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Heterogeneity Mapping of Protein Expression in Tumors using Quantitative Immunofluorescence
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A novel method for analyzing DSCE-images with an application to tumor grading.

Johannes Slotboom1, Ralph Schaer, Christoph Ozdoba

  • 1Institute of Diagnostic and Interventional Neuroradiology, Inselspital, University of Bern, Bern, Switzerland. johannes.slotboom@insel.ch

Investigative Radiology
|November 13, 2008
PubMed
Summary

A new Dynamic pixel intensity Histogram Analysis (DHA) method effectively grades gliomas using MRI data. The histogram width parameter shows the strongest correlation with histologic grade, aiding in differentiating tumor severity.

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Area of Science:

  • Radiology and Medical Imaging
  • Oncology
  • Biophysics

Background:

  • Glioma grading is crucial for treatment planning and prognosis.
  • Dynamic-susceptibility-contrast-enhanced (DSCE) MRI provides valuable information on tumor vascularity.
  • Novel quantitative analysis methods are needed to improve glioma grading accuracy.

Purpose of the Study:

  • To develop and validate a novel analysis method, Dynamic pixel intensity Histogram Analysis (DHA), for processing DSCE-MRI time-series.
  • To evaluate the efficacy of DHA in prospective glioma grading.

Main Methods:

  • DHA involves computing and fitting pixel intensity histograms of arbitrary-shaped regions in DSCE-MRI difference-image time-series.
  • The Levenberg-Marquardt algorithm was used for fitting.
  • Time-dependent histogram parameters (center-position and width) were analyzed during bolus passage in 25 glioma patients.

Main Results:

  • Histogram center-position and width parameters showed significant discrimination between glioma grades during bolus outflow.
  • The histogram width parameter demonstrated high significance in differentiating grade-II from grade-III (P < 0.00022), grade-II from grade-IV (P < 8.3x10⁻⁶), and grade-III from grade-IV (P < 0.00063) gliomas.

Conclusions:

  • Dynamic pixel intensity Histogram Analysis (DHA) is an accessible method for glioma grading.
  • The histogram width parameter is identified as the most reliable indicator for histologic glioma grade.