Abstract Archives of the RSNA, 2014
CHE144
Evaluating Response to New Targeted Therapies in Lung Cancer: Functional Imaging and Perfusion CT—What Should We Know?
Education Exhibits
Presented in 2014
Certificate of Merit
Marcelo Antonio Sanchez Gonzalez MD, Presenter: Nothing to Disclose
Mariana Nelida Benegas Urteaga MD, Abstract Co-Author: Nothing to Disclose
Noemi Reguart MD, Abstract Co-Author: Nothing to Disclose
Daniel Barnes MD, Abstract Co-Author: Nothing to Disclose
Josep Guitart MD, Abstract Co-Author: Nothing to Disclose
Oscar Sabino Chirife Chaparro MD, Abstract Co-Author: Nothing to Disclose
Rosario Jesus Perea MD, PhD, Abstract Co-Author: Nothing to Disclose
Teresa Maria de Caralt, Abstract Co-Author: Nothing to Disclose
1. To explain alternative methods to RECIST to evaluate the therapeutic response to new molecularly targeted therapies in lung cancer.
2. To know perfusion CT as a non invasive method to evaluate tumoral angiogenesis
3. To describe the CT technique, data processing and reporting to perform a perfusion CT of pulmonary tumors.
1. Introduction
2. Molecularly targeted therapies in lung cancer
3. Limitations of RECIST to evaluate response
4. Alternative methods
a. Cavitations: Crabb diameter
b. Necrosis: Choi criteria
5. Functional imaging
a. Ultrasound
b. PET-CT
c. MRI
d. Perfusion CT
6. Perfusion CT
a. Perfusion CT and Angiogenesis
b. Pathologic correlation
c. Technique
i. CT system requirements
ii. Contrast administration
iii. Post-processing
iv. Terminology and units
v. Reporting
d. Drawbacks/Caveats
i. Radiation exposure
ii. Reproducibility
iii. Standardization of procedures
e. Perfusion CT and antiangiogenic treatments
7. Dual-CT to assess perfusion
8. Multifunctional profiling: PET-CT combined with perfusion CT
9. Conclusions
http://abstract.rsna.org/uploads/2014/14014380/14014380_hpwl.pdf
Sanchez Gonzalez, M,
Benegas Urteaga, M,
Reguart, N,
Barnes, D,
Guitart, J,
Chirife Chaparro, O,
Perea, R,
de Caralt, T,
Evaluating Response to New Targeted Therapies in Lung Cancer: Functional Imaging and Perfusion CT—What Should We Know?. Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL.
http://archive.rsna.org/2014/14014380.html