Quantification of tumor vessels in glioblastoma patients using time-of-flight angiography at 7 Tesla: a feasibility study.

<h4>Purpose</h4>To analyze if tumor vessels can be visualized, segmented and quantified in glioblastoma patients with time of flight (ToF) angiography at 7 Tesla and multiscale vessel enhancement filtering.<h4>Materials and methods</h4>Twelve patients with newly diagnosed gli...

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Main Authors: Alexander Radbruch, Oliver Eidel, Benedikt Wiestler, Daniel Paech, Sina Burth, Philipp Kickingereder, Martha Nowosielski, Philipp Bäumer, Wolfgang Wick, Heinz-Peter Schlemmer, Martin Bendszus, Mark Ladd, Armin Michael Nagel, Sabine Heiland
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2014-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0110727
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author Alexander Radbruch
Oliver Eidel
Benedikt Wiestler
Daniel Paech
Sina Burth
Philipp Kickingereder
Martha Nowosielski
Philipp Bäumer
Wolfgang Wick
Heinz-Peter Schlemmer
Martin Bendszus
Mark Ladd
Armin Michael Nagel
Sabine Heiland
author_facet Alexander Radbruch
Oliver Eidel
Benedikt Wiestler
Daniel Paech
Sina Burth
Philipp Kickingereder
Martha Nowosielski
Philipp Bäumer
Wolfgang Wick
Heinz-Peter Schlemmer
Martin Bendszus
Mark Ladd
Armin Michael Nagel
Sabine Heiland
author_sort Alexander Radbruch
collection DOAJ
description <h4>Purpose</h4>To analyze if tumor vessels can be visualized, segmented and quantified in glioblastoma patients with time of flight (ToF) angiography at 7 Tesla and multiscale vessel enhancement filtering.<h4>Materials and methods</h4>Twelve patients with newly diagnosed glioblastoma were examined with ToF angiography (TR = 15 ms, TE = 4.8 ms, flip angle = 15°, FOV = 160 × 210 mm(2), voxel size: 0.31 × 0.31 × 0.40 mm(3)) on a whole-body 7 T MR system. A volume of interest (VOI) was placed within the border of the contrast enhancing part on T1-weighted images of the glioblastoma and a reference VOI was placed in the non-affected contralateral white matter. Automated segmentation and quantification of vessels within the two VOIs was achieved using multiscale vessel enhancement filtering in ImageJ.<h4>Results</h4>Tumor vessels were clearly visible in all patients. When comparing tumor and the reference VOI, total vessel surface (45.3 ± 13.9 mm(2) vs. 29.0 ± 21.0 mm(2) (p<0.035)) and number of branches (3.5 ± 1.8 vs. 1.0 ± 0.6 (p<0.001) per cubic centimeter were significantly higher, while mean vessel branch length was significantly lower (3.8 ± 1.5 mm vs 7.2 ± 2.8 mm (p<0.001)) in the tumor.<h4>Discussion</h4>ToF angiography at 7-Tesla MRI enables characterization and quantification of the internal vascular morphology of glioblastoma and may be used for the evaluation of therapy response within future studies.
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spelling doaj.art-0151248bc23947d4918a421cca33f68f2022-12-21T21:29:41ZengPublic Library of Science (PLoS)PLoS ONE1932-62032014-01-01911e11072710.1371/journal.pone.0110727Quantification of tumor vessels in glioblastoma patients using time-of-flight angiography at 7 Tesla: a feasibility study.Alexander RadbruchOliver EidelBenedikt WiestlerDaniel PaechSina BurthPhilipp KickingerederMartha NowosielskiPhilipp BäumerWolfgang WickHeinz-Peter SchlemmerMartin BendszusMark LaddArmin Michael NagelSabine Heiland<h4>Purpose</h4>To analyze if tumor vessels can be visualized, segmented and quantified in glioblastoma patients with time of flight (ToF) angiography at 7 Tesla and multiscale vessel enhancement filtering.<h4>Materials and methods</h4>Twelve patients with newly diagnosed glioblastoma were examined with ToF angiography (TR = 15 ms, TE = 4.8 ms, flip angle = 15°, FOV = 160 × 210 mm(2), voxel size: 0.31 × 0.31 × 0.40 mm(3)) on a whole-body 7 T MR system. A volume of interest (VOI) was placed within the border of the contrast enhancing part on T1-weighted images of the glioblastoma and a reference VOI was placed in the non-affected contralateral white matter. Automated segmentation and quantification of vessels within the two VOIs was achieved using multiscale vessel enhancement filtering in ImageJ.<h4>Results</h4>Tumor vessels were clearly visible in all patients. When comparing tumor and the reference VOI, total vessel surface (45.3 ± 13.9 mm(2) vs. 29.0 ± 21.0 mm(2) (p<0.035)) and number of branches (3.5 ± 1.8 vs. 1.0 ± 0.6 (p<0.001) per cubic centimeter were significantly higher, while mean vessel branch length was significantly lower (3.8 ± 1.5 mm vs 7.2 ± 2.8 mm (p<0.001)) in the tumor.<h4>Discussion</h4>ToF angiography at 7-Tesla MRI enables characterization and quantification of the internal vascular morphology of glioblastoma and may be used for the evaluation of therapy response within future studies.https://doi.org/10.1371/journal.pone.0110727
spellingShingle Alexander Radbruch
Oliver Eidel
Benedikt Wiestler
Daniel Paech
Sina Burth
Philipp Kickingereder
Martha Nowosielski
Philipp Bäumer
Wolfgang Wick
Heinz-Peter Schlemmer
Martin Bendszus
Mark Ladd
Armin Michael Nagel
Sabine Heiland
Quantification of tumor vessels in glioblastoma patients using time-of-flight angiography at 7 Tesla: a feasibility study.
PLoS ONE
title Quantification of tumor vessels in glioblastoma patients using time-of-flight angiography at 7 Tesla: a feasibility study.
title_full Quantification of tumor vessels in glioblastoma patients using time-of-flight angiography at 7 Tesla: a feasibility study.
title_fullStr Quantification of tumor vessels in glioblastoma patients using time-of-flight angiography at 7 Tesla: a feasibility study.
title_full_unstemmed Quantification of tumor vessels in glioblastoma patients using time-of-flight angiography at 7 Tesla: a feasibility study.
title_short Quantification of tumor vessels in glioblastoma patients using time-of-flight angiography at 7 Tesla: a feasibility study.
title_sort quantification of tumor vessels in glioblastoma patients using time of flight angiography at 7 tesla a feasibility study
url https://doi.org/10.1371/journal.pone.0110727
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