Sourbron S, Luypaert R, Morhard D, Seelos K, Reiser M, Peller M
Institute of Clinical Radiology, Ludwig Maximilian University Munich, Marchioninistrasse 15, 81377 Munich, Germany.
Phys Med Biol. 2007 Nov 21;52(22):6761-78. doi: 10.1088/0031-9155/52/22/014. Epub 2007 Oct 30.
Model-free measurement of perfusion from bolus-tracking data requires a discretization of the tracer kinetic model. In this study a classification is provided of existing approaches to discretization, and the accuracy of these methods is compared. Two methods are included which are delay invariant (circulant and time shift) and three methods which are not (volterra, singular and hybrid). Simulations of magnetic resonance imaging (MRI) in the brain are performed for two tissue types (plug flow and compartment) with variable delay and dispersion times, temporal resolution and signal to noise. Simulations were compared to measurements in a patient data set. Both delay-invariant methods are equally accurate, but the circulant method is sensitive to data truncation. Overall volterra produces highest estimates of perfusion, followed by hybrid, singular and delay-invariant methods. Volterra is most accurate except in plug-flow without delay or dispersion, which represents an unrealistic tissue type. Differences between methods vanish when delay or dispersion times increase above the temporal resolution. It is concluded that when negative delays cannot be avoided or when an accurate estimate of left-right perfusion ratios is required, the time shift is the method of choice. When delays are certain to be positive and absolute accuracy is the objective, the volterra method is to be preferred.
基于团注追踪数据的灌注无模型测量需要对示踪剂动力学模型进行离散化处理。在本研究中,对现有的离散化方法进行了分类,并比较了这些方法的准确性。其中包括两种延迟不变的方法(循环和时间移位)以及三种非延迟不变的方法(沃尔泰拉、奇异和混合)。针对两种组织类型(活塞流和隔室),在可变延迟和弥散时间、时间分辨率以及信噪比的条件下,进行了脑部磁共振成像(MRI)模拟。将模拟结果与患者数据集的测量结果进行了比较。两种延迟不变的方法准确性相当,但循环方法对数据截断敏感。总体而言,沃尔泰拉方法得出的灌注估计值最高,其次是混合方法、奇异方法和延迟不变方法。除了无延迟或弥散的活塞流(这代表一种不现实的组织类型)外,沃尔泰拉方法最为准确。当延迟或弥散时间增加到超过时间分辨率时,方法之间的差异消失。得出的结论是,当无法避免负延迟或需要准确估计左右灌注比时,时间移位是首选方法。当延迟肯定为正时且目标是绝对准确性时,沃尔泰拉方法更受青睐。