Assessment of micronecrotic tumor tissue using dynamic contrast-enhanced magnetic resonance imaging

Olga Schimpf1, Stefan Hindel1, Lutz Lüdemann1

  • 1Department of Radiation Therapy, Hufelandstr. 55, Universitätsklinikum Essen, 45147 Essen, Germany.

Insights

Compartmental models for dynamic contrast-enhanced MRI (DCE-MRI) can be inaccurate with necrotic tumors. The sequential 3-compartment model offers more reliable assessment of interstitial volume in such complex tumor microenvironments.

Area of Science:

  • Biomedical Imaging
  • Radiology
  • Mathematical Modeling

Background:

  • Compartmental models in DCE-MRI often assume homogeneous tissue and contrast agent distribution.
  • These assumptions are challenged by the presence of necrotic or micronecrotic tumor components.
  • Contrast agent diffusion within tumor compartments is often neglected.

Purpose of the Study:

  • To investigate the validity of three compartmental models (extended Tofts, parallel 3-compartment, sequential 3-compartment) for DCE-MRI analysis of tumors with necrotic tissue.
  • To evaluate the impact of contrast agent diffusion on model performance.
  • To identify the most reliable model for assessing interstitial volume in heterogeneous tumors.

Main Methods:

  • Simulated extravasation of a low-molecular-weight contrast agent into interstitial space using the general diffusion equation for inhomogeneous tissue.
  • Evaluated simulated concentration-time curves with extended Tofts, parallel 3-compartment, and sequential 3-compartment models.
  • Assessed model accuracy based on simulated mean vessel distances of 100µm and 150µm.

Main Results:

  • The extended Tofts model overestimated interstitial volume fraction by 6.9%–10.0%.
  • The parallel 3-compartment model showed overestimations of 8.6%–15.5%.
  • The sequential 3-compartment model demonstrated superior accuracy, with overestimations of 0.2% and underestimations of 18.8% at 100µm and 150µm, respectively.

Conclusions:

  • Standard compartmental models may inaccurately assess interstitial volume in tumors with necrotic components due to diffusion effects.
  • The sequential 3-compartment model provides more reliable quantification of total and subcompartmental interstitial volumes in heterogeneous tumors.
  • This highlights the importance of considering diffusion and tissue heterogeneity in DCE-MRI analysis.