Dynamic contrast-enhanced MRI of neuroendocrine hepatic metastases: A feasibility study using a dual-input two-compartment model
Corresponding Author
T. S. Koh
Department of Oncologic Imaging, National Cancer Center, Singapore
Center for Quantitative Biology, Duke-NUS Graduate Medical School, Singapore
School of Electrical and Electronic Engineering, Nanyang Technological University, Singapore
Department of Oncologic Imaging, National Cancer Center, 11 Hospital Drive, Singapore 169610, Singapore===Search for more papers by this authorC. H. Thng
Department of Oncologic Imaging, National Cancer Center, Singapore
Center for Quantitative Biology, Duke-NUS Graduate Medical School, Singapore
Search for more papers by this authorS. Hartono
Department of Oncologic Imaging, National Cancer Center, Singapore
School of Electrical and Electronic Engineering, Nanyang Technological University, Singapore
Search for more papers by this authorJ. W. Kwek
Department of Oncologic Imaging, National Cancer Center, Singapore
Search for more papers by this authorJ. B. K. Khoo
Department of Oncologic Imaging, National Cancer Center, Singapore
Search for more papers by this authorK. Miyazaki
CRUK-EPSARC Cancer Imaging Center, Institute of Cancer Research, Sutton, United Kingdom
Search for more papers by this authorD. J. Collins
CRUK-EPSARC Cancer Imaging Center, Institute of Cancer Research, Sutton, United Kingdom
Search for more papers by this authorM. R. Orton
CRUK-EPSARC Cancer Imaging Center, Institute of Cancer Research, Sutton, United Kingdom
Search for more papers by this authorM. O. Leach
CRUK-EPSARC Cancer Imaging Center, Institute of Cancer Research, Sutton, United Kingdom
Search for more papers by this authorV. Lewington
Department of Radiology, Royal Marsden NHS Foundation Trust, Sutton, United Kingdom
Search for more papers by this authorD.-M. Koh
Department of Radiology, Royal Marsden NHS Foundation Trust, Sutton, United Kingdom
Search for more papers by this authorCorresponding Author
T. S. Koh
Department of Oncologic Imaging, National Cancer Center, Singapore
Center for Quantitative Biology, Duke-NUS Graduate Medical School, Singapore
School of Electrical and Electronic Engineering, Nanyang Technological University, Singapore
Department of Oncologic Imaging, National Cancer Center, 11 Hospital Drive, Singapore 169610, Singapore===Search for more papers by this authorC. H. Thng
Department of Oncologic Imaging, National Cancer Center, Singapore
Center for Quantitative Biology, Duke-NUS Graduate Medical School, Singapore
Search for more papers by this authorS. Hartono
Department of Oncologic Imaging, National Cancer Center, Singapore
School of Electrical and Electronic Engineering, Nanyang Technological University, Singapore
Search for more papers by this authorJ. W. Kwek
Department of Oncologic Imaging, National Cancer Center, Singapore
Search for more papers by this authorJ. B. K. Khoo
Department of Oncologic Imaging, National Cancer Center, Singapore
Search for more papers by this authorK. Miyazaki
CRUK-EPSARC Cancer Imaging Center, Institute of Cancer Research, Sutton, United Kingdom
Search for more papers by this authorD. J. Collins
CRUK-EPSARC Cancer Imaging Center, Institute of Cancer Research, Sutton, United Kingdom
Search for more papers by this authorM. R. Orton
CRUK-EPSARC Cancer Imaging Center, Institute of Cancer Research, Sutton, United Kingdom
Search for more papers by this authorM. O. Leach
CRUK-EPSARC Cancer Imaging Center, Institute of Cancer Research, Sutton, United Kingdom
Search for more papers by this authorV. Lewington
Department of Radiology, Royal Marsden NHS Foundation Trust, Sutton, United Kingdom
Search for more papers by this authorD.-M. Koh
Department of Radiology, Royal Marsden NHS Foundation Trust, Sutton, United Kingdom
Search for more papers by this authorAbstract
Neuroendocrine hepatic metastases exhibit various contrast uptake enhancement patterns in dynamic contrast-enhanced MRI. Using a dual-input two-compartment distributed parameter model, we analyzed the dynamic contrast-enhanced MRI datasets of seven patient study cases with the aim to relate the tumor contrast uptake patterns to parameters of tumor microvasculature. Simulation studies were also performed to provide further insights into the effects of individual microcirculatory parameter on the tumor concentration-time curves. Although the tumor contrast uptake patterns can be influenced by many parameters, initial results indicate that hepatic blood flow and the ratio of fractional vascular volume to fractional interstitial volume may potentially distinguish between the patterns of neuroendocrine hepatic metastases. Magn Reson Med, 2010. © 2010 Wiley-Liss, Inc.
