Wavelet-based reconstruction of dynamic susceptibility MR-perfusion: a new method to visualize hypervascular brain tumors.

Objectives: Parameter maps based on wavelet-transform post-processing of dynamic perfusion data offer an innovative way of visualizing blood vessels in a fully automated, user-independent way. The aims of this study were (i) a proof of concept regarding wavelet-based analysis of dynamic susceptibili...

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Publicado en:European Radiology Vol. 29; no. 5; pp. 2669 - 2677
Autores principales: Huber, Thomas, Rotkopf, Lukas, Wiestler, Benedikt, Kunz, Wolfgang G., Bette, Stefanie, Gempt, Jens, Preibisch, Christine, Ricke, Jens, Zimmer, Claus, Kirschke, Jan S., Sommer, Wieland H., Thierfelder, Kolja M.
Formato: diagnostic images equations & formulas research tables/charts Journal Article
Publicado: Springer Nature May2019
Acceso en línea:Ver este registro en EBSCOhost
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      dt: May2019
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s00330-018-5892-2
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        atl: Wavelet-based reconstruction of dynamic susceptibility MR-perfusion: a new method to visualize hypervascular brain tumors.
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          Huber, Thomas
          Rotkopf, Lukas
          Wiestler, Benedikt
          Kunz, Wolfgang G.
          Bette, Stefanie
          Gempt, Jens
          Preibisch, Christine
          Ricke, Jens
          Zimmer, Claus
          Kirschke, Jan S.
          Sommer, Wieland H.
          Thierfelder, Kolja M.
        affil: Department of Radiology, University Hospital, LMU Munich, Marchioninistr. 15, 81377, Munich, Germany
      sug:
        subj:
          Brain Neoplasms Pathology
          Magnetic Resonance Imaging Methods
          Image Processing, Computer Assisted Methods
          Perfusion Methods
          Glioma Pathology
          Female
          Male
          Retrospective Design
          Middle Age
          Human
          Middle Aged: 45-64 years
          Female
          Male
      ab: Objectives: Parameter maps based on wavelet-transform post-processing of dynamic perfusion data offer an innovative way of visualizing blood vessels in a fully automated, user-independent way. The aims of this study were (i) a proof of concept regarding wavelet-based analysis of dynamic susceptibility contrast (DSC) MRI data and (ii) to demonstrate advantages of wavelet-based measures compared to standard cerebral blood volume (CBV) maps in patients with the initial diagnosis of glioblastoma (GBM).Methods: Consecutive 3-T DSC MRI datasets of 46 subjects with GBM (mean age 63.0 ± 13.1 years, 28 m) were retrospectively included in this feasibility study. Vessel-specific wavelet magnetic resonance perfusion (wavelet-MRP) maps were calculated using the wavelet transform (Paul wavelet, order 1) of each voxel time course. Five different aspects of image quality and tumor delineation were each qualitatively rated on a 5-point Likert scale. Quantitative analysis included image contrast and contrast-to-noise ratio.Results: Vessel-specific wavelet-MRP maps could be calculated within a mean time of 2:27 min. Wavelet-MRP achieved higher scores compared to CBV in all qualitative ratings: tumor depiction (4.02 vs. 2.33), contrast enhancement (3.93 vs. 2.23), central necrosis (3.86 vs. 2.40), morphologic correlation (3.87 vs. 2.24), and overall impression (4.00 vs. 2.41); all p < .001. Quantitative image analysis showed a better image contrast and higher contrast-to-noise ratios for wavelet-MRP compared to conventional perfusion maps (all p < .001).Conclusions: wavelet-MRP is a fast and fully automated post-processing technique that yields reproducible perfusion maps with a clearer vascular depiction of GBM compared to standard CBV maps.Key Points: • Wavelet-MRP offers high-contrast perfusion maps with a clear delineation of focal perfusion alterations. • Both image contrast and visual image quality were beneficial for wavelet-MRP compared to standard perfusion maps like CBV. • Wavelet-MRP can be automatically calculated from existing dynamic susceptibility contrast (DSC) perfusion data.
      pubtype: Academic Journal
      doctype:
        diagnostic images
        equations & formulas
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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