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一种在使用动态对比增强磁共振成像的脑通透性研究中计算药代动力学参数的有效方法。

An efficient calculation method for pharmacokinetic parameters in brain permeability study using dynamic contrast-enhanced MRI.

作者信息

Wang Chunhao, Yin Fang-Fang, Chang Zheng

机构信息

Department of Radiation Oncology, Duke University Medical Center, Durham, North Carolina, USA.

出版信息

Magn Reson Med. 2016 Feb;75(2):739-49. doi: 10.1002/mrm.25659. Epub 2015 Mar 29.

Abstract

PURPOSE

To develop an efficient method for calculating pharmacokinetic (PK) parameters in brain DCE-MRI permeability studies.

METHODS

A linear least-squares fitting algorithm based on a derivative expression of the two-compartment PK model was proposed to analytically solve for the PK parameters. Noise in the expression was minimized through low-pass filtering. Simulation studies were conducted in which the proposed method was compared with two existing methods in terms of accuracy and efficiency. Five in vivo brain studies were demonstrated for potential clinical application.

RESULTS

In the simulation studies using chosen parameter values, the calculated percent difference of K(trans) by the proposed method was <5.0% with a temporal resolution (Δt) < 5 s, and the accuracies of all parameter results were better or comparable to existing methods. When analyzed within certain parameter intensity ranges, the proposed method was more accurate than the existing methods and improved the efficiency by a factor of up to 458 for a Δt = 1 s and up to 38 for a Δt = 5 s. In the in vivo study, the calculated parameters using the proposed method were comparable to those using the existing methods with improved efficiencies.

CONCLUSIONS

An efficient method was developed for the accurate and efficient calculation of parameters in brain DCE-MRI permeability studies.

摘要

目的

开发一种在脑动态对比增强磁共振成像(DCE-MRI)通透性研究中计算药代动力学(PK)参数的有效方法。

方法

提出一种基于双室PK模型导数表达式的线性最小二乘拟合算法来解析求解PK参数。通过低通滤波将表达式中的噪声降至最低。进行了模拟研究,将所提出的方法与两种现有方法在准确性和效率方面进行比较。展示了五项体内脑研究以用于潜在的临床应用。

结果

在使用选定参数值的模拟研究中,所提出的方法计算的K(trans)的百分比差异<5.0%,时间分辨率(Δt)<5秒,所有参数结果的准确性优于或与现有方法相当。在特定参数强度范围内进行分析时,所提出的方法比现有方法更准确,对于Δt = 1秒,效率提高了高达458倍,对于Δt = 5秒,效率提高了高达38倍。在体内研究中,使用所提出的方法计算的参数与使用现有方法计算的参数相当,但效率有所提高。

结论

开发了一种在脑DCE-MRI通透性研究中准确高效计算参数的有效方法。

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