UK quantitative WB-DWI technical workgroup: consensus meeting recommendations on optimisation, quality control, processing and analysis of quantitative whole-body diffusion-weighted imaging for cancer

被引：68

作者：

Barnes, Anna ^{[1
,2
]}

Alonzi, Roberto ^{[3
]}

Blackledge, Matthew ^{[4
]}

Charles-Edwards, Geoff ^{[5
,6
]}

Collins, David J. ^{[4
,7
]}

Cook, Gary ^{[6
,8
]}

Coutts, Glynn ^{[9
]}

Goh, Vicky ^{[6
,8
]}

Graves, Martin ^{[10
]}

Kelly, Charles ^{[11
]}

Koh, Dow-Mu ^{[4
,12
]}

McCallum, Hazel ^{[11
]}

Miquel, Marc E. ^{[13
]}

O'Connor, James ^{[14
,15
]}

Padhani, Anwar ^{[16
]}

Pearson, Rachel ^{[11
,17
]}

Priest, Andrew ^{[10
]}

Rockall, Andrea ^{[12
]}

Stirling, James ^{[18
]}

Taylor, Stuart ^{[19
]}

Tunariu, Nina ^{[4
,12
]}

van der Meulen, Jan ^{[20
]}

Walls, Darren ^{[4
,21
]}

Winfield, Jessica ^{[1
,7
]}

Punwani, Shonit ^{[19
]}

机构：

[1] UCL, Ctr Med Imaging, London, England

[2] Univ Coll London Hosp NHS Fdn Trust, Inst Nucl Med, London, England

[3] Mt Vernon Canc Ctr, Clin Oncol, Northwood, Middx, England

[4] Inst Canc Res, Div Radiotherapy & Imaging, Canc Res UK Canc Imaging Ctr, Sutton, Surrey, England

[5] Kings Coll London, Div Imaging Sci & Biomed Engn, Guys & St Thomas NHS Fdn Trust, Med Phys, London, England

[6] Kings Coll London, Sch Imaging Sci & Biomed Engn, London, England

[7] Royal Marsden Hosp Fdn Trust, MRI Unit, Surrey, England

[8] Guys & St Thomas NHS Fdn Trust, Dept Radiol, London, England

[9] Christie NHS Fdn Trust, MR Phys, Manchester, Lancs, England

[10] Cambridge Univ Hosp NHS Fdn Trust, Dept Radiol, Cambridge, England

[11] NHS Fdn Trust, Newcastle Upon Tyne Hosp, Northern Ctr CancerCare, Dept Radiol, Newcastle Upon Tyne, Tyne & Wear, England

[12] Royal Marsden Hosp Fdn Trust, Dept Radiol, Surrey, England

[13] Barts Hlth NHS Trust, Med Phys, London, England

[14] Univ Manchester, Div Canc Sci, Manchester, Lancs, England

[15] Christie NHS Fdn Trust, Dept Radiol, Manchester, Lancs, England

[16] Mt Vernon Canc Ctr, Paul Strickland Canc Ctr, Northwood, Middx, England

[17] Newcastle Univ, Northern Inst Canc Res, Newcastle Upon Tyne, Tyne & Wear, England

[18] Kings Coll London, PET Ctr, London, England

[19] Univ Coll London Hosp NHS Fdn Trust, Dept Radiol, London, England

[20] London Sch Hyg & Trop Med, Dept Hlth Serv Res & Policy, London, England

[21] UCL, Inst Nucl Med, London, England

来源：

BRITISH JOURNAL OF RADIOLOGY | 2018年 / 91卷 / 1081期

基金：

英国工程与自然科学研究理事会; 美国国家卫生研究院;

关键词：

PROSTATE-CANCER; TREATMENT RESPONSE; EUROPEAN ORGANIZATION; BONE METASTASES; RESONANCE; BIOMARKER; MRI; ONCOLOGY; RADIOTHERAPY; COEFFICIENT;

D O I：

10.1259/bjr.20170577

中图分类号：

R8 [特种医学]; R445 [影像诊断学];

学科分类号：

1002 ; 100207 ; 1009 ;

摘要：

Objective: Application of whole body diffusion-weighted MRI (WB-DWI) for oncology are rapidly increasing within both research and routine clinical domains. However, WB-DWI as a quantitative imaging biomarker (QIB) has significantly slower adoption. To date, challenges relating to accuracy and reproducibility, essential criteria for a good QIB, have limited widespread clinical translation. In recognition, a UK workgroup was established in 2016 to provide technical consensus guidelines (to maximise accuracy and reproducibility of WB-MRI QIBs) and accelerate the clinical translation of quantitative WB-DWI applications for oncology. Methods: A panel of experts convened from cancer centres around the UK with subspecialty expertise in quantitative imaging and/or the use of WB-MRI with DWI. A formal consensus method was used to obtain consensus agreement regarding best practice. Questions were asked about the appropriateness or otherwise on scanner hardware and software, sequence optimisation, acquisition protocols, reporting, and ongoing quality control programs to monitor precision and accuracy and agreement on quality control. Results: The consensus panel was able to reach consensus on 73% (255/351) items and based on consensus areas made recommendations to maximise accuracy and reproducibly of quantitative WB-DWI studies performed at 1.5T. The panel were unable to reach consensus on the majority of items related to quantitative WB-DWI performed at 3T. Conclusion: This UK Quantitative WB-DWI Technical Workgroup consensus provides guidance on maximising accuracy and reproducibly of quantitative WB-DWI for oncology. The consensus guidance can be used by researchers and clinicians to harmonise WB-DWI protocols which will accelerate clinical translation of WB-DWI-derived QIBs.

引用

页数：12

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