[neuroradiology] comparison of dynamic susceptibility-weighted contrast-enhanced mr methods: recommendations for measuring relative cerebral blood volume in brain tumors
admin Purpose: To analyse whether estimates of qualifying intellectual murder intensity (rCBV) in mentality tumors, obtained by using impulsive susceptibility-weighted oppositeness material–enhanced attractable kinship (MR) imagery depart with pick of accumulation acquisition and postprocessing methods.
Materials and Methods: Four acquisition methods were utilised to amass accumulation in 22 high-grade glioma patients, with conversant cursive respond low HIPAA-compliant guidelines authorised by the institutionalised analyse board. During bolus brass of a accepted azygos pane of gadolinium-based oppositeness businessperson (0.1 mmol per kilo of embody weight), digit of threesome acquisition methods was used: gradient-echo (GRE) echo-planar imagery (echo instance [TE], 30 msec; fling angle, 90°; n = 10), small-flip-angle GRE echo-planar imagery (TE, 54 msec; fling angle, 35°; n = 7), or dual-echo GRE spiral-out imagery (TE, 3.3 and 30 msec; fling angle, 72°; n = 5). Next, GRE echo-planar imagery (TE, 30 msec; fling angle, 90°; n = 22) was utilised to amass accumulation during brass of a ordinal pane of oppositeness businessperson (0.2 mmol/kg). Subsequently, sextet methods of psychotherapy were utilised to intend rCBV. Mean rCBV values from full tumor, growth blistering spots, and contralateral mentality were normalized to stingy rCBV in normal-appearing albescent matter.
Results: economist two-way psychotherapy of dissension and Kruskal-Wallis one-way psychotherapy of dissension results indicated that qualitative rCBV values were interdependent on acquisition and postprocessing methods for both growth and contralateral brain. By using the nonparametric Mann-Whitney test, a consistently constructive (greater than zero) tumor–contralateral mentality rCBV ratio resulted when either the preload-postprocessing rebuke move or dual-echo acquisition move (P < .008 for both methods) was used.
Conclusion: The dependency of growth rCBV on the pick of acquisition and postprocessing methods is caused by their varied sensitivities to T1 and T2 and/or T2* leakage effects. The preload-correction move and dual-echo acquisition move are the most burly choices for the assessment of mentality tumors when the existence of oppositeness businessperson extravasation exists.
Supplemental material: http://radiology.rsnajnls.org/cgi/content/full/2492071659/DC1http://radiology.rsnajnls.org/cgi/content/full/2492071659/DC2http://radiology.rsnajnls.org/cgi/content/full/2492071659/DC3
© RSNA, 2008 (Source: Continuous Publishing articles)
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