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Estimating kinetic parameters from dynamic contrast-enhanced T(1)-weighted MRI of a diffusable tracer: standardized quantities and symbols.

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TLDR
A standard set of quantity names and symbols related to the estimation of kinetic parameters from dynamic contrast‐enhanced T1‐weighted magnetic resonance imaging data, using diffusable agents such as gadopentetate dimeglumine (Gd‐DTPA), are described.
Abstract
We describe a standard set of quantity names and symbols related to the estimation of kinetic parameters from dynamic contrast-enhanced T(1)-weighted magnetic resonance imaging data, using diffusable agents such as gadopentetate dimeglumine (Gd-DTPA). These include a) the volume transfer constant K(trans) (min(-1)); b) the volume of extravascular extracellular space (EES) per unit volume of tissue v(e) (0 < v(e) < 1); and c) the flux rate constant between EES and plasma k(ep) (min(-1)). The rate constant is the ratio of the transfer constant to the EES (k(ep) = K(trans)/v(e)). Under flow-limited conditions K(trans) equals the blood plasma flow per unit volume of tissue; under permeability-limited conditions K(trans) equals the permeability surface area product per unit volume of tissue. We relate these quantities to previously published work from our groups; our future publications will refer to these standardized terms, and we propose that these be adopted as international standards.

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References
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Journal ArticleDOI

Measurement of the blood-brain barrier permeability and leakage space using dynamic MR imaging. 1. Fundamental concepts.

TL;DR: Leakage of Gd‐DTPA through a defective blood‐brain barrier is measured quantitatively using dynamic MRI scanning, in which repeated scans are made after a bolus injection, and implies permeability in the range 4‐17 × 10−6 cm s−1, in broad agreement with other physiological methods.
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Modeling tracer kinetics in dynamic Gd-DTPA MR imaging

TL;DR: Three major models for collecting and analyzing dynamic MRI gadolinium‐diethylenetriamine penta‐acetic acid (Gd‐DTPA) data are examined and the ratio kep, the efflux rate constant, is the simplest to measure.
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The Permeability of Capillaries in Various Organs as Determined by Use of the ‘Indicator Diffusion’ Method

TL;DR: It is shown that the permeability of a capillary area can be expressed by three parameters: the initial extraction of test substances added in a single injection to the blood flowing to an organ, the blood flow and the surface area of the capillaries.
Journal ArticleDOI

Pharmacokinetic parameters in CNS Gd-DTPA enhanced MR imaging.

TL;DR: A procedure for dynamic MR is presented, which accurately resolves the fast kinetics of tissue response during and after intravenous infusion of the paramagnetic contrast medium Gd-DTPA and yields a linear relationship between the measured MR signal and the Gd -DTPA concentration in the tissue.
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