objective: gadolinium-based contrast agent needs time to leak into the extravascular-extracellular space, leak back into the vascular space, and reach an equilibrium state. for this reason, acquisition times of <10 min may cause inaccurate estimation of pharmacokinetic parameters. since no studies have been conducted on the in-fluence of long scan times on DCE-MRI parameters in brain tumors, the aim of this study is to investigate the variation of DCE-MRI-derived kinetic parameters as a function of acquisition time, from 5 to 10 min in brain tumors. materials and methods: fifty-two patients with histologically confirmed brain tumors were enrolled in this retrospective study, and examination at 3 T, DCE-MRI, with scan duration of 10 min, was used for retrospective generation of 6 sets of quantitative DCE-MRI maps (K-trans, V-e and K-ep) from 5 to 10 min. features were extracted from the DCE-MRI maps in contrast enhancement (CE) volumes. kruskal-wallis with post-hoc correction and coefficient of variation (CoV) were used as statistical test to compare DCE-MRI maps obtained from 6 data sets. Significance: p < 0.05.Results: no differences in K-trans features in CE volumes between different scan durations. V-e , K-ep features in CE volumes were influenced by different data length. The highest number of significantly different Ve and Kep features in CE volumes were between 5 min and 10 min (p < 0.013), 5 min and 9 min (p < 0.044), 6 min and 10 min (p < 0.040). CoV of K-ep was reduced from 5 min to 10 min, going from highly variable (CoV = 0.70) to mildly variable (CoV = 0.42).Conclusion: K-ep and V-e were time-dependent in brain tumors, so a longer scan time is needed to obtain reliable parameter values. K-trans was found to be time-independent, as it remains the same in all 6 acquisition times and is the only reliable parameter with short acquisition times.

Minosse, S., Picchi, E., Ferrazzoli, V., Pucci, N., Da Ros, V., Giocondo, R., et al. (2024). Influence of scan duration on dynamic contrast -enhanced magnetic resonance imaging pharmacokinetic parameters for brain lesions. MAGNETIC RESONANCE IMAGING, 105, 46-56 [10.1016/j.mri.2023.11.002].

Influence of scan duration on dynamic contrast -enhanced magnetic resonance imaging pharmacokinetic parameters for brain lesions

Minosse S.
;
Picchi E.;Ferrazzoli V.;Pucci N.;Da Ros V.;Giocondo R.;Floris R.;Garaci F.;Di Giuliano F.
2024-01-01

Abstract

objective: gadolinium-based contrast agent needs time to leak into the extravascular-extracellular space, leak back into the vascular space, and reach an equilibrium state. for this reason, acquisition times of <10 min may cause inaccurate estimation of pharmacokinetic parameters. since no studies have been conducted on the in-fluence of long scan times on DCE-MRI parameters in brain tumors, the aim of this study is to investigate the variation of DCE-MRI-derived kinetic parameters as a function of acquisition time, from 5 to 10 min in brain tumors. materials and methods: fifty-two patients with histologically confirmed brain tumors were enrolled in this retrospective study, and examination at 3 T, DCE-MRI, with scan duration of 10 min, was used for retrospective generation of 6 sets of quantitative DCE-MRI maps (K-trans, V-e and K-ep) from 5 to 10 min. features were extracted from the DCE-MRI maps in contrast enhancement (CE) volumes. kruskal-wallis with post-hoc correction and coefficient of variation (CoV) were used as statistical test to compare DCE-MRI maps obtained from 6 data sets. Significance: p < 0.05.Results: no differences in K-trans features in CE volumes between different scan durations. V-e , K-ep features in CE volumes were influenced by different data length. The highest number of significantly different Ve and Kep features in CE volumes were between 5 min and 10 min (p < 0.013), 5 min and 9 min (p < 0.044), 6 min and 10 min (p < 0.040). CoV of K-ep was reduced from 5 min to 10 min, going from highly variable (CoV = 0.70) to mildly variable (CoV = 0.42).Conclusion: K-ep and V-e were time-dependent in brain tumors, so a longer scan time is needed to obtain reliable parameter values. K-trans was found to be time-independent, as it remains the same in all 6 acquisition times and is the only reliable parameter with short acquisition times.
2024
Pubblicato
Rilevanza internazionale
Articolo
Esperti anonimi
Settore MED/22
English
Brain tumor
Dynamic contrast enhanced
Magnetic resonance imaging
Tofts model
Minosse, S., Picchi, E., Ferrazzoli, V., Pucci, N., Da Ros, V., Giocondo, R., et al. (2024). Influence of scan duration on dynamic contrast -enhanced magnetic resonance imaging pharmacokinetic parameters for brain lesions. MAGNETIC RESONANCE IMAGING, 105, 46-56 [10.1016/j.mri.2023.11.002].
Minosse, S; Picchi, E; Ferrazzoli, V; Pucci, N; Da Ros, V; Giocondo, R; Floris, R; Garaci, F; Di Giuliano, F
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2108/377423
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