Impact of contrast agent injection duration on dynamic contrast‐enhanced MRI quantification in prostate cancer

The volume transfer constant Ktrans, which describes the leakage of contrast agent (CA) from vasculature into tissue, is the most commonly reported quantitative parameter for dynamic contrast‐enhanced (DCE‐) MRI. However, the variation in reported Ktrans values between studies from different institu...

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Veröffentlicht in:NMR in biomedicine 2018-09, Vol.31 (9), p.e3946-n/a
Hauptverfasser: Klawer, Edzo M.E., Houdt, Petra J., Pos, Floris J., Heijmink, Stijn W.T.P.J., Osch, Matthias J.P., Heide, Uulke A.
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container_issue 9
container_start_page e3946
container_title NMR in biomedicine
container_volume 31
creator Klawer, Edzo M.E.
Houdt, Petra J.
Pos, Floris J.
Heijmink, Stijn W.T.P.J.
Osch, Matthias J.P.
Heide, Uulke A.
description The volume transfer constant Ktrans, which describes the leakage of contrast agent (CA) from vasculature into tissue, is the most commonly reported quantitative parameter for dynamic contrast‐enhanced (DCE‐) MRI. However, the variation in reported Ktrans values between studies from different institutes is large. One of the primary sources of uncertainty is quantification of the arterial input function (AIF). The aim of this study is to determine the influence of the CA injection duration on the AIF and tracer kinetic analysis (TKA) parameters (i.e. Ktrans, kep and ve). Thirty‐one patients with prostate cancer received two DCE‐MRI examinations with an injection duration of 5 s in the first examination and a prolonged injection duration in the second examination, varying between 7.5 s and 30 s. The DCE examination was carried out on a 3.0 T MRI scanner using a transversal T1‐weighted 3D spoiled gradient echo sequence (300 s duration, dynamic scan time of 2.5 s). Data of 29 of the 31 were further analysed. AIFs were determined from the phase signal in the left and right femoral arteries. Ktrans, kep and ve were estimated with the standard Tofts model for regions of healthy peripheral zone and tumour tissue. We observed a significantly smaller peak height and increased width in the AIF for injection durations of 15 s and longer. However, we did not find significant differences in Ktrans, kep or ve for the studied injection durations. The study demonstrates that the TKA parameters Ktrans, kep and ve, measured in the prostate, do not show a significant change as a function of injection duration. This study investigates the influence of injection duration of contrast agent on the quantification of DCE‐MRI. For longer durations (≥15 s) the peak of the arterial input function became lower and the width was larger. However, no significant difference in tracer kinetic parameter values was found in healthy or tumour prostate tissue.
doi_str_mv 10.1002/nbm.3946
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However, the variation in reported Ktrans values between studies from different institutes is large. One of the primary sources of uncertainty is quantification of the arterial input function (AIF). The aim of this study is to determine the influence of the CA injection duration on the AIF and tracer kinetic analysis (TKA) parameters (i.e. Ktrans, kep and ve). Thirty‐one patients with prostate cancer received two DCE‐MRI examinations with an injection duration of 5 s in the first examination and a prolonged injection duration in the second examination, varying between 7.5 s and 30 s. The DCE examination was carried out on a 3.0 T MRI scanner using a transversal T1‐weighted 3D spoiled gradient echo sequence (300 s duration, dynamic scan time of 2.5 s). Data of 29 of the 31 were further analysed. AIFs were determined from the phase signal in the left and right femoral arteries. Ktrans, kep and ve were estimated with the standard Tofts model for regions of healthy peripheral zone and tumour tissue. We observed a significantly smaller peak height and increased width in the AIF for injection durations of 15 s and longer. However, we did not find significant differences in Ktrans, kep or ve for the studied injection durations. The study demonstrates that the TKA parameters Ktrans, kep and ve, measured in the prostate, do not show a significant change as a function of injection duration. This study investigates the influence of injection duration of contrast agent on the quantification of DCE‐MRI. For longer durations (≥15 s) the peak of the arterial input function became lower and the width was larger. However, no significant difference in tracer kinetic parameter values was found in healthy or tumour prostate tissue.</abstract><cop>England</cop><pub>Wiley Subscription Services, Inc</pub><pmid>29974981</pmid><doi>10.1002/nbm.3946</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0001-9882-2149</orcidid><oa>free_for_read</oa></addata></record>
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source MEDLINE; Wiley Online Library Journals Frontfile Complete
subjects Aged
Aged, 80 and over
Area Under Curve
arterial input function
Arteries
Arteries - diagnostic imaging
Arteries - physiopathology
Biological products
Cancer
contrast agent
Contrast agents
Contrast Media - chemistry
Contrast Media - pharmacokinetics
dynamic contrast‐enhanced MRI
Femoral artery
Femur
Humans
Injection
injection protocol
Injections
Kinetics
Ktrans
Magnetic Resonance Imaging
Male
Middle Aged
Parameters
phase signal
Prostate cancer
Prostatic Neoplasms - diagnostic imaging
Prostatic Neoplasms - pathology
Prostatic Neoplasms - physiopathology
tracer kinetic analysis
Tumors
title Impact of contrast agent injection duration on dynamic contrast‐enhanced MRI quantification in prostate cancer
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