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Perfusion magnetic resonance imaging changes in normal appearing brain tissue after radiotherapy in glioblastoma patients may confound longitudinal evaluation of treatment response Cover

Perfusion magnetic resonance imaging changes in normal appearing brain tissue after radiotherapy in glioblastoma patients may confound longitudinal evaluation of treatment response

Open Access
|Jun 2018

Figures & Tables

Figure 1

Dose region distribution with corresponding pre-fractionated radiotherapy (pre-FRT) Gd-T1w image. Representative dose region distribution with corresponding pre-FRT GD-T1w image for one patient. Dose distribution was divided into seven binary regions (0–5 Gy, 5–10 Gy, 10–20 Gy, 20–30 Gy, 30–40 Gy, 40–50 Gy and 50–60 Gy). Resection cavity, post-FRT effects and tumour tissue were excluded.

Figure 2

Longitudinal change in global normalised cerebral blood volume (nCBV) and normalised cerebral blood flow (nCBF). Global nCBV and nCBF (mean and 95% CI) graphically displayed for the different examinations in consecutive order. Derived P-values are included, and emphasised in bold and italics if less than 0.05. Corresponding table for regional nCBV and nCBF can be found in S1 and S2 Figures.

Table 1

Mean, standard error of mean (SEM) and change relative pre-fractionated radiotherapy (pre-FRT) for global nCBV and nCBF. Global normalised cerebral blood volume (nCBV) and normalised cerebral blood flow (nCBF) (mean and SEM), change in percentage relative pre-FRT (mean and SD) and derived P-values from a Wilcoxson matched-pair signed ranks test comparing post-FRT data with pre-FRT data. Corresponding table for regional nCBV and nCBF can be found in S2 Table

nCBVWMGM
Pre-FRTFRTPost-1FRTPost-2FRTPost-3
ΔCBV1.63±0.031.53±0.041.49±0.051.53±0.03
ΔnCBV (%)-6.7±7.7-4.6±11.7-6.0±9.3
p-value<0,00010,0535<0,0001
nCBFWMGM
Pre-FRTFRTPost-1FRTPost-2FRTPost-3
nCBF1.60±0.031.53±0.031.37±0.041.46±0.03
ΔnCBF (%)-5.1±11.7-12.5±11.4-7.5±8.2
p-value0,0057<0,0001<0,0001
nCBVWMWM
Pre-FRTFRTPost-1FRTPost-2FRTPost-3
nCBV1.10±0.031.06±0.031.03±0.031.05±0.03
ΔnCBV (%)-4.3±7.60.7±11.7-3.6±11.9
p-value0,00030,38180,1197
nCBFWMWM
Pre-FRTFRTPost-1FRTPost-2FRTPost-3
nCBF1.09±0.021.08±0.030.96±0.031.05±0.03
ΔnCBF (%)-3.1±7.7-7.4±10.5-3.4±10.3
p-value0,01660,00020,2267
nCBVGMGM
Pre-FRTFRTPost-1FRTPost-2FRTPost-3
nCBV1.00±0.010.99±0.011.02±0.021.0±0.02
ΔnCBV (%)-0.9±4.01.7±5.7-0.4±6.8
p-value0,16290,1840,6445
nCBFGMGM
Pre-FRTFRTPost-1FRTPost-2FRTPost-3
nCBF1.02±0.011.01±0.011.00±0.011.02±0.01
ΔnCBF (%)-0.1±5.1-2.8±4.70.0±4.5
p-value0,49220,00730,9252
Figure 3

Dose-dependent relative change and linear regression model for normalised cerebral blood volume (nCBV). Shows regional relative change for nCBV and derived line regression (line and equation).

Corresponding figure for normalised cerebral blood flow (nCBF) can be found in S3 Figure.

DOI: https://doi.org/10.2478/raon-2018-0022 | Journal eISSN: 1581-3207 | Journal ISSN: 1318-2099
Language: English
Page range: 143 - 151
Submitted on: Jan 17, 2018
Accepted on: Apr 4, 2018
Published on: Jun 6, 2018
Published by: Association of Radiology and Oncology
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2018 Markus Fahlström, Erik Blomquist, Tufve Nyholm, Elna-Marie Larsson, published by Association of Radiology and Oncology
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.