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 language | English |
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Pages (from-to) | 963-970 |
Number of pages | 7 |
Journal | Oral Oncology |
Volume | 50 |
Issue number | 10 |
DOIs | |
Publication status | Published - 1 Oct 2014 |
Keywords
- Biomarker
- Dynamic contrast-enhanced magnetic
- Head and neck cancer
- Hypoxia
- Perfusion imaging
- resonance imaging (DCE-MRI)