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Background Diffusion weighted MRI (MR-DWI) is frequently used in oncologic therapy monitoring as it is known to predict therapy response much earlier, than measurements of tumour size alone. In several studies the outcome of chemotherapeutic treatment of brain, soft tissue, bone, breast and prostate tumours was predicted by changes in MR-DWI. Usually, follow-up studies 2 to 4 weeks after induction of chemotherapy show an increase in the apparent diffusion coefficient (ADC), predicting size changes at the end the treatment cycle. DWI measurements in patients with NSCLC ultra early after starting chemotherapy are missing.

Alteration of MR-DWI/ADC before and 24h after induction of chemotherapy in patients with lung cancer