Combined T2* and T1 measurements for improved perfusion and permeability studies in high field using dynamic contrast enhancement

Eur Radiol. 2006 Sep;16(9):2083-91. doi: 10.1007/s00330-006-0198-1. Epub 2006 Apr 1.

Abstract

This study analyzed the T2* effect of extracellularly distributed gadolinium contrast agents in arterial blood during tumor studies using T1-weighted sequences at high field strength. A saturation-prepared dual echo sequence with echo times of 1.5 and 3.5 ms was employed at 3 T to simultaneously characterize T1 and T2* of arterial blood during bolus administration of Gd-DTPA in 28 patients with body tumors. T2* effect and T1 effect of Gd-DTPA on image intensity of whole blood were calibrated in human blood samples with different concentrations of contrast agent. T2* was used to estimate concentration near the peak of the bolus. T1 was used to measure lower concentrations when T2* was not significant. T2* was measurable on calibration curves for Gd-DTPA concentrations higher than 4 mM. This concentration was exceeded in 18 patients. The mean signal intensity reduction because of T2* effect was estimated at 22+/-14% of the T2* compensated signal. Using T2* measurements reduced underestimations of peak arterial Gd-DTPA concentration (59 +/- 38%) and overestimation of permeability Ktrans (58%). The T2* effect of gadolinium contrast agents should therefore be accounted for when performing tumors study with T1-weighted sequences at high field strength.

Publication types

  • Clinical Trial, Phase I
  • Controlled Clinical Trial

MeSH terms

  • Aorta / pathology
  • Calibration
  • Carcinoma, Renal Cell / diagnosis*
  • Carcinoma, Renal Cell / secondary
  • Contrast Media
  • Gadolinium DTPA / blood
  • Gadolinium DTPA / pharmacokinetics*
  • Humans
  • Image Enhancement / methods*
  • Lung Neoplasms / diagnosis*
  • Lung Neoplasms / secondary
  • Magnetic Resonance Angiography / instrumentation
  • Magnetic Resonance Angiography / methods*
  • Permeability
  • Phantoms, Imaging

Substances

  • Contrast Media
  • Gadolinium DTPA