دورية أكاديمية
Impact of Software Modeling on the Accuracy of Perfusion MRI in Glioma
| العنوان: | Impact of Software Modeling on the Accuracy of Perfusion MRI in Glioma |
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| المؤلفون: | Hu, L. S., Kelm, Z., Korfiatis, P., Dueck, A. C., Elrod, C., Ellingson, B. M., Kaufmann, T. J., Eschbacher, J. M., Karis, J. P., Smith, Kris A., Nakaji, Peter, Brinkman, D., Pafundi, D., Baxter, L. C., Erickson, B. J. |
| المصدر: | Neurosurgery |
| بيانات النشر: | Barrow - St. Joseph's Scholarly Commons |
| سنة النشر: | 2015 |
| الوصف: | BACKGROUND AND PURPOSE: Relative cerebral blood volume, as measured by T2z.ast;-weighted dynamic susceptibility-weighted contrast-enhanced MRI, represents the most robust and widely used perfusion MR imaging metric in neuro-oncology. Our aim was to determine whether differences in modeling implementation will impact the correction of leakage effects (from blood-brain barrier disruption) and the accuracy of relative CBV calculations as measured on T2z.ast;-weighted dynamic susceptibility-weighted contrast-enhanced MR imaging at 3T field strength. MATERIALS AND METHODS: This study included 52 patients with glioma undergoing DSC MR imaging. Thirty-six patients underwent both non-preload dose-and preload dose-corrected DSC acquisitions, with 16 patients undergoing preload dose-corrected acquisitions only. For each acquisition, we generated 2 sets of relative CBV metrics by using 2 separate, widely published, FDA-approved commercial software packages: IB Neuro and nordicICE. We calculated 4 relative CBV metrics within tumor volumes: mean relative CBV, mode relative CBV, percentage of voxels with relative CBV < 1.75, and percentage of voxels with relative CBV < 1.0 (fractional tumor burden). We determined Pearson (r) and Spearman (<) correlations between non-preload dose-and preload dose-corrected metrics. In a subset of patients with recurrent glioblastoma (n = 25), we determined receiver operating characteristic area under the curve for fractional tumor burden accuracy to predict the tissue diagnosis of tumor recurrence versus posttreatment effect. We also determined correlations between rCBV and microvessel area from stereotactic biopsies (n = 29) in 12 patients. RESULTS: With IB Neuro, relative CBV metrics correlated highly between non-preload dose-and preload dose-corrected conditions for fractional tumor burden (r=0.96, < =0.94), percentage<1.75 (r=0.93, < =0.91), mean (r=0.87, < =0.86), and mode (r=0.78, < =0.76). These correlations dropped substantially with nordicICE. With fractional ... |
| نوع الوثيقة: | text |
| اللغة: | unknown |
| العلاقة: | https://scholar.barrowneuro.org/neurosurgery/201Test |
| DOI: | 10.3174/ajnr.A4451 |
| الإتاحة: | https://doi.org/10.3174/ajnr.A4451Test https://scholar.barrowneuro.org/neurosurgery/201Test |
| رقم الانضمام: | edsbas.68ACCB2 |
| قاعدة البيانات: | BASE |
| DOI: | 10.3174/ajnr.A4451 |
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