Soft tissue sarcoma stiffness and perfusion evaluation by MRE and DCE-MRI for radiation therapy response assessment: A technical feasibility study

Kay Pepin, Roger Grimm, Soudabeh Kargar, B. Matthew Howe, Karen Fritchie, Matthew Frick, Doris Wenger, Scott Okuno, Richard Ehman, Kiaran McGee, Sarah James, Nadia Laack, Michael Herman, Deanna Pafundi

Research output: Contribution to journalArticle

Abstract

Soft tissue sarcomas are a rare and heterogeneous group of malignancies that present significant diagnostic and therapeutic challenges. Patient stratification based on tumor aggressiveness and early therapeutic response based on quantitative imaging may improve prediction of treatment response and the evaluation of new treatment strategies in clinical trials. The purpose of this pilot study was to determine the technical feasibility of magnetic resonance elastography (MRE) and dynamic contrast-enhanced (DCE) MRI for the evaluation of sarcoma stiffness and perfusion in 9 patients with histologically confirmed sarcoma. Additionally, we assessed the feasibility of utilizing MRE and DCE-MRI for the early evaluation of response to radiation therapy in 4 patients to determine the utility of further evaluation in a larger cohort study. Tumor size, stiffness, and perfusion parameters all decreased from baseline at the time of the pre-surgery or follow-up MRI, and results were compared to pathology or conventional imaging. MRE and DCE-MRI may be useful for the quantitative evaluation of tumor stiffness and perfusion, and therapy response assessment in soft tissue sarcomas.

Original languageEnglish (US)
Article number047003
JournalBiomedical Physics and Engineering Express
Volume5
Issue number4
DOIs
StatePublished - May 2 2019

Keywords

  • DCE-MRI
  • magnetic resonance elastography
  • perfusion
  • radiation therapy
  • response assessment
  • sarcoma
  • stiffness

ASJC Scopus subject areas

  • Nursing(all)

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