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Validation of CT-based ventilation and perfusion biomarkers with histopathology confirms radiation-induced pulmonary changes in a porcine model
Journal article   Open access   Peer reviewed

Validation of CT-based ventilation and perfusion biomarkers with histopathology confirms radiation-induced pulmonary changes in a porcine model

Mattison J. Flakus, Antonia E. Wuschner, Eric M. Wallat, Melissa Graham, Wei Shao, Dhanansayan Shanmuganayagam, Gary E. Christensen, Joseph M. Reinhardt and John E. Bayouth
Scientific reports, Vol.13(1), 9377
06/09/2023
DOI: 10.1038/s41598-023-36292-0
PMCID: PMC10256800
PMID: 37296169
url
https://doi.org/10.1038/s41598-023-36292-0View
Published (Version of record) Open Access

Abstract

Imaging biomarkers can assess disease progression or prognoses and are valuable tools to help guide interventions. Particularly in lung imaging, biomarkers present an opportunity to extract regional information that is more robust to the patient’s condition prior to intervention than current gold standard pulmonary function tests (PFTs). This regional aspect has particular use in functional avoidance radiation therapy (RT) in which treatment planning is optimized to avoid regions of high function with the goal of sparing functional lung and improving patient quality of life post-RT. To execute functional avoidance, detailed dose–response models need to be developed to identify regions which should be protected. Previous studies have begun to do this, but for these models to be clinically translated, they need to be validated. This work validates two metrics that encompass the main components of lung function (ventilation and perfusion) through post-mortem histopathology performed in a novel porcine model. With these methods validated, we can use them to study the nuanced radiation-induced changes in lung function and develop more advanced models.
Biomarkers Pathogenesis

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