Short-interval scanning of patients offers a detailed understanding of the natural progression of tumor tissue, as revealed through imaging markers such as contrast enhancement and edema, prior to therapy. Following treatment, short-interval scanning can also provide evidence of attenuation of growth rates. We present a longitudinal imaging study of a patient with glioblastoma multiforme (GBM) scanned 15 times in 104 days on a 3 T MR scanner. Images were analyzed independently by two automated algorithms capable of creating detailed maps of tumor changes as well as volumetric analysis. The algorithms, a nearest-neighbor-based tissue segmentation and a surface-modeling algorithm, tracked the patient's response to temozolomide, showing an attenuation of growth. The need for surrogate imaging end-points, of which growth rates are an example, is discussed. Further, the strengths of these algorithms, the insight gained by short-interval scanning, and the need for a better understanding of imaging markers are also described.

译文

:对患者的短间隔扫描可提供对肿瘤组织自然进展的详细了解,如在治疗前通过影像学标记(如造影剂增强和水肿)所揭示的。治疗后,短间隔扫描还可提供生长速率减弱的证据。我们目前在3 T MR扫描仪上对104天内扫描了15次的多形性胶质母细胞瘤(GBM)患者进行了纵向成像研究。通过两种能够创建详细的肿瘤变化图以及体积分析的自动化算法对图像进行独立分析。该算法,基于最近邻居的组织分割和表面建模算法跟踪了患者对替莫唑胺的反应,显示出生长的减弱。讨论了对替代成像端点的需求,其中以增长率为例。此外,还描述了这些算法的优势,通过短间隔扫描获得的见识以及对成像标记更好理解的需求。

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