Suitability of Pharmacokinetic Models for Dynamic Contrast-Enhanced MRI of Abdominal Aortic Aneurysm Vessel Wall: A Comparison

V.L. Nguyen, M.E. Kooi, W.H. Backes, R.H. van Hoof, A.E. Saris, M.C. Wishaupt, F.A. Hellenthal, R.J. van der Geest, A.G. Kessels, G.W. Schurink, T. Leiner

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

PURPOSE: Increased microvascularization of the abdominal aortic aneurysm (AAA) vessel wall has been related to AAA progression and rupture. The aim of this study was to compare the suitability of three pharmacokinetic models to describe AAA vessel wall enhancement using dynamic contrast-enhanced magnetic resonance imaging (DCE-MRI). MATERIALS AND METHODS: Patients with AAA underwent DCE-MRI at 1.5 Tesla. The volume transfer constant (K(trans) ), which reflects microvascular flow, permeability and surface area, was calculated by fitting the blood and aneurysm vessel wall gadolinium concentration curves. The relative fit errors, parameter uncertainties and parameter reproducibilities for the Patlak, Tofts and Extended Tofts model were compared to find the most suitable model. Scan-rescan reproducibility was assessed using the interclass correlation coefficient and coefficient of variation (CV). Further, the relationship between K(trans) and AAA size was investigated. RESULTS: DCE-MRI examinations from thirty-nine patients (mean age+/-SD: 72+/-6 years; M/F: 35/4) with an mean AAA maximal diameter of 49+/-6 mm could be included for pharmacokinetic analysis. Relative fit uncertainties for K(trans) based on the Patlak model (17%) were significantly lower compared to the Tofts (37%) and Extended Tofts model (42%) (p<0.001). K(trans) scan-rescan reproducibility for the Patlak model (ICC = 0.61 and CV = 22%) was comparable with the Tofts (ICC = 0.61, CV = 23%) and Extended Tofts model (ICC = 0.76, CV = 22%). K(trans) was positively correlated with maximal AAA diameter (Spearman's rho = 0.38, p = 0.02) using the Patlak model. CONCLUSION: Using the presented imaging protocol, the Patlak model is most suited to describe DCE-MRI data of the AAA vessel wall with good K(trans) scan-rescan reproducibility.
Original languageEnglish
Article number75173
Number of pages7
JournalPLOS ONE
Volume8
Issue number10
DOIs
Publication statusPublished - 2 Oct 2013

Keywords

  • CAROTID ATHEROSCLEROTIC PLAQUE
  • BRAIN TRANSFER CONSTANTS
  • FOR-VASCULAR-SURGERY
  • MEDIAL NEOVASCULARIZATION
  • MAGNETIC-RESONANCE
  • METAANALYSIS
  • GUIDELINES
  • INJECTION
  • EXPANSION
  • RUPTURE

Cite this

Nguyen, V. L., Kooi, M. E., Backes, W. H., van Hoof, R. H., Saris, A. E., Wishaupt, M. C., Hellenthal, F. A., van der Geest, R. J., Kessels, A. G., Schurink, G. W., & Leiner, T. (2013). Suitability of Pharmacokinetic Models for Dynamic Contrast-Enhanced MRI of Abdominal Aortic Aneurysm Vessel Wall: A Comparison. PLOS ONE, 8(10), [75173]. https://doi.org/10.1371/journal.pone.0075173