Reliability of dynamic contrast-enhanced magnetic resonance imaging data in primary brain tumours: a comparison of Tofts and shutter speed models.

Purpose: The purpose of this study is to investigate the robustness of pharmacokinetic modelling of DCE-MRI brain tumour data and to ascertain reliable perfusion parameters through a model selection process and a stability test. Methods: DCE-MRI data of 14 patients with primary brain tumours were an...

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Publicado en:Neuroradiology Vol. 61; no. 12; pp. 1375 - 1387
Autores principales: Inglese, Marianna, Ordidge, Katherine L., Honeyfield, Lesley, Barwick, Tara D., Aboagye, Eric O., Waldman, Adam D., Grech-Sollars, Matthew
Formato: algorithm diagnostic images equations & formulas research tables/charts Journal Article
Publicado: Springer Nature Dec2019
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Dec2019
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s00234-019-02265-2
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        atl: Reliability of dynamic contrast-enhanced magnetic resonance imaging data in primary brain tumours: a comparison of Tofts and shutter speed models.
      aug:
        au:
          Inglese, Marianna
          Ordidge, Katherine L.
          Honeyfield, Lesley
          Barwick, Tara D.
          Aboagye, Eric O.
          Waldman, Adam D.
          Grech-Sollars, Matthew
        affil: Department of Surgery and Cancer, GN1 Commonwealth building, Hammersmith Hospital, Imperial College London, Du Cane Road, W12 0NN, London, UK
      sug:
        subj:
          Magnetic Resonance Imaging Methods
          Neoplasm Staging
          Brain Neoplasms Diagnosis
          Models, Statistical Methods
          Models, Statistical Evaluation
          Human
          Models, Structural
          Blood-Brain Barrier
          Reliability
      ab: Purpose: The purpose of this study is to investigate the robustness of pharmacokinetic modelling of DCE-MRI brain tumour data and to ascertain reliable perfusion parameters through a model selection process and a stability test. Methods: DCE-MRI data of 14 patients with primary brain tumours were analysed using the Tofts model (TM), the extended Tofts model (ETM), the shutter speed model (SSM) and the extended shutter speed model (ESSM). A no-effect model (NEM) was implemented to assess overfitting of data by the other models. For each lesion, the Akaike Information Criteria (AIC) was used to build a 3D model selection map. The variability of each pharmacokinetic parameter extracted from this map was assessed with a noise propagation procedure, resulting in voxel-wise distributions of the coefficient of variation (CV). Results: The model selection map over all patients showed NEM had the best fit in 35.5% of voxels, followed by ETM (32%), TM (28.2%), SSM (4.3%) and ESSM (< 0.1%). In analysing the reliability of Ktrans, when considering regions with a CV < 20%, ≈ 25% of voxels were found to be stable across all patients. The remaining 75% of voxels were considered unreliable. Conclusions: The majority of studies quantifying DCE-MRI data in brain tumours only consider a single model and whole tumour statistics for the output parameters. Appropriate model selection, considering tissue biology and its effects on blood brain barrier permeability and exchange conditions, together with an analysis on the reliability and stability of the calculated parameters, is critical in processing robust brain tumour DCE-MRI data.
      pubtype: Academic Journal
      doctype:
        algorithm
        diagnostic images
        equations & formulas
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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