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Abstract #0236

A repository-integrated framework for rapid clinical analysis of MR-derived hypoxia maps.

Penny L Hubbard Cristinacce1, Andrew B Gill2, Jonathan R Birchall2, Sam Keaveney3,4, Michael Berks1, Mina Kim5, Edith Gallagher6, James T Grist7,8, Julia Markus9, Simon J Doran4, Ross A Little1, Daniel R McGowan6,10, Geoff S Higgins6,11, James PB O'Connor1,4, Geoff JM Parker5,12, and Joy R Roach6,13
1Division of Cancer Sciences, The University of Manchester, Manchester, United Kingdom, 2Department of Radiology, University of Cambridge, Cambridge, United Kingdom, 3MRI Unit, The Royal Marsden NHS Foundation Trust, London, United Kingdom, 4Division of Radiotherapy and Imaging, The Institute of Cancer Research, London, United Kingdom, 5Centre for Medical Image Computing, Dept of Medical Physics and Biomedical Engineering, University College London, London, United Kingdom, 6Department of Oncology, University of Oxford, Oxford, United Kingdom, 7Oxford Centre for Clinical Magnetic Resonance Research, University of Oxford, Oxford, United Kingdom, 8Department of Radiology, Oxford University Hospital NHS Foundation Trust, Oxford, United Kingdom, 9Centre for Medical Imaging, Division of Medicine, University College London, London, United Kingdom, 10Department of Medical Physics and Clinical Engineering, Oxford University Hospital NHS Foundation Trust, Oxford, United Kingdom, 11Department of Oncology, Oxford University Hospital NHS Foundation Trust, Oxford, United Kingdom, 12Bioxydyn Ltd, Manchester, United Kingdom, 13Division of Neurosurgery, Oxford University Hospital NHS Foundation Trust, Oxford, United Kingdom

Synopsis

Keywords: Data Processing, Cancer, Clinical Translation

Motivation: Translation of quantitative biomarkers requires a reproducible and efficient analysis environment to underpin assessments of clinical utility.

Goal(s): This study aimed to provide a 24-hour turnaround of clinically relevant MR-derived hypoxia maps for use in biopsy planning.

Approach: The analysis framework was integrated into an XNAT imaging repository and applied to oxygen-enhanced and dynamic-contrast-enhanced images to quantify and map the extent of hypoxia within low-grade glioma.

Results: A group of geo-dispersed researchers consistently delivered MR-derived hypoxia maps to the clinical study team for use alongside 18F-FDOPA PET in biopsy site definition prior to surgery.

Impact: A framework of repository-integrated analysis enabled rapid turnaround of quantitative MR imaging biomarkers for clinical decision-making. Specifically, biopsy-planning using MR-derived hypoxia mapping of low-grade glioma was delivered with standardised, reproducible, auditable results in under 24 hours.

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