Review Article

Clinical Applications of Contrast-Enhanced Perfusion MRI Techniques in Gliomas: Recent Advances and Current Challenges

Table 1

Main perfusion parameters derived from DCE-MRI and DSC-MRI.

ParametersFull nameDefinition and meaning

DCE-MRI
Volume transfer constant between blood plasma and EESIt describes the leakage rate of GBCAs from the blood plasma towards EES
Extravascular extracellular volume fractionQuantification of cellularity and necrosis in EES. together with characterize the microvascular permeability
Blood plasma volumeQuantification of the volume of blood plasma
Transfer constant from EES into blood plasmaIt is determined by the equation /
DSC-MRI
CBVCerebral blood volumeThe blood volume in a given region of brain tissue (unit, mL/100 g). It is calculated by integrating the area under the CC-TCC
CBFCerebral blood flowThe blood volume passing through a given region of brain tissue per unit of time (unit, mL/min/100 g)
MTTMean transit timeThe average time in which blood passes through a given region of brain tissue (unit, s). It is estimated from the CC-TCC as width of the curve at half maximum height
PHPeak heightThe maximal drop of signal intensity from precontrast baseline during the first-pass bolus phase of GBCAs. It is correlated with CBV and reflects total blood volume
PSRPercentage of signal intensity recoveryIt reflects capillary permeability indirectly, providing information like
rCBVRelative cerebral blood volumeMeasurement of the relative lesion blood volume compared with that of contralateral white matter. It is proportional to the area under the CC-TCC, providing an estimate of MVD and angiogenesis
rCBFRelative cerebral blood flowMeasurement of the relative lesion blood flow compared with that of contralateral white matter
Leakage coefficientQuantification of the degree of vascular permeability using algorithm method for leakage effect correction