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Validation of Perfusion Quantification with 3D Gradient Echo Dynamic Contrast-Enhanced Magnetic Resonance Imaging Using a Blood Pool Contrast Agent in Skeletal Swine Muscle.

Hindel S, Sauerbrey A, Maaß M, Maderwald S, Schlamann M, Lüdemann L - PLoS ONE (2015)

Bottom Line: The F-test for model comparison was used to decide whether to use the results of the one- or two-compartment model fit.The resulting values of delay, dispersion, blood volume, mean transit time, and flow were all in physiologically and physically reasonable ranges.The DCE-MRI technique presented here uses a blood pool contrast medium in combination with a two-compartment tracer kinetic model and allows absolute quantification of low-perfused non-cerebral organs such as muscles.

View Article: PubMed Central - PubMed

Affiliation: Department of Radiotherapy, Medical Physics, University Hospital Essen, Essen, North Rhine-Westphalia, Germany.

ABSTRACT
The purpose of our study was to validate perfusion quantification in a low-perfused tissue by dynamic contrast-enhanced magnetic resonance imaging (DCE-MRI) with shared k-space sampling using a blood pool contrast agent. Perfusion measurements were performed in a total of seven female pigs. An ultrasonic Doppler probe was attached to the right femoral artery to determine total flow in the hind leg musculature. The femoral artery was catheterized for continuous local administration of adenosine to increase blood flow up to four times the baseline level. Three different stable perfusion levels were induced. The MR protocol included a 3D gradient-echo sequence with a temporal resolution of approximately 1.5 seconds. Before each dynamic sequence, static MR images were acquired with flip angles of 5°, 10°, 20°, and 30°. Both static and dynamic images were used to generate relaxation rate and baseline magnetization maps with a flip angle method. 0.1 mL/kg body weight of blood pool contrast medium was injected via a central venous catheter at a flow rate of 5 mL/s. The right hind leg was segmented in 3D into medial, cranial, lateral, and pelvic thigh muscles, lower leg, bones, skin, and fat. The arterial input function (AIF) was measured in the aorta. Perfusion of the different anatomic regions was calculated using a one- and a two-compartment model with delay- and dispersion-corrected AIFs. The F-test for model comparison was used to decide whether to use the results of the one- or two-compartment model fit. Total flow was calculated by integrating volume-weighted perfusion values over the whole measured region. The resulting values of delay, dispersion, blood volume, mean transit time, and flow were all in physiologically and physically reasonable ranges. In 107 of 160 ROIs, the blood signal was separated, using a two-compartment model, into a capillary and an arteriolar signal contribution, decided by the F-test. Overall flow in hind leg muscles, as measured by the ultrasound probe, highly correlated with total flow determined by MRI, R = 0.89 and P = 10-7. Linear regression yielded a slope of 1.2 and a y-axis intercept of 259 mL/min. The mean total volume of the investigated muscle tissue corresponds to an offset perfusion of 4.7mL/(min ⋅ 100cm3). The DCE-MRI technique presented here uses a blood pool contrast medium in combination with a two-compartment tracer kinetic model and allows absolute quantification of low-perfused non-cerebral organs such as muscles.

No MeSH data available.


Related in: MedlinePlus

Correlation of the corrected DCE-MRI model results.Correlation of the corrected DCE-MRI model results with the Doppler flow values for the F-test selection method in the different muscle segments. The measurements are plotted using blue dots and the significant correlations (P<0.05) using a red line.
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pone.0128060.g010: Correlation of the corrected DCE-MRI model results.Correlation of the corrected DCE-MRI model results with the Doppler flow values for the F-test selection method in the different muscle segments. The measurements are plotted using blue dots and the significant correlations (P<0.05) using a red line.

Mentions: Table 1 presents mean perfusion values in the eight different muscle (values determined by using the F-test and corrected AIF) and tissue segments for four categories of flow values measured with the Doppler probe. The perfusion values measured with DCE-MRI ranged from 2 mL/(min⋅100 cm3) to up to 44 mL/(min⋅100 cm3). Moreover, especially in the muscle segments with low and moderate perfusion (Fig 10, upper row), there were high correlations between the corrected DCE-MR flow values and the Doppler flows, R = 0.56–0.87. The faintest response to adenosine administration was found in non-muscular tissue, namely bone, skin, and fat. The highest blood flow increase was observed in the medial thigh muscle (Fig 10, upper left plot).


