 (range, 1.2-4.1 cm3; median, 2.6 cm3). The overall average of the mean dose to the LA scar was 25.9 Gy (range, 5.8-49.2 Gy). Linear relationships were found between the amount of radiation dose (mean dose) (R2 = 0.8514, P = .03) to the LA scar-enhanced volume. The ratio of the cardiac tissue change (LA scar/LA wall) also demonstrated a linear relationship with the level of radiation received by the cardiac tissue (R2 = 0.9787, P
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