Assessment of tumor blood flow distribution by dynamic contrast-enhanced CT

A distinct feature of the tumor vasculature is its tortuosity and irregular branching of vessels, which can translate to a wider dispersion and higher variability of blood flow in the tumor. To enable tumor blood flow variability to be assessed in vivo by imaging, a tracer kinetic model that account...

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Main Authors: Koh, Tong San, Shi, Wen, Thng, Choon Hua, Ho, Juliana Teng Swan, Khoo, James Boon Kheng, Cheong, Dennis Lai Hong, Lim, Tchoyoson C. C.
其他作者: School of Electrical and Electronic Engineering
格式: Article
語言:English
出版: 2019
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在線閱讀:https://hdl.handle.net/10356/106005
http://hdl.handle.net/10220/48893
https://doi.org/10.1109/TMI.2013.2258404
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總結:A distinct feature of the tumor vasculature is its tortuosity and irregular branching of vessels, which can translate to a wider dispersion and higher variability of blood flow in the tumor. To enable tumor blood flow variability to be assessed in vivo by imaging, a tracer kinetic model that accounts for flow dispersion is developed for use with dynamic contrast-enhanced (DCE) CT. The proposed model adopts a multiple-pathway approach and allows for the quantification of relative dispersion in the blood flow distribution, which reflects flow variability in the tumor vasculature. Monte Carlo simulation experiments were performed to study the possibility of reducing the number of model parameters based on the Akaike information criterion approach and to explore possible noise and tissue conditions in which the model might be applicable. The model was used for region-of-interest analysis and to generate perfusion parameter maps for three patient DCE CT cases with cerebral tumors, to illustrate clinical applicability.