Diffusion kurtosis imaging study on temporal lobe after nasopharyngeal carcinoma radiotherapy.

Abstract:

PURPOSE:Diffusion kurtosis imaging (DKI) is a MRI technique which can measure alterations in the diffusion of water molecules to reflect tissue changes in both white and grey matter. This study evaluated the potential of DKI for the early diagnosis of radiation-induced temporal lobe changes in the grey and white matter of the temporal lobe in patients with nasopharyngeal carcinoma (NPC). MATERIALS AND METHODS:Sixty patients with NPC who had normal MRI brain scans were enrolled and underwent DKI at 1 week (n=20), 6 months (n=20) or 1 year (n=20) after radiotherapy; 20 normal control individuals were also evaluated. Nonlinear fitting routines and equations were used to calculate mean diffusion (MD) and mean kurtosis (MK) and fractional anisotropy (FA). Analysis of variance was used to compare the MK/MD/FA values of white and grey matter between groups. RESULTS:Compared to the normal control group, grey and white matter MK values were significantly higher at 1 week after radiotherapy and significantly lower at 6 months and 1 year after radiotherapy in patients with NPC, whereas the grey and white matter MD values were significantly lower at 1 week after radiotherapy and returned to normal by 6 months and 1 year after radiotherapy. CONCLUSION:DKI can be used to detect radiotherapy-induced changes in both the white and grey matter of temporal lobe in patients with NPC. MK and MD values may represent reliable indicators for the early diagnosis of radiation-induced temporal lobe changes in NPC.

journal_name

Brain Res

journal_title

Brain research

authors

Wang D,Li YH,Fu J,Wang H

doi

10.1016/j.brainres.2016.07.041

subject

Has Abstract

pub_date

2016-10-01 00:00:00

pages

387-393

issue

Pt A

eissn

0006-8993

issn

1872-6240

pii

S0006-8993(16)30532-7

journal_volume

1648

pub_type

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