Determining and optimizing the precision of quantitative measurements of perfusion from dynamic contrast enhanced MRI

Brian M Dale1, John A Jesberger, Jonathan S Lewin

  • 1Department of Radiology, Case Western Reserve University and University Hospitals of Cleveland, Cleveland, Ohio 44106, USA.

Abstract

Insights

Quantitative dynamic contrast-enhanced MRI (DCE-MRI) perfusion maps are sensitive to image errors. Minimizing artifacts in baseline images is crucial for improving K(trans) precision in DCE-MRI.

Area of Science:

  • Medical Imaging
  • Radiology
  • Biophysics

Background:

  • Quantitative dynamic contrast-enhanced MRI (DCE-MRI) provides valuable perfusion information.
  • Perfusion map accuracy is dependent on the quality of source images.
  • Understanding sensitivity to image errors is key for protocol optimization.

Purpose of the Study:

  • To assess the sensitivity of DCE-MRI perfusion maps to errors in source images.
  • To identify optimal imaging parameters for enhancing the robustness of DCE-MRI.
  • To guide improvements in DCE-MRI protocol development.

Main Methods:

  • Employed the 'propagation of errors' technique for detailed precision analysis.
  • Investigated the impact of source image errors on K(trans) values.
  • Validated findings using Monte Carlo simulations.

Main Results:

  • K(trans) precision is highly sensitive to artifacts in baseline images.
  • Noise in arterial dynamic images has minimal impact on K(trans) precision.
  • The tip angle significantly influences precision, dependent on tissue T1(0).

Conclusions:

  • Optimizing the tip angle based on tissue T1(0) offers limited improvement.
  • Focusing on minimizing artifacts in source images is paramount for enhancing DCE-MRI accuracy.
  • Future research should prioritize artifact reduction strategies.