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Evaluation of the reproducibility of lung motion probability distribution function (PDF) using dynamic MRI

Jing Cai et al 2007 Phys. Med. Biol. 52 365-373   doi: 10.1088/0031-9155/52/2/004  Help

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Jing Cai1, Paul W Read1, Talissa A Altes2,3, Janelle A Molloy1,4, James R Brookeman2 and Ke Sheng1
1 Department of Radiation Oncology, The University of Virginia, Charlottesville, VA, USA
2 Department of Radiology, The University of Virginia, Charlottesville, VA, USA
3 Department of Radiology, Children's Hospital of Philadelphia, Philadelphia, PA, USA
4 Department of Radiation Oncology, Mayo Clinic, Rochester, MN, USA
E-mail: ks2mc@virginia.edu (Ke Sheng)

Abstract. Treatment planning based on probability distribution function (PDF) of patient geometries has been shown a potential off-line strategy to incorporate organ motion, but the application of such approach highly depends upon the reproducibility of the PDF. In this paper, we investigated the dependences of the PDF reproducibility on the imaging acquisition parameters, specifically the scan time and the frame rate. Three healthy subjects underwent a continuous 5 min magnetic resonance (MR) scan in the sagittal plane with a frame rate of approximately 10 f s−1, and the experiments were repeated with an interval of 2 to 3 weeks. A total of nine pulmonary vessels from different lung regions (upper, middle and lower) were tracked and the dependences of their displacement PDF reproducibility were evaluated as a function of scan time and frame rate. As results, the PDF reproducibility error decreased with prolonged scans and appeared to approach equilibrium state in subjects 2 and 3 within the 5 min scan. The PDF accuracy increased in the power function with the increase of frame rate; however, the PDF reproducibility showed less sensitivity to frame rate presumably due to the randomness of breathing which dominates the effects. As the key component of the PDF-based treatment planning, the reproducibility of the PDF affects the dosimetric accuracy substantially. This study provides a reference for acquiring MR-based PDF of structures in the lung.

Print publication: Issue 2 (21 January 2007)
Received 17 August 2006, in final form 23 October 2006
Published 21 December 2006

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