Validation of Perfusion Quantification with 3D Gradient Echo Dynamic Contrast-Enhanced Magnetic Resonance Imaging Using a Blood Pool Contrast Agent in Skeletal Swine Muscle.

Hindel S, Sauerbrey A, Maaß M, Maderwald S, Schlamann M, Lüdemann L - PLoS ONE (2015)

Correlation of the corrected DCE-MRI model results.Correlation of the corrected DCE-MRI model results with the Doppler flow values for the F-test selection method in the different muscle segments. The measurements are plotted using blue dots and the significant correlations (P<0.05) using a red line.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4465215&req=5

pone.0128060.g010: Correlation of the corrected DCE-MRI model results.Correlation of the corrected DCE-MRI model results with the Doppler flow values for the F-test selection method in the different muscle segments. The measurements are plotted using blue dots and the significant correlations (P<0.05) using a red line.
Mentions: Table 1 presents mean perfusion values in the eight different muscle (values determined by using the F-test and corrected AIF) and tissue segments for four categories of flow values measured with the Doppler probe. The perfusion values measured with DCE-MRI ranged from 2 mL/(min⋅100 cm3) to up to 44 mL/(min⋅100 cm3). Moreover, especially in the muscle segments with low and moderate perfusion (Fig 10, upper row), there were high correlations between the corrected DCE-MR flow values and the Doppler flows, R = 0.56–0.87. The faintest response to adenosine administration was found in non-muscular tissue, namely bone, skin, and fat. The highest blood flow increase was observed in the medial thigh muscle (Fig 10, upper left plot).

Bottom Line: The F-test for model comparison was used to decide whether to use the results of the one- or two-compartment model fit.The resulting values of delay, dispersion, blood volume, mean transit time, and flow were all in physiologically and physically reasonable ranges.The DCE-MRI technique presented here uses a blood pool contrast medium in combination with a two-compartment tracer kinetic model and allows absolute quantification of low-perfused non-cerebral organs such as muscles.

View Article: PubMed Central - PubMed

Affiliation: Department of Radiotherapy, Medical Physics, University Hospital Essen, Essen, North Rhine-Westphalia, Germany.

ABSTRACT
The purpose of our study was to validate perfusion quantification in a low-perfused tissue by dynamic contrast-enhanced magnetic resonance imaging (DCE-MRI) with shared k-space sampling using a blood pool contrast agent. Perfusion measurements were performed in a total of seven female pigs. An ultrasonic Doppler probe was attached to the right femoral artery to determine total flow in the hind leg musculature. The femoral artery was catheterized for continuous local administration of adenosine to increase blood flow up to four times the baseline level. Three different stable perfusion levels were induced. The MR protocol included a 3D gradient-echo sequence with a temporal resolution of approximately 1.5 seconds. Before each dynamic sequence, static MR images were acquired with flip angles of 5°, 10°, 20°, and 30°. Both static and dynamic images were used to generate relaxation rate and baseline magnetization maps with a flip angle method. 0.1 mL/kg body weight of blood pool contrast medium was injected via a central venous catheter at a flow rate of 5 mL/s. The right hind leg was segmented in 3D into medial, cranial, lateral, and pelvic thigh muscles, lower leg, bones, skin, and fat. The arterial input function (AIF) was measured in the aorta. Perfusion of the different anatomic regions was calculated using a one- and a two-compartment model with delay- and dispersion-corrected AIFs. The F-test for model comparison was used to decide whether to use the results of the one- or two-compartment model fit. Total flow was calculated by integrating volume-weighted perfusion values over the whole measured region. The resulting values of delay, dispersion, blood volume, mean transit time, and flow were all in physiologically and physically reasonable ranges. In 107 of 160 ROIs, the blood signal was separated, using a two-compartment model, into a capillary and an arteriolar signal contribution, decided by the F-test. Overall flow in hind leg muscles, as measured by the ultrasound probe, highly correlated with total flow determined by MRI, R = 0.89 and P = 10-7. Linear regression yielded a slope of 1.2 and a y-axis intercept of 259 mL/min. The mean total volume of the investigated muscle tissue corresponds to an offset perfusion of 4.7mL/(min ⋅ 100cm3). The DCE-MRI technique presented here uses a blood pool contrast medium in combination with a two-compartment tracer kinetic model and allows absolute quantification of low-perfused non-cerebral organs such as muscles.

No MeSH data available.


Related in: MedlinePlus