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Abstract #0869

VERDICT MRI for tumor tissue characterization – separating viable tumor from necrosis

Mikael Montelius1, Lukas Lundholm1, Oscar Jalnefjord1,2, Eva Forssell-Aronsson1,2, and Maria Ljungberg1,2
1Medical radiation sciences, Institute of Clinical Sciences, University of Gothenburg, Gothenburg, Sweden, 2Medical Physics and biomedical engineering, Sahlgrenska University Hospital, Gothenburg, Sweden

Synopsis

The biological meaning of MRI-based biomarkers of cancer can be studied using spatially matched histologically stained tumor sections. However, correlations are often weak or contradictory, possibly due to confounding necrosis that models fail to describe. In this work, we demonstrate the potential of using VERDICT MRI model parameters to separate necrosis from viable tumor tissue non-invasively. Radiation treated tumors demonstrating large necrotic and viable regions are imaged, excised and stained using immunohistochemical methods. Correlations between spatially matched VERDICT and immunohistochemical maps reveal that VERDICT clearly separates necrosis from viable tumor.

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