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.
Parameters
Full name
Definition and meaning
DCE-MRI
Volume transfer constant between blood plasma and EES
It describes the leakage rate of GBCAs from the blood plasma towards EES
Extravascular extracellular volume fraction
Quantification of cellularity and necrosis in EES. together with characterize the microvascular permeability
Blood plasma volume
Quantification of the volume of blood plasma
Transfer constant from EES into blood plasma
It is determined by the equation /
DSC-MRI
CBV
Cerebral blood volume
The blood volume in a given region of brain tissue (unit, mL/100 g). It is calculated by integrating the area under the CC-TCC
CBF
Cerebral blood flow
The blood volume passing through a given region of brain tissue per unit of time (unit, mL/min/100 g)
MTT
Mean transit time
The 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
PH
Peak height
The 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
PSR
Percentage of signal intensity recovery
It reflects capillary permeability indirectly, providing information like
rCBV
Relative cerebral blood volume
Measurement 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
rCBF
Relative cerebral blood flow
Measurement of the relative lesion blood flow compared with that of contralateral white matter
Leakage coefficient
Quantification of the degree of vascular permeability using algorithm method for leakage effect correction