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Abstract #4900

Optimisation of T1 measurement sensitivity for Oxygen-Enhanced MRI assessment of hypoxia in patients with head and neck cancers

Maira Tariq1,2, Alison Macdonald2, Mathew R Orton1,2, Michael J Dubec3, David J Collins1,2, Jessica M Winfield1,2, and James P B O’Connor1,3,4
1Division of Radiotherapy and Imaging, The Institute of Cancer Research, London, United Kingdom, 2MRI Unit, The Royal Marsden NHS Foundation Trust, London, United Kingdom, 3Division of Cancer Sciences, University of Manchester, Manchester, United Kingdom, 4Radiology, The Christie NHS Foundation Trust, Manchester, United Kingdom

Synopsis

Keywords: Relaxometry, Quantitative Imaging, Oxygen-Enhanced MRI

Hypoxia is an important prognostic factor for head and neck cancers (HNC). Oxygen-Enhanced MRI (OE-MRI) can map hypoxia, by quantifying change in longitudinal relaxation time, T1, but the technique suffers from low signal-to-noise ratio (SNR), which reduces the sensitivity of hypoxia detection. We optimised standard T1 mapping methods on a 1.5T scanner, to select an accurate, precise, and high SNR sequence, derived in a phantom and in healthy volunteers. 3D Variable Flip Angle spoiled gradient-echo acquisition with view-sharing, flip angles 2o and 8-10o and with B1 correction applied provided suitable protocol for clinical application.

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