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Reference tissue quantification of DCE-MRI data without a contrast agent calibration

Simon Walker-Samuel, Martin O Leach and David J Collins

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The quantification of dynamic contrast-enhanced (DCE) MRI data conventionally requires a conversion from signal intensity to contrast agent concentration by measuring a change in the tissue longitudinal relaxation rate, R1. In this paper, it is shown that the use of a spoiled gradient-echo acquisition sequence (optimized so that signal intensity scales linearly with contrast agent concentration) in conjunction with a reference tissue-derived vascular input function (VIF), avoids the need for the conversion to Gd-DTPA concentration. This study evaluates how to optimize such sequences and which dynamic time-series parameters are most suitable for this type of analysis. It is shown that signal difference and relative enhancement provide useful alternatives when full contrast agent quantification cannot be achieved, but that pharmacokinetic parameters derived from both contain sources of error (such as those caused by differences between reference tissue and region of interest proton density and native T1 values). It is shown in a rectal cancer study that these sources of uncertainty are smaller when using signal difference, compared with relative enhancement (15 ± 4% compared with 33 ± 4%). Both of these uncertainties are of the order of those associated with the conversion to Gd-DTPA concentration, according to literature estimates.


PACS

87.61.Tg Clinical applications

87.57.C- Image quality

87.61.Hk Pulse sequences

87.19.X- Diseases

Subjects

Biological physics

Medical physics

Dates

Issue 3 (7 February 2007)

Received 1 June 2006, in final form 23 November 2006

Published 10 January 2007



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