Document Detail


Multiple-bolus dynamic contrast-enhanced MRI in the pancreas during a glucose challenge.
MedLine Citation:
PMID:  20815060     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To assess the feasibility of multiple-bolus dynamic contrast-enhanced (DCE) magnetic resonance imaging (MRI) in the pancreas; to optimize the analysis; and to investigate application of the method to a glucose challenge in type 2 diabetes.
MATERIALS AND METHODS: A 4-bolus DCE-MRI protocol was performed on five patients with type 2 diabetes and 11 healthy volunteers during free-breathing. Motion during the dynamic time series was corrected for using a model-driven nonlinear registration. A glucose challenge was administered intravenously between the first and second DCE-MRI acquisition in all patients and in seven of the healthy controls.
RESULTS: Image registration improved the reproducibility of the DCE-MRI model parameters across the repeated bolus-acquisitions in the healthy controls with no glucose challenge (eg, coefficient of variation for K(trans) improved from 38% to 28%). Native tissue T(1) was significantly lower in patients (374 +/- 68 msec) compared with volunteers (519 +/- 41 msec) but there was no significant difference in any of the baseline DCE-MRI parameters. No effect of glucose challenge was observed in either the patients or healthy volunteers.
CONCLUSION: Multiple bolus DCE-MRI is feasible in the pancreas and is improved by nonlinear image registration but is not sensitive to the effects of an intravenous glucose challenge.
Authors:
J H Naish; C E Hutchinson; A Caunce; C Roberts; J C Waterton; P D Hockings; C J Taylor; G J M Parker
Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of magnetic resonance imaging : JMRI     Volume:  32     ISSN:  1522-2586     ISO Abbreviation:  J Magn Reson Imaging     Publication Date:  2010 Sep 
Date Detail:
Created Date:  2010-09-03     Completed Date:  2011-01-10     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9105850     Medline TA:  J Magn Reson Imaging     Country:  United States    
Other Details:
Languages:  eng     Pagination:  622-8     Citation Subset:  IM    
Affiliation:
Imaging Science and Biomedical Engineering, School of Cancer and Enabling Sciences, University of Manchester, Manchester, United Kingdom. josephine.naish@manchester.ac.uk
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Blood Glucose / analysis
Case-Control Studies
Contrast Media / diagnostic use*
Diabetes Mellitus, Type 2 / diagnosis*
Female
Gadolinium DTPA / diagnostic use*
Glucose Tolerance Test
Humans
Magnetic Resonance Imaging / methods*
Male
Middle Aged
Pancreas / anatomy & histology*
Pulse Therapy, Drug
Reproducibility of Results
Sensitivity and Specificity
Chemical
Reg. No./Substance:
0/Blood Glucose; 0/Contrast Media; 122795-43-1/gadodiamide; 80529-93-7/Gadolinium DTPA

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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