• Prativa Sahoo, Ram K S Rathore, Rishi Awasthi, Bhaswati Roy, Sanjay Verma, Divya Rathore, Sanjay Behari, Mazhar Husain, Nuzhat Husain, Chandra M Pandey, Sudipta Mohakud, and Rakesh K Gupta.
• Department of Mathematics & Statistics, Indian Institute of Technology Kanpur, India.
• J Magn Reson Imaging. 2013 Sep 1; 38 (3): 677-88.

PurposeTo modify the generalized tracer kinetic model (GTKM) by introducing an additional tissue uptake leakage compartment in extracellular extravascular space (LTKM). In addition, an implicit determination of voxel-wise local arterial input function (AIF) Cp (t) was performed to see whether these changes help in better discrimination between low- and high-grade glioma using dynamic contrast-enhanced (DCE) magnetic resonance imaging (MRI).Materials And MethodsThe modified model (LTKM) was explored and fitted to the concentration-time curve C(t) of each voxel, in which the local AIF Cp (t) could be estimated by a time invariant convolution approximation based on a separately measured global AIF Ca (t). A comparative study of tracer kinetic analysis was performed on 184 glioma patients using DCE-MRI data on 1.5T and 3T MRI systems.ResultsThe LTKM analysis provided more accurate pharmacokinetic parameters as evidenced by their relative constancy with respect to the length of concentration-time curve used. In addition, LTKM with local AIF resulted in improved discrimination between low-grade and high-grade gliomas.ConclusionLTKM with local AIF provides more accurate estimation of physiological parameters and improves discrimination between low-grade and high-grade gliomas as compared with GTKM.Copyright © 2013 Wiley Periodicals, Inc., a Wiley company.

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