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Evaluation of toxic effects of chemotherapy in lung malignancies on cerebral white matter using diffusion tensor imaging Cover

Evaluation of toxic effects of chemotherapy in lung malignancies on cerebral white matter using diffusion tensor imaging

Open Access
|May 2022

Figures & Tables

Figure 1

Fractional anisotropy value measurement at the genu and splenium of corpus callosum (circles).
Fractional anisotropy value measurement at the genu and splenium of corpus callosum (circles).

Fractional anisotropy (FA), axial diffusivity (AD), mean diffusivity (MD) and radial diffusivity (RD) values of the defined regions of interest in the patients with non-small cell lung cancer (NSCLC) and the control group

Regions of interestNSCLC patients (n = 25)Control (n = 27)

FAADMDRDFAADMDRD
R ILF591.86±74.621500.75±122.17863.76±65.15545.27±96.29575.66±79.551458.45±131.20843.76±76.46536.41±93.74
L ILF600.06±59.941529.15±173.76868.6±97.02538.32±103.53613.26±80.831543.02±136.96856.6±105.47513.38±125.10
R SLF558.53±114.371299.28±201.73754.18±67.60481.63±88.42595.02±87.691411.18±141.51792.77±46.74483.57±74.45
L SLF532.01±118.551299.01±173.29778.50±71.55518.24±110.51591.15±96.811416±149.16795.97±59.44485.95±82.96
R FM554.53±100.651338.19±156.48769.57±105.53512.13±99.98629.28±151.291508.51±288.33813.40±80.35465.84±139.28
L FM507.28±109.361307.52±188.16807.18±63.09557.02±109.36653.10±173.431605.51±322.02836.1±86.54451.52±168.22
R ATR340.74±88.421103.33±81.11808.82±52.68661.56±75.32356.29±93.061079.83±101.61785.80±60.54638.79±74.98
L ATR346.5±80.361106.73±129.93787.19±107.16654.76±99.75370.34±99.101106.84±127.16795.80±78.49640.28±91.63
R ACR462.64±165.211257.80±260.67796.58±212.71593.33±239.64474.52±112.451189.22±123.22766.57±64.26555.24±93.58
L ACR426.54±118.961132.28±137.42771.2±75.36590.67±106.29493.42±113.021204.54±150.69762.29±68.51541.17±86
R EC421.5±103.191186.76±131.98801.44±49.57608.78±75.25467.90±76.671206.38±142.25785.90±67.27575.67±66.99
L EC473.82±92.651207.59±112.50775.09±67.91558.84±93.05496.03±82.191220.38±150.32766.20±69.01539.11±75.26
R IFOF492.68±71.611265.71±107.18790.68±68.32553.16±80.63518.93±69.641319.51±149.14803.93±64.48546.14±61.75
L IFOF475.18±85.001235.06±108.44786.80±56.69562.67±77.186492.90±88.551305.21±143.83817.78±68.26574.07±80.16
G CC805.78±79.271773.6±231.49799.20±135.38312±138.14792.98±56.111810.47±167.43822.28±72.58328.19±75.54
S CC806.87±83.001862.29±206.96832.26±115.01317.24±143.53845.36±49.031823.75±243.74775.42±113.42251.25±81.05
R FWM383.34±89.301171.85±148.03822.22±66.41647.41±81.58388.92±109.231137.18±106.56798.74±61.26629.51±98.77
L FWM377.06±89.531143.71±126.45810.22±55.30643.47±69.93399.48±116.431147.24±114.15798.29±78.91623.81±114.37
R POWM353.36±76.491155.84±130.45837.16±70.62677.82±70.49394.78±91.191182.94±193.23818.38±108.45636.1±103.87
L POWM344.49±75.641142.25±122.83834.81±74.07681.09±75.55388.00±89.021254.38±148.62871.37±93.75679.86±102.15

Comparison of diffusion tensor imaging (DTI) values of the defined anatomic locations before and after chemotherapy (the significant results are in italics)

Group 1 (n:7)Group 2 (n:18)

Region of interestPre-chemotherapy values (Median (min-max))Post-chemotherapy values (Median (min-max))P valueRegions of interestPre-chemotherapy values (Median (min-max)Post-chemotherapy values (Median (min-max)P value
R ILF FA623 (514–703.3)522 (418.7–679.8)0.028R ILF FA600 (395.3–694.5)593 (336–707)0.89
R FM FA539 (448–591)471 (379.7–615.8)0.31R FM FA525 (454.5–864)487 (322.3–712)0.022
R FM RD487.4 (465.5–605.65)619.4 (439.5–667.85)0.062R FM RD533.275 (201–689)580.35 (367.8–819.15)0.011
R FWM AD1123.5 (912.8–1244)1135.5 (988.3–1265.5)0.39R FWM AD1157.65 (1011.3–1556.5)1104.15 (854.8–1256.3)0.008
R FWM MD786.1 (699.1–871.26)823.26 (658.93–855.1)0.31R FWM MD793.01 (658.2–955.36)812.33(704.53–1006.9)0.029

Comparison of the diffusion tensor imaging (DTI) results of the two chemotherapy regimens on the defined anatomic locations (only the significant results are shown)

Region of interestCisplatinCarboplatinP
Left POWM FA389 (273.3–531)319 (167.3–423)0.034
Left POWM MD767.6 (727.53–925.27)837.13 (737.2–1071.77)0.034
Left POWM RD606.1 (507.9–726.65)705.92 (592.80–905.15)0.029
DOI: https://doi.org/10.2478/raon-2022-0017 | Journal eISSN: 1581-3207 | Journal ISSN: 1318-2099
Language: English
Page range: 150 - 155
Submitted on: Dec 2, 2021
Accepted on: Mar 18, 2022
Published on: May 4, 2022
Published by: Association of Radiology and Oncology
In partnership with: Paradigm Publishing Services
Publication frequency: 4 times per year

© 2022 Sinem Aydin, Tarik Demir, Haci Mehmet Turk, Dilek Hacer Cesme, Altay Aliyev, Mehmet Ali Gultekin, Temel Fatih Yilmaz, Alpay Alkan, published by Association of Radiology and Oncology
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.