Comparison of tumor histology to dynamic contrast enhanced magnetic resonance imaging-based physiological estimates
Comparison of tumor histology to dynamic contrast enhanced magnetic resonance imaging-based physiological estimates
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DOI:
10.1016/j.mri.2008.02.015
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发表时间:
2008-11-01
影响因子:
2.5
通讯作者:
Wiener, Erik C.
中科院分区:
文献类型:
--
作者:
Aref, Michael;Chaudhari, Amir R.;Wiener, Erik C.
Purpose: The purpose of this study was to compare histologically determined cellularity and extracellular space to dynamic contrast-enhanced magnetic resonance imaging (DCE MRI)-based maps of a two-compartment model's parameters describing tumor contrast agent extravasation, specifically tumor extravascular extracellular space (EES) volume fraction (v(e)), tumor plasma volume fraction (v(p)) and volume-normalized contrast agent transfer rate between tumor plasma and interstitium (K-TRANS/V-T)Materials and Methods: Obtained v(e), v(p) and K-TRANS/V-T maps were estimated from gadolinium diethylenetriamine penta-acetic acid DCE T-1-weighted gradient-echo images at resolutions of 469, 938 and 2500 mu m. These parameter maps were compared at each resolution to histologically determined tumor type, and the high-resolution 469-mu m maps were compared with automated cell counting using Otsu's method and a color-thresholding method for estimated intracellular (V-intracellular) and extracellular (V-extracellular) space fractions.Results: The top five K-TRANS/V-T values obtained from each tumor at 469 and 938 mu m resolutions are significantly different from those obtained at 2500 pm (P .05). DCE MRI-based K-TRANS/V-T estimates are not statistically correlated with histologically determined cellularity.Conclusion: DCE MRI estimates of tumor physiology are a limited representation Of tumor histological features. Extracellular spaces measured by both DCE M RI and microscopic analysis are statistically similar. Tumor typing by DCE MRI is spatial resolution dependent, as lower resolutions average out contributions to voxel-based estimates of K-TRANS/V-T. Thus, an appropriate resolution window is essential for DCE MRI tumor diagnosis. Within this resolution window, the top K-TRANS/V-T values with corresponding v(e) are diagnostic for the tumor types analyzed in this study. (c) 2008 Published by Elsevier Inc.