MR-PET evaluation of 1-month post-ablation therapy for hepatocellular carcinoma: preliminary observations

Verfasser / Beitragende:
[Miguel Ramalho, Mamdoh AlObaidy, Lauren Burke, Brian Dale, David Gerber, Terence Wong, Richard Semelka]
Ort, Verlag, Jahr:
2015
Enthalten in:
Abdominal Imaging, 40/6(2015-08-01), 1405-1414
Format:
Artikel (online)
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024 7 0 |a 10.1007/s00261-015-0436-6  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s00261-015-0436-6 
245 0 0 |a MR-PET evaluation of 1-month post-ablation therapy for hepatocellular carcinoma: preliminary observations  |h [Elektronische Daten]  |c [Miguel Ramalho, Mamdoh AlObaidy, Lauren Burke, Brian Dale, David Gerber, Terence Wong, Richard Semelka] 
520 3 |a Purpose: The purpose of the study was to evaluate the feasibility and protocol optimization of whole-body hybrid MR-PET system performed 1-month after post-locoregional thermoablative procedures for hepatocellular carcinomas (HCCs). Materials and methods: Eight patients (6 men and 2 women; mean age, 56.6±5.5years) with 9 ablated HCCs constituted our study population. Three readers interpreted the studies to determine the presence or absence of residual malignancy. Two readers independently assessed the fused MR-PET images to compare registration accuracy of two types of T2-weighted (triggered T2 half-Fourier acquisition single-shot turbo spin-echo and turbo spin-echo) and T1-weighted [Cartesian and radial 3D gradient echo (GRE)]. Image quality evaluation of both 3D-GRE T1-weighted sequences was evaluated. Kappa statistics were used to measure inter-observer agreement. Non-parametric Kruskal-Wallis and Wilcoxon signed-rank tests were used for qualitative data analysis. Results: Definite residual tumor was observed in 3/9 ablations; two were PET positive. All residual tumors were isovascular on MRI. Radial 3D-GRE demonstrated significantly superior MR-PET subjective co-registration in comparison with the remaining sequences and showed a non-significant trend toward higher image quality scores than Cartesian GRE. Conclusion: Whole-body hybrid MR-PET is feasible as a part of 1-month follow-up post-locoregional thermoablative treatment for HCC. Radial 3D-GRE offers improved co-registration with PET data, with overall good image quality. 
540 |a Springer Science+Business Media New York, 2015 
690 7 |a Hepatocellular carcinoma  |2 nationallicence 
690 7 |a Whole-body hybrid MR-PET  |2 nationallicence 
690 7 |a Thermoablation  |2 nationallicence 
690 7 |a Residual disease  |2 nationallicence 
690 7 |a FDG  |2 nationallicence 
700 1 |a Ramalho  |D Miguel  |u Department of Radiology, University Of North Carolina at Chapel Hill, 2001 Old Clinic Bldg., CB 7510, 7599-7510, Chapel Hill, NC, USA  |4 aut 
700 1 |a AlObaidy  |D Mamdoh  |u Department of Radiology, University Of North Carolina at Chapel Hill, 2001 Old Clinic Bldg., CB 7510, 7599-7510, Chapel Hill, NC, USA  |4 aut 
700 1 |a Burke  |D Lauren  |u Department of Radiology, University Of North Carolina at Chapel Hill, 2001 Old Clinic Bldg., CB 7510, 7599-7510, Chapel Hill, NC, USA  |4 aut 
700 1 |a Dale  |D Brian  |u Siemens Medical Solution, 27599-7510, Cary, NC, USA  |4 aut 
700 1 |a Gerber  |D David  |u Department of Surgery, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA  |4 aut 
700 1 |a Wong  |D Terence  |u Department of Radiology, University Of North Carolina at Chapel Hill, 2001 Old Clinic Bldg., CB 7510, 7599-7510, Chapel Hill, NC, USA  |4 aut 
700 1 |a Semelka  |D Richard  |u Department of Radiology, University Of North Carolina at Chapel Hill, 2001 Old Clinic Bldg., CB 7510, 7599-7510, Chapel Hill, NC, USA  |4 aut 
773 0 |t Abdominal Imaging  |d Springer US; http://www.springer-ny.com  |g 40/6(2015-08-01), 1405-1414  |x 0942-8925  |q 40:6<1405  |1 2015  |2 40  |o 261 
856 4 0 |u https://doi.org/10.1007/s00261-015-0436-6  |q text/html  |z Onlinezugriff via DOI 
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900 7 |a Metadata rights reserved  |b Springer special CC-BY-NC licence  |2 nationallicence 
908 |D 1  |a research-article  |2 jats 
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950 |B NATIONALLICENCE  |P 700  |E 1-  |a Ramalho  |D Miguel  |u Department of Radiology, University Of North Carolina at Chapel Hill, 2001 Old Clinic Bldg., CB 7510, 7599-7510, Chapel Hill, NC, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a AlObaidy  |D Mamdoh  |u Department of Radiology, University Of North Carolina at Chapel Hill, 2001 Old Clinic Bldg., CB 7510, 7599-7510, Chapel Hill, NC, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Burke  |D Lauren  |u Department of Radiology, University Of North Carolina at Chapel Hill, 2001 Old Clinic Bldg., CB 7510, 7599-7510, Chapel Hill, NC, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Dale  |D Brian  |u Siemens Medical Solution, 27599-7510, Cary, NC, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Gerber  |D David  |u Department of Surgery, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Wong  |D Terence  |u Department of Radiology, University Of North Carolina at Chapel Hill, 2001 Old Clinic Bldg., CB 7510, 7599-7510, Chapel Hill, NC, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Semelka  |D Richard  |u Department of Radiology, University Of North Carolina at Chapel Hill, 2001 Old Clinic Bldg., CB 7510, 7599-7510, Chapel Hill, NC, USA  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Abdominal Imaging  |d Springer US; http://www.springer-ny.com  |g 40/6(2015-08-01), 1405-1414  |x 0942-8925  |q 40:6<1405  |1 2015  |2 40  |o 261