Dynamic contrast-enhanced magnetic resonance imaging biomarkers in head and neck cancer: Potential to guide treatment? A systematic review

Jonathan M. Bernstein, Jarrod J. Homer, Catharine M. West

    Research output: Contribution to journalArticlepeer-review

    Abstract

    © 2014 Elsevier Ltd. All rights reserved.Dynamic contrast-enhanced magnetic resonance imaging (DCE-MRI) generates microvascular parameters from the tracer kinetic analysis of a series of MRI images obtained in under 15 min. DCE-MRI parameters are associated with tumour hypoxia, which is well-established as a cause of treatment failure in head and neck squamous cell carcinoma (HNSCC). A systematic review was conducted of prospective DCE-MRI parameter studies in HNSCC in the English language literature. Exclusion criteria were case reports and retrospective series. Six DCE-MRI marker studies in HNSCC met the inclusion criteria. Four studies contained 21-74 patients and two studies recruited 13 and 14 patients. In studies measuring the transfer coefficient (Ktrans), higher overall Ktrans or lower skewness of Ktrans were predictive of a good outcome following chemoradiation. DCE-MRI parameters have the potential to guide treatment in HNSCC. Progress in the field requires standardisation of methods, data sharing and large multi-centre collaborative validation studies.
    Original languageEnglish
    Pages (from-to)963-970
    Number of pages7
    JournalOral Oncology
    Volume50
    Issue number10
    DOIs
    Publication statusPublished - 1 Oct 2014

    Keywords

    • Biomarker
    • Dynamic contrast-enhanced magnetic
    • Head and neck cancer
    • Hypoxia
    • Perfusion imaging
    • resonance imaging (DCE-MRI)

    Fingerprint

    Dive into the research topics of 'Dynamic contrast-enhanced magnetic resonance imaging biomarkers in head and neck cancer: Potential to guide treatment? A systematic review'. Together they form a unique fingerprint.

    Cite this