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Research ArticleBrain

Pixel-by-Pixel Comparison of Volume Transfer Constant and Estimates of Cerebral Blood Volume from Dynamic Contrast-Enhanced and Dynamic Susceptibility Contrast-Enhanced MR Imaging in High-Grade Gliomas

P. Alcaide-Leon, D. Pareto, E. Martinez-Saez, C. Auger, A. Bharatha and A. Rovira
American Journal of Neuroradiology May 2015, 36 (5) 871-876; DOI: https://doi.org/10.3174/ajnr.A4231
P. Alcaide-Leon
aFrom the Department of Radiology, MR Unit (P.A.-L., D.P., C.A., A.R.)
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D. Pareto
aFrom the Department of Radiology, MR Unit (P.A.-L., D.P., C.A., A.R.)
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E. Martinez-Saez
bDepartment of Pathology (E.M.-S.), Hospital Vall d'Hebron, Barcelona, Spain
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C. Auger
aFrom the Department of Radiology, MR Unit (P.A.-L., D.P., C.A., A.R.)
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A. Bharatha
cDepartment of Medical Imaging (A.B.), St Michael's Hospital, Toronto, Ontario, Canada.
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A. Rovira
aFrom the Department of Radiology, MR Unit (P.A.-L., D.P., C.A., A.R.)
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    Fig 1.

    Schematic illustrating flow-limited contrast extravasation. Due to high permeability, the rate of leakage within the voxel depends on the amount of plasma reaching the voxel per unit of time (plasma flow). The venous blood would be “clean” of contrast.

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    Fig 2.

    Schematic illustrating 2 voxels with similar Ktrans values: the first one showing high permeability and low surface area and the second one with low permeability and high surface area.

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    Fig 3.

    Ktrans (A), CBV (B), and Vp (C) maps through the center of a grade IV glioma. The white line connects corresponding pixels for the correlation study.

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    Fig 4.

    Ktrans (A), CBV (B), and Vp (C) maps through the center of a grade IV glioma. The arrow points toward an area in the posterior aspect of the tumor showing high CBV and Vp values but only mildly elevated Ktrans values.

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    Table 1:

    Median, maximum, minimum, and interquartile range of nCBV, nVp, and Ktrans values

    nCBVnVpKtrans (min−1)
    Median3.78713.20.1841
    Interquartile range2.887–5.1877.806–18.7550.127–0.3125
    Range1.420–11.2714.769–62.2930.0471–0.987
    • Note:—nCBV indicates normalized CBV; nVp, normalized Vp.

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    Table 2:

    Results of the correlation study performed in a randomly selected sample of 40% (104,171 pixels)

    CBV and KtransVp and KtransVp and CBV
    Spearman rank correlation coefficients0.113 (P < .001)0.256 (P < .001)0.382 (P < .001)
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American Journal of Neuroradiology: 36 (5)
American Journal of Neuroradiology
Vol. 36, Issue 5
1 May 2015
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P. Alcaide-Leon, D. Pareto, E. Martinez-Saez, C. Auger, A. Bharatha, A. Rovira
Pixel-by-Pixel Comparison of Volume Transfer Constant and Estimates of Cerebral Blood Volume from Dynamic Contrast-Enhanced and Dynamic Susceptibility Contrast-Enhanced MR Imaging in High-Grade Gliomas
American Journal of Neuroradiology May 2015, 36 (5) 871-876; DOI: 10.3174/ajnr.A4231

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Pixel-by-Pixel Comparison of Volume Transfer Constant and Estimates of Cerebral Blood Volume from Dynamic Contrast-Enhanced and Dynamic Susceptibility Contrast-Enhanced MR Imaging in High-Grade Gliomas
P. Alcaide-Leon, D. Pareto, E. Martinez-Saez, C. Auger, A. Bharatha, A. Rovira
American Journal of Neuroradiology May 2015, 36 (5) 871-876; DOI: 10.3174/ajnr.A4231
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