Quantifying Liver Heterogeneity via R2*-MRI with Super-Paramagnetic Iron Oxide Nanoparticles (SPION) to Characterize Liver Function and Tumor
The use of super-paramagnetic iron oxide nanoparticles (SPIONs) as an MRI contrast agent (SPION-CA) can safely label hepatic macrophages and be localized within hepatic parenchyma for T2*- and R2*-MRI of the liver. To date, no study has utilized the R2*-MRI with SPIONs for quantifying liver heteroge...
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Format: | Article |
Language: | English |
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MDPI AG
2022-10-01
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Series: | Cancers |
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Online Access: | https://www.mdpi.com/2072-6694/14/21/5269 |
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author | Danny Lee Jason Sohn Alexander Kirichenko |
author_facet | Danny Lee Jason Sohn Alexander Kirichenko |
author_sort | Danny Lee |
collection | DOAJ |
description | The use of super-paramagnetic iron oxide nanoparticles (SPIONs) as an MRI contrast agent (SPION-CA) can safely label hepatic macrophages and be localized within hepatic parenchyma for T2*- and R2*-MRI of the liver. To date, no study has utilized the R2*-MRI with SPIONs for quantifying liver heterogeneity to characterize functional liver parenchyma (FLP) and hepatic tumors. This study investigates whether SPIONs enhance liver heterogeneity for an auto-contouring tool to identify the voxel-wise functional liver parenchyma volume (FLPV). This was the first study to directly evaluate the impact of SPIONs on the FLPV in R2*-MRI for 12 liver cancer patients. By using SPIONs, liver heterogeneity was improved across pre- and post-SPION MRI sessions. On average, 60% of the liver [range 40–78%] was identified as the FLPV in our auto-contouring tool with a pre-determined threshold of the mean R2* of the tumor and liver. This method performed well in 10 out of 12 liver cancer patients; the remaining 2 needed a longer echo time. These results demonstrate that our contouring tool with SPIONs can facilitate the heterogeneous R2* of the liver to automatically characterize FLP. This is a desirable technique for achieving more accurate FLPV contouring during liver radiation treatment planning. |
first_indexed | 2024-03-09T19:13:42Z |
format | Article |
id | doaj.art-e02cf8ba0f1b4cfc8d8a3f434d3d3a9a |
institution | Directory Open Access Journal |
issn | 2072-6694 |
language | English |
last_indexed | 2024-03-09T19:13:42Z |
publishDate | 2022-10-01 |
publisher | MDPI AG |
record_format | Article |
series | Cancers |
spelling | doaj.art-e02cf8ba0f1b4cfc8d8a3f434d3d3a9a2023-11-24T04:01:45ZengMDPI AGCancers2072-66942022-10-011421526910.3390/cancers14215269Quantifying Liver Heterogeneity via R2*-MRI with Super-Paramagnetic Iron Oxide Nanoparticles (SPION) to Characterize Liver Function and TumorDanny Lee0Jason Sohn1Alexander Kirichenko2Radiation Oncology, Allegheny Health Network, Pittsburgh, PA 15012, USARadiation Oncology, Allegheny Health Network, Pittsburgh, PA 15012, USARadiation Oncology, Allegheny Health Network, Pittsburgh, PA 15012, USAThe use of super-paramagnetic iron oxide nanoparticles (SPIONs) as an MRI contrast agent (SPION-CA) can safely label hepatic macrophages and be localized within hepatic parenchyma for T2*- and R2*-MRI of the liver. To date, no study has utilized the R2*-MRI with SPIONs for quantifying liver heterogeneity to characterize functional liver parenchyma (FLP) and hepatic tumors. This study investigates whether SPIONs enhance liver heterogeneity for an auto-contouring tool to identify the voxel-wise functional liver parenchyma volume (FLPV). This was the first study to directly evaluate the impact of SPIONs on the FLPV in R2*-MRI for 12 liver cancer patients. By using SPIONs, liver heterogeneity was improved across pre- and post-SPION MRI sessions. On average, 60% of the liver [range 40–78%] was identified as the FLPV in our auto-contouring tool with a pre-determined threshold of the mean R2* of the tumor and liver. This method performed well in 10 out of 12 liver cancer patients; the remaining 2 needed a longer echo time. These results demonstrate that our contouring tool with SPIONs can facilitate the heterogeneous R2* of the liver to automatically characterize FLP. This is a desirable technique for achieving more accurate FLPV contouring during liver radiation treatment planning.https://www.mdpi.com/2072-6694/14/21/5269super-paramagnetic iron oxide nanoparticleSPIONliver parenchymaT2*-MRIR2*-MRIquantifying liver heterogeneity |
spellingShingle | Danny Lee Jason Sohn Alexander Kirichenko Quantifying Liver Heterogeneity via R2*-MRI with Super-Paramagnetic Iron Oxide Nanoparticles (SPION) to Characterize Liver Function and Tumor Cancers super-paramagnetic iron oxide nanoparticle SPION liver parenchyma T2*-MRI R2*-MRI quantifying liver heterogeneity |
title | Quantifying Liver Heterogeneity via R2*-MRI with Super-Paramagnetic Iron Oxide Nanoparticles (SPION) to Characterize Liver Function and Tumor |
title_full | Quantifying Liver Heterogeneity via R2*-MRI with Super-Paramagnetic Iron Oxide Nanoparticles (SPION) to Characterize Liver Function and Tumor |
title_fullStr | Quantifying Liver Heterogeneity via R2*-MRI with Super-Paramagnetic Iron Oxide Nanoparticles (SPION) to Characterize Liver Function and Tumor |
title_full_unstemmed | Quantifying Liver Heterogeneity via R2*-MRI with Super-Paramagnetic Iron Oxide Nanoparticles (SPION) to Characterize Liver Function and Tumor |
title_short | Quantifying Liver Heterogeneity via R2*-MRI with Super-Paramagnetic Iron Oxide Nanoparticles (SPION) to Characterize Liver Function and Tumor |
title_sort | quantifying liver heterogeneity via r2 mri with super paramagnetic iron oxide nanoparticles spion to characterize liver function and tumor |
topic | super-paramagnetic iron oxide nanoparticle SPION liver parenchyma T2*-MRI R2*-MRI quantifying liver heterogeneity |
url | https://www.mdpi.com/2072-6694/14/21/5269 |
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