Skip to main content

Lund University Publications

LUND UNIVERSITY LIBRARIES

Attempts to improve absolute quantification of cerebral blood flow in dynamic susceptibility contrast magnetic resonance imaging: a simplified t1-weighted steady-state cerebral blood volume approach.

Wirestam, Ronnie LU orcid ; Knutsson, Linda LU orcid ; Risberg, Jarl LU ; Börjesson, Siv LU ; Larsson, Elna-Marie LU ; Gustafson, Lars LU ; Passant, Ulla LU and Ståhlberg, Freddy LU (2007) In Acta Radiologica 48(5). p.550-556
Abstract
Background: Attempts to retrieve absolute values of cerebral blood flow (CBF) by dynamic susceptibility contrast magnetic resonance imaging (DSC-MRI) have typically resulted in overestimations. Purpose: To improve DSC-MRI CBF estimates by calibrating the DSC-MRI-based cerebral blood volume (CBV) with a corresponding T1-weighted (T1W) steady-state ( ss) CBV estimate. Material and Methods: 17 volunteers were investigated by DSC-MRI and Xe-133 SPECT. Steady-state CBV calculation, assuming no water exchange, was accomplished using signal values from blood and tissue, before and after contrast agent, obtained by T1W spin-echo imaging. Using steady-state and DSC-MRI CBV estimates, a calibration factor K=CBV(ss)/CBV(DSC) was obtained for each... (More)
Background: Attempts to retrieve absolute values of cerebral blood flow (CBF) by dynamic susceptibility contrast magnetic resonance imaging (DSC-MRI) have typically resulted in overestimations. Purpose: To improve DSC-MRI CBF estimates by calibrating the DSC-MRI-based cerebral blood volume (CBV) with a corresponding T1-weighted (T1W) steady-state ( ss) CBV estimate. Material and Methods: 17 volunteers were investigated by DSC-MRI and Xe-133 SPECT. Steady-state CBV calculation, assuming no water exchange, was accomplished using signal values from blood and tissue, before and after contrast agent, obtained by T1W spin-echo imaging. Using steady-state and DSC-MRI CBV estimates, a calibration factor K=CBV(ss)/CBV(DSC) was obtained for each individual. Average whole-brain CBF( DSC) was calculated, and the corrected MRI-based CBF estimate was given by CBF(ss)=KxCBF(DSC). Results: Average whole-brain SPECT CBF was 40.1 +/- 6.9 ml/min . 100 g, while the corresponding uncorrected DSC-MRI- based value was 69.2 +/- 13.8 ml/min . 100 g. After correction with the calibration factor, a CBF( ss) of 42.7 +/- 14.0 ml/min . 100 g was obtained. The linear fit to CBF( ss)-versus-CBF( SPECT) data was close to proportionality (R=0.52). Conclusion: Calibration by steady-state CBV reduced the population average CBF to a reasonable level, and a modest linear correlation with the reference Xe-133 SPECT technique was observed. Possible explanations for the limited accuracy are, for example, large-vessel partial-volume effects, low post-contrast signal enhancement in T1W images, and water-exchange effects. (Less)
Please use this url to cite or link to this publication:
author
; ; ; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
hemodynamics/flow dynamics, brain/brain stem, MR diffusion/perfusion
in
Acta Radiologica
volume
48
issue
5
pages
550 - 556
publisher
SAGE Publications
external identifiers
  • wos:000246786700013
  • scopus:34249018581
ISSN
1600-0455
DOI
10.1080/02841850701280825
project
Optimisation and Validation of Dynamic Susceptibility Contrast MRI
language
English
LU publication?
yes
id
1cabc94b-a1a6-4c75-95a4-29b77334a15f (old id 168119)
alternative location
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=17520432&dopt=Abstract
date added to LUP
2016-04-01 16:21:16
date last changed
2022-02-05 07:38:17
@article{1cabc94b-a1a6-4c75-95a4-29b77334a15f,
  abstract     = {{Background: Attempts to retrieve absolute values of cerebral blood flow (CBF) by dynamic susceptibility contrast magnetic resonance imaging (DSC-MRI) have typically resulted in overestimations. Purpose: To improve DSC-MRI CBF estimates by calibrating the DSC-MRI-based cerebral blood volume (CBV) with a corresponding T1-weighted (T1W) steady-state ( ss) CBV estimate. Material and Methods: 17 volunteers were investigated by DSC-MRI and Xe-133 SPECT. Steady-state CBV calculation, assuming no water exchange, was accomplished using signal values from blood and tissue, before and after contrast agent, obtained by T1W spin-echo imaging. Using steady-state and DSC-MRI CBV estimates, a calibration factor K=CBV(ss)/CBV(DSC) was obtained for each individual. Average whole-brain CBF( DSC) was calculated, and the corrected MRI-based CBF estimate was given by CBF(ss)=KxCBF(DSC). Results: Average whole-brain SPECT CBF was 40.1 +/- 6.9 ml/min . 100 g, while the corresponding uncorrected DSC-MRI- based value was 69.2 +/- 13.8 ml/min . 100 g. After correction with the calibration factor, a CBF( ss) of 42.7 +/- 14.0 ml/min . 100 g was obtained. The linear fit to CBF( ss)-versus-CBF( SPECT) data was close to proportionality (R=0.52). Conclusion: Calibration by steady-state CBV reduced the population average CBF to a reasonable level, and a modest linear correlation with the reference Xe-133 SPECT technique was observed. Possible explanations for the limited accuracy are, for example, large-vessel partial-volume effects, low post-contrast signal enhancement in T1W images, and water-exchange effects.}},
  author       = {{Wirestam, Ronnie and Knutsson, Linda and Risberg, Jarl and Börjesson, Siv and Larsson, Elna-Marie and Gustafson, Lars and Passant, Ulla and Ståhlberg, Freddy}},
  issn         = {{1600-0455}},
  keywords     = {{hemodynamics/flow dynamics; brain/brain stem; MR diffusion/perfusion}},
  language     = {{eng}},
  number       = {{5}},
  pages        = {{550--556}},
  publisher    = {{SAGE Publications}},
  series       = {{Acta Radiologica}},
  title        = {{Attempts to improve absolute quantification of cerebral blood flow in dynamic susceptibility contrast magnetic resonance imaging: a simplified t1-weighted steady-state cerebral blood volume approach.}},
  url          = {{http://dx.doi.org/10.1080/02841850701280825}},
  doi          = {{10.1080/02841850701280825}},
  volume       = {{48}},
  year         = {{2007}},
}