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The MRI‐measured arterial input function resulting from a bolus injection of Gd‐DTPA in a rat model of stroke slightly underestimates that of Gd‐[14C]DTPA and marginally overestimates the blood‐to‐brain influx rate constant determined by Patlak plots
Authors:Tavarekere N Nagaraja  Kishor Karki  James R Ewing  George W Divine  Joseph D Fenstermacher  Clifford S Patlak  Robert A Knight
Institution:1. Department of Anesthesiology, Henry Ford Hospital, Detroit, Michigan, USA;2. These authors contributed equally to the work.;3. Department of Neurology, Henry Ford Hospital, Detroit, Michigan, USA;4. Department of Physics, Oakland University, Rochester, Michigan, USA;5. Department of Biostatistics and Research Epidemiology, Henry Ford Hospital, Detroit, Michigan, USA;6. Department of Neurology, University of Pennsylvania, Philadelphia, Pennsylvania, USA
Abstract:The hypothesis that the arterial input function (AIF) of gadolinium‐diethylenetriaminepentaacetic acid injected by intravenous bolus and measured by the change in the T1‐relaxation rate (ΔR1; R1 = 1/T1) of superior sagittal sinus blood (AIF‐I) approximates the AIF of 14C‐labeled gadolinium‐diethylenetriaminepentaacetic acid measured in arterial blood (reference AIF) was tested in a rat stroke model (n = 13). Contrary to the hypothesis, the initial part of the ΔR1‐time curve was underestimated, and the area under the normalized curve for AIF‐I was about 15% lower than that for the reference AIF. Hypothetical AIFs for gadolinium‐diethylenetriaminepentaacetic acid were derived from the reference AIF values and averaged to obtain a cohort‐averaged AIF. Influx rate constants (Ki) and proton distribution volumes at zero time (Vp + Vo) were estimated with Patlak plots of AIF‐I, hypothetical AIFs, and cohort‐averaged AIFs and tissue ΔR1 data. For the regions of interest, the Kis estimated with AIF‐I were slightly but not significantly higher than those obtained with hypothetical AIFs and cohort‐averaged AIF. In contrast, Vp + Vo was significantly higher when calculated with AIF‐I. Similar estimates of Ki and Vp + Vo were obtained with hypothetical AIFs and cohort‐averaged AIF. In summary, AIF‐I underestimated the reference AIF; this shortcoming had little effect on the Ki calculated by Patlak plot but produced a significant overestimation of Vp + Vo. Magn Reson Med 63:1502–1509, 2010. © 2010 Wiley‐Liss, Inc.
Keywords:blood‐brain barrier  cerebral ischemia  magnetic resonance contrast agents  population‐averaged AIF  reference tissue model
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