Journal article

CT perfusion imaging in response assessment of pulmonary metastases undergoing stereotactic ablative radiotherapy

B Sawyer, E Pun, M Samuel, H Tay, T Kron, M Bressel, D Ball, S Siva

Journal of Medical Imaging and Radiation Oncology | Published : 2015

Abstract

Introduction Stereotactic ablative body radiotherapy (SABR) is an emerging treatment technique for pulmonary metastases in which conventional Response Evaluation Criteria in Solid Tumours (RECIST) may be inadequate. This study aims to assess the utility of CT perfusion imaging in response assessment of pulmonary metastases after SABR. Methods In this ethics board-approved prospective study, 11 patients underwent a 26-Gy single fraction of SABR to pulmonary metastases. CT perfusion imaging occurred prior to and at 14 and 70 days post-SABR. Blood flow (mL/100 mL/min), blood volume (mL/100 mL), time to peak (seconds) and surface permeability (mL/100 mL/min), perfusion parameters of pulmonary me..

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