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Leakage Correction of Dynamic Susceptibility Contrast (DSC-) MRI for vessel size measurements in human glioma
Fatemeh Arzanforoosh1, Paula L. Croal2, Karin Van Garderen1, Marion Smits1, Michael A. Chappell2, and Esther A.H. Warnert1
1Department of Radiology & Nuclear Medicine, ErasmusMC, Rotterdam, Netherlands, 2Radiological Sciences, Division of Clinical Neurosciences, University of Nottingham, Nottingham, United Kingdom
In summary, this work recommends application of a pre-bolus combined with BSW leakage correction in enhancing glioma for vessel size estimation, while eliminating the need for leakage correction for nonenhancing glioma.
Figure 1: A) Group averages of corrected and uncorrected vessel size measurements within 4 ROIs: NAWM, NAGM, Tumor, CE-Tumor. Note that CE-Tumor ROI was delineated only for enhancing glioma patients (6 patients) , B) Scatter plots of corrected and uncorrected vessel size measurements , across subject within 4 ROIs (individual subject’s data are connected by solid lines). * represents significant p-value calculated from Student’s t-test (p < 0.05) .
Figure 2: Single slice of exemplary MRI images of two patients with enhancing gliomas ; A) Patient 01 and B) Patient 03. The images from left to right respectively are : T2W FLAIR; post contrast T1W; post contrast T1W with regions of interest, ROIs, overlaid (contrast-enhanced tumor (CE-Tumor) in yellow, tumor in orange, normal-appearing white matter (NAWM) in green, and normal-appearing grey matter (NAGM) in blue), calculated vessel size map (before application of leakage correction) and calculated vessel size map (after application of leakage correction).