Abstract
Purpose: To investigate the effect of transcytolemmal water exchange on the dynamic contrast-enhanced (DCE) T1-weighted MRI of human squamous cell carcinomas of the head and neck (HNSCC). Materials and Methods: Nine patients with HNSCC nodal metastasis underwent pretreatment DCE-MRI with a temporal resolution of 2.5 seconds and a spatial resolution of 1 mm x 1 mm x 5 mm at 1.5T. We used two pharmacokinetic models for data analysis: generalized kinetic model (GKM) without considering transcytolemmal water exchange and the shutter-speed model (SSM), based on a two-site exchange model for transcytolemmal water exchange. The results were compared in three subgroups of voxels in the tumor depending on the level of contrast enhancement. Results: SSM was found to be a better fit for more than 75% of pixels of all subjects (P < 0.01) in terms of residual size and Bayesian information criterion (BIC). For all three subgroups based on the contrast enhancement, the median K trans values of SSM were 42% to 55% higher than those of GKM and the median νe values of SSM were 116% to 176% larger than those of GKM. The median Ktrans and νe of two models were found significantly different (P < 0.01). The median τi measured by SSM were from 211 to 364 msec. Conclusion: The effect of transcytolemmal water exchange is an important factor that needs to be incorporated for adequate modeling of contrast enhancement dynamics measured by MRI of HNSCC.
Original language | English (US) |
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Pages (from-to) | 1607-1617 |
Number of pages | 11 |
Journal | Journal of Magnetic Resonance Imaging |
Volume | 26 |
Issue number | 6 |
DOIs | |
State | Published - Dec 2007 |
Externally published | Yes |
Keywords
- DCE-MRI
- Head and neck
- Pharmacokinetic analysis
- Squamous cell carcinoma
- Transcytolemmal water exchange
ASJC Scopus subject areas
- Radiology Nuclear Medicine and imaging