Document Detail


Perfusion MR imaging of extracranial tumor angiogenesis.
MedLine Citation:
PMID:  15057172     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Dynamic contrast-enhanced MRI (DCE-MRI) using small molecular weight gadolinium chelates enables noninvasive imaging characterization of tissue vascularity. Depending on the technique used, data reflecting tissue perfusion (blood flow, blood volume, mean transit time), microvessel permeability surface area product, and extracellular leakage space can be obtained. Insights into these physiological processes can be obtained from inspection of kinetic enhancement curves or by the application of complex compartmental modeling techniques. Combining morphologic and kinetic features can increase the accuracy of clinical diagnoses. Potential clinical applications include screening for malignant disease, lesion characterization, monitoring lesion response to treatment, and assessment of residual disease. Newer applications include prognostication, pharmacodynamic assessments of antivascular anticancer drugs, and predicting efficacy of treatment. For dynamic MRI to enter into widespread clinical practice, it will be necessary to develop standardized approaches to measurement and robust analysis approaches.
Authors:
Anwar R Padhani; Andy Dzik-Jurasz
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Review    
Journal Detail:
Title:  Topics in magnetic resonance imaging : TMRI     Volume:  15     ISSN:  0899-3459     ISO Abbreviation:  Top Magn Reson Imaging     Publication Date:  2004 Feb 
Date Detail:
Created Date:  2004-04-01     Completed Date:  2004-06-24     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8913523     Medline TA:  Top Magn Reson Imaging     Country:  United States    
Other Details:
Languages:  eng     Pagination:  41-57     Citation Subset:  IM    
Affiliation:
*Paul Strickland Scanner Centre, Mount Vernon Hospital, Northwood, Middlesex, UK. anwar.padhani@paulstrickland-scannercentre.co.uk
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MeSH Terms
Descriptor/Qualifier:
Blood Flow Velocity
Blood Volume
Contrast Media
Drug Screening Assays, Antitumor
Gadolinium / diagnostic use
Humans
Magnetic Resonance Angiography
Magnetic Resonance Imaging* / methods
Neoplasms / blood supply*,  drug therapy
Neovascularization, Pathologic / diagnosis*
Chemical
Reg. No./Substance:
0/Contrast Media; 7440-54-2/Gadolinium
Comments/Corrections
Erratum In:
Top Magn Reson Imaging. 2004 Apr;15(2):67

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


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