Characterizing geometrical accuracy in clinically optimised 7T and 3T magnetic resonance images for high-precision radiation treatment of brain tumours

Abstract

Background and purpose In neuro-oncology, high spatial accuracy is needed for clinically acceptable high-precision radiation treatment planning (RTP). In this study, the clinical applicability of anatomically optimised 7-Tesla (7T) MR images for reliable RTP is assessed with respect to standard clinical imaging modalities. Materials and methods System- and phantom-related geometrical distortion (GD) were quantified on clinically-relevant MR sequences at 7T and 3T, and on CT images using a dedicated anthropomorphic head phantom incorporating a 3D grid-structure, creating 436 points-of-interest. Global GD was assessed by mean absolute deviation (MADGlobal). Local GD relative to the magnetic isocentre was assessed by MADLocal. Using 3D displacement vectors of individual points-of-interest, GD maps were created. For clinically acceptable radiotherapy, 7T images need to meet the criteria for accurate dose delivery (GD\u202f<\u202f1\u202fmm) and present comparable GD as tolerated in clinically standard 3T MR/CT-based RTP. Results MADGlobal in 7T and 3T images ranged from 0.3 to 2.2\u202fmm and 0.2–0.8\u202fmm, respectively. MADLocal increased with increasing distance from the isocentre, showed an anisotropic distribution, and was significantly larger in 7T MR sequences (MADLocal\u202f=\u202f0.2–1.2\u202fmm) than in 3T (MADLocal\u202f=\u202f0.1–0.7\u202fmm) (p\u202f<\u202f0.05). Significant differences in GD were detected between 7T images (p\u202f<\u202f0.001). However, maximum MADLocal remained ≤1\u202fmm within 68.7\u202fmm diameter spherical volume. No significant differences in GD were found between 7T and 3T protocols near the isocentre. Conclusions System- and phantom-related GD remained ≤1\u202fmm in central brain regions, suggesting that 7T MR images could be implemented in radiotherapy with clinically acceptable spatial accuracy and equally tolerated GD as in 3T MR/CT-based RTP. For peripheral regions, GD should be incorporated in safety margins for treatment uncertainties. Moreover, the effects of sequence-related factors on GD needs further investigation to obtain RTP-specific MR protocols.