REFERENCES
- 1 Dromain C, de Baere T, Baudin E, Galine J, Ducreux M, Boige V, Duvillard P, Laplanche A, Caillet H, Lasser P, Schlumberger M, Sigal R. MR imaging of hepatic metastases caused by neuroendocrine tumors: comparing four techniques. AJR Am J Roentgenol 2003; 180: 121–128.
- 2 Mougey AM, Adler DG. Neuroendocrine tumors: review and clinical update. Hosp Physician 2007; 51: 12–20.
- 3 Koh TS, Thng CH, Lee PS, Hartono S, Rumpel H, Goh BC, Bisdas S. Hepatic metastases: in vivo assessment of perfusion parameters at dynamic contrast-enhanced MRI with dual-input two-compartment tracer kinetics model. Radiology 2008; 249: 307–320.
- 4 Koh TS, Thng CH, Hartono S, Lee PS, Choo SP, Poon DYH, Toh HC, Bisdas S. Dynamic contrast-enhanced CT of hepatocellular carcinoma in cirrhosis: feasibility of a prolonged dual-phase imaging protocol with tracer kinetics modeling. Eur Radiol 2009; 19: 1184–1196.
- 5 Miyazaki K, Collins DJ, Walker-Samuel S, Taylor JN, Padhani AR, Leach MO, Koh D-M. Quantitative mapping of hepatic perfusion index using MR imaging: a potential reproducible tool for assessing tumour response to treatment with the antiangiogenic compound BIBF 1120, a potent triple angiokinase inhibitor. Eur Radiol 2008; 18: 1414–1421.
- 6 Renkin EM. Transport of potassium-42 from blood to tissue in iso-mammalian skeletal muscles. Am J Physiol 1951; 3: 1–41.
- 7 Crone C. The permeability of capillaries in various organs as determined by use of the indicator-dilution method. Acta Physiol Scand 1963; 58: 292–305.
- 8 Koh TS, Cheong LH, Hou Z, Soh YC. A physiologic model of capillary-tissue exchange for dynamic contrast-enhanced imaging of tumor microcirculation. IEEE Trans Biomed Eng 2003; 50: 159–167.
- 9 Orton MR, Miyazaki K, Koh D-M, Collins DJ, Hawkes D, Atkinson D, Leach MO. Optimizing functional parameter accuracy for breath-hold DCE MRI of liver tumors. Phys Med Biol 2009; 54: 2197–2215.
- 10 Brix G, Kiessling F, Lucht R, Darai S, Wasser K, Delorme S, Griebel J. Microcirculation and microvasculature in breast tumors: pharmacokinetic analysis of dynamic MR image series. Magn Reson Med 2004; 52: 420–429.
- 11 Shuter B, Tofts PS, Wang SC, Pope JM. The relaxivity of Gd-EOB-DTPA and Gd-DTPA in liver and kidney of the Wistar rat. Magn Reson Imaging 1996; 14: 243–253.
- 12 Brookes JA, Redpath TW, Gilbert FJ, Needham G, Murray AD. Measurement of spin-lattice relaxation times with FLASH for dynamic MRI of the breast. Br J Radiol 1996; 69: 206–214.
- 13 Zhang JL, Koh TS. On the selection of optimal flip angles for T1 mapping of breast tumors with dynamic contrast-enhanced magnetic resonance imaging. IEEE Trans Biomed Eng 2006; 53: 1209–1214.
