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Evaluation of response to treatment using DCE-MRI: the relationship between initial area under the gadolinium curve (IAUGC) and quantitative pharmacokinetic analysis

S Walker-Samuel, M O Leach and D J Collins

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The initial area under the gadolinium curve (IAUGC) is often used in addition to or as an alternative to parameters derived from pharmacokinetic modelling of T1-weighted dynamic contrast-enhanced (DCE) MRI data in the assessment of response to treatment of cancer. However, the physiological meaning of the IAUGC has not been rigorously defined with respect to model-based parameters. Here, simulations of DCE-MRI data were used to investigate the relationship between IAUGC and the parameters Ktrans (transfer constant), ve (fractional extravascular extracellular volume) and vp (fractional plasma volume), using two vascular input functions. It is shown that IAUGC is a mixed parameter that can display correlation with Ktrans, ve and vp and ultimately has an intractable relationship with all three. Furthermore, it is demonstrated that the range over which IAUGC is taken and the nature of the vascular input function do not significantly affect this relationship.


PACS

87.61.Tg Clinical applications

87.57.C- Image quality

82.39.-k Chemical kinetics in biological systems

87.19.X- Diseases

Subjects

Biological physics

Medical physics

Chemical physics and physical chemistry

Dates

Issue 14 (21 July 2006)

Received 1 March 2006, in final form 25 May 2006

Published 6 July 2006



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