Measurement of blood-brain barrier permeability using dynamic contrast-enhanced magnetic resonance imaging with

Jonghyun Bae1,2,3, Jin Zhang2,3, Youssef Zaim Wadghiri2,3

  • 1Sackler Institute of Graduate Biomedical Science, New York University School of Medicine, New York, New York.

Abstract

Insights

The extended Patlak-model (EPM) accurately measures blood-brain barrier (BBB) permeability (PS) in under 10 minutes. This dynamic contrast-enhanced MRI (DCE-MRI) method reduces bias compared to the traditional Patlak model, even with reduced scan times.

Area of Science:

  • Medical Imaging
  • Neuroscience
  • Pharmacokinetics

Background:

  • The blood-brain barrier (BBB) integrity is crucial for brain health.
  • Assessing BBB disruption is vital for diagnosing and monitoring neurological diseases.
  • Dynamic Contrast-Enhanced MRI (DCE-MRI) is a key imaging technique for BBB assessment.

Purpose of the Study:

  • To evaluate the feasibility of short (under 10 minutes) DCE-MRI scans for measuring BBB permeability.
  • To compare the accuracy of the extended Patlak-model (EPM) against traditional models under reduced scan times.

Main Methods:

  • Numerical simulations were performed to assess the impact of scan duration on contrast kinetic parameter estimation.
  • DCE-MRI studies were conducted on rat brains with F98 glioblastoma models.
  • The extended Patlak-model (EPM) was utilized, incorporating plasma flow (Fp) effects.
  • Comparisons were made between EPM, Patlak model (PM), and 2-compartment-exchange-model (TCM) in different brain regions.

Main Results:

  • Reduced scan times introduced significant bias in PS estimates using the traditional Patlak model (PM), especially at low plasma flow.
  • The extended Patlak-model (EPM) demonstrated substantially lower bias (<47%) in PS estimation compared to PM (>2000%) with reduced scan times.
  • Animal studies confirmed that EPM parameters were less sensitive to scan duration than PM parameters.
  • In peri-tumor regions, EPM parameters showed less variation with scan duration compared to TCM parameters.

Conclusions:

  • The extended Patlak-model (EPM) is a feasible method for measuring vascular permeability-surface area product (PS) using DCE-MRI with scan durations of 10 minutes or less.
  • EPM offers improved accuracy and robustness in estimating BBB permeability compared to traditional models under accelerated scanning protocols.

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