Abstract:
:Measurement of myocardial and brain perfusion when using exogenous contrast agents (CAs) such as gadolinium-DTPA (Gd-DTPA) and MRI is affected by the diffusion of water between compartments. This water exchange may have an impact on signal enhancement, or, equivalently, on the longitudinal relaxation rate, and could therefore cause a systematic error in the calculation of perfusion (F) or the perfusion-related parameter, the unidirectional influx constant over the capillary membranes (K(i)). The aim of this study was to quantify the effect of water exchange on estimated perfusion (F or K(i)) by using a realistic simulation. These results were verified by in vivo studies of the heart and brain in humans. The conclusion is that water exchange between the vascular and extravascular extracellular space has no effect on K(i) estimation in the myocardium when a normal dose of Gd-DTPA is used. Water exchange can have a significant effect on perfusion estimation (F) in the brain when using Gd-DTPA, where it acts as an intravascular contrast agent.
journal_name
Magn Reson Medjournal_title
Magnetic resonance in medicineauthors
Larsson HB,Rosenbaum S,Fritz-Hansen Tdoi
10.1002/mrm.1188subject
Has Abstractpub_date
2001-08-01 00:00:00pages
272-81issue
2eissn
0740-3194issn
1522-2594pii
10.1002/mrm.1188journal_volume
46pub_type
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