Dynamic contrast-enhanced MRI as a predictor of tumour response to radiotherapy

Summary A predictive technique in the management of patients with cancer could improve the therapeutic index by allowing better individualisation of treatment. The standard risk factors that are currently used do not adequately account for the unpredictable and substantial variation seen in the trea...

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Veröffentlicht in:The lancet oncology 2007, Vol.8 (1), p.63-74
Hauptverfasser: Zahra, Mark A, Dr, Hollingsworth, Kieren G, PhD, Sala, Evis, FRCR, Lomas, David J, FRCR, Tan, Li T, FRCR
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container_issue 1
container_start_page 63
container_title The lancet oncology
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creator Zahra, Mark A, Dr
Hollingsworth, Kieren G, PhD
Sala, Evis, FRCR
Lomas, David J, FRCR
Tan, Li T, FRCR
description Summary A predictive technique in the management of patients with cancer could improve the therapeutic index by allowing better individualisation of treatment. The standard risk factors that are currently used do not adequately account for the unpredictable and substantial variation seen in the treatment response of patients with a similar risk profile. Dynamic contrast-enhanced (DCE) MRI is a non-invasive technique that can provide anatomical and physiological information on the tumour. The DCE-MRI data reflects the tumour microenvironment variables that are known to influence radiation response. The aim of this review is to describe the potential clinical application of DCE-MRI as a predictor of radiation response. We have reviewed the literature and identified 29 studies (total of 1194 patients) that correlate DCE-MRI with histopathological or clinical outcome data relevant to radiotherapy.
doi_str_mv 10.1016/S1470-2045(06)71012-9
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subjects Cancer
Cell death
Chemotherapy
Contrast Media
Data processing
Hematology, Oncology and Palliative Medicine
Humans
Hypoxia
Magnetic Resonance Imaging
Medical prognosis
Microenvironments
Neoplasms - diagnostic imaging
Neoplasms - pathology
Neoplasms - radiotherapy
Patients
Permeability
Radiation
Radiation therapy
Radiotherapy
Reviews
Risk factors
Therapeutic applications
Tumors
Ultrasonography
title Dynamic contrast-enhanced MRI as a predictor of tumour response to radiotherapy
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