- 14 Paulson EK, McDermott VG, Keogan MT, DeLong DM, Frederick MG, Nelson RC. Carcinoid metastases to the liver: role of triple-phase helical CT. Radiology 1998; 206: 143–150.
- 15 Materne R, Smith AM, Peeters F, Dehoux JP, Keyeux A, Horsmans Y, Van Beers BE. Assessment of hepatic perfusion parameters with dynamic MRI. Magn Reson Med 2002; 47: 135–142.
- 16 van Laarhoven HWM, Rijpkema M, Punt CJA, Ruers TJ, Hendriks JCM, Barentsz JO, Heerschap A. Method for quantitation of dynamic MRI contrast agent uptake in colorectal liver metastases. J Magn Reson Imaging 2003; 18: 315–320.
- 17 Koh TS. On the a priori identifiability of the two-compartment distributed parameter model from residual tracer data acquired by dynamic contrast-enhanced imaging. IEEE Trans Biomed Eng 2008; 55: 340–344.
- 18 Garpebring A, Ostlund N, Karlsson M. A novel estimation method for physiological parameters in dynamic contrast-enhanced MRI: application of a distributed parameter model using Fourier-domain calculations. IEEE Trans Med Imaging 2009; 28: 1375–1383.
- 19 Koh TS, Zeman V, Darko J, Lee T-Y, Milosevic MF, Haider M, Warde P, Yeung IWT. The inclusion of capillary distribution in the adiabatic tissue homogeneity model of blood flow. Phys Med Biol 2001; 46: 1519–1538.
- 20 Koh TS, Cheong LHD, Tan CKM, Lim CCT. A distributed parameter model of cerebral blood-tissue exchange with account of capillary transit time distribution. NeuroImage 2006; 30: 426–435.
- 21 Orel SG. Differentiating benign from malignant enhancing lesions identified at MR imaging of the breast: are time-signal intensity curves an accurate predictor? Radiology 1999; 211: 5–7.
- 22 Kuhl CK, Mielcareck P, Klaschik S, Leutner C, Wardelmann E, Gieseke J, Schild HH. Dynamic breast MR imaging: are signal intensity time course data useful for differential diagnosis of enhancing lesions? Radiology 1999; 211: 101–110.
- 23 Turkbey B, Pinto PA, Choyke PL. Imaging techniques for prostate cancer: implications for focal therapy. Nat Rev Urol 2009; 6: 191–203.
- 24 Fuchsjäger M, Shukla-Dave A, Akin O, Barentsz J, Hricak H. Prostate cancer imaging. Acta Radiol 2008; 49: 107–120.
- 25 Yi CA, Lee KS, Kim EA, Han J, Kim H, Kwon OJ, Jeong YJ, Kim S. Solitary pulmonary nodules: dynamic enhanced multi-detector row CT study and comparison with vascular endothelial growth factor and microvessel density. Radiology 2004; 233; 191–199.
- 26 Schaefer JF, Vollmar J, Schick F, Vonthein R, Seemann MD, Aebert H, Dierkesmann R, Friedel G, Claussen CD. Solitary pulmonary nodules: dynamic contrast-enhanced MR imaging—perfusion differences in malignant and benign lesions. Radiology 2004; 232: 544–553.
- 27 Jang HJ, Yu H, Kim TK. Imaging of focal liver lesions. Semin Roentgenol 2009; 44: 266–224.
- 28 Padhani AR. Dynamic contrast-enhanced MRI in clinical oncology: current status and future directions. J Magn Reson Imaging 2002; 16: 407–422.
- 29 Orton MR, Miyazaki K, Koh D-M, Collins DJ, Atkinson D, Hawkes DJ, Leach MO. Onset estimation for dual input DCE-MRI liver data: information criteria used to determine statistical optimality of global or pixel-wise onset estimation. In: Proceedings of the 17th Annual Meeting of ISMRM, Hawaii, USA, 2009 (Abstract 3614).