Effects of Post-Labeling Delay on Magnetic Resonance Evaluation of Brain Tumor Blood Flow Using Arterial Spin Labeling

We investigated the effect of post-labeling delay (PLD) on the evaluation of brain tumor blood flow using arterial spin labeling (ASL) magnetic resonance (MR) imaging to assess the need for imaging with two PLDs. Retrospective analysis was conducted on 63 adult patients with brain tumors who underwe...

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Main Authors: Ryutaro Ukisu, Yusuke Inoue, Hirofumi Hata, Yoshihito Tanaka, Rie Iwasaki
Format: Article
Language:English
Published: MDPI AG 2023-02-01
Series:Tomography
Subjects:
Online Access:https://www.mdpi.com/2379-139X/9/1/36
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author Ryutaro Ukisu
Yusuke Inoue
Hirofumi Hata
Yoshihito Tanaka
Rie Iwasaki
author_facet Ryutaro Ukisu
Yusuke Inoue
Hirofumi Hata
Yoshihito Tanaka
Rie Iwasaki
author_sort Ryutaro Ukisu
collection DOAJ
description We investigated the effect of post-labeling delay (PLD) on the evaluation of brain tumor blood flow using arterial spin labeling (ASL) magnetic resonance (MR) imaging to assess the need for imaging with two PLDs. Retrospective analysis was conducted on 63 adult patients with brain tumors who underwent contrast-enhanced MR imaging including ASL imaging with PLDs of both 1525 and 2525 ms on a 1.5 T or 3 T MR unit. Blood flow was estimated in the tumors and normal-appearing brain parenchyma, and tumor blood flow was normalized by parenchymal flow. Estimates of tumor blood flow, parenchymal flow, and normalized tumor flow showed no statistically significant differences between PLDs of 1525 and 2525 ms. Close correlations between different PLDs were found, with the closest correlation for normalized tumor flow. These results were similarly observed for the 1.5 T and 3 T units. The blood flow estimates obtained using ASL MR imaging in patients with brain tumors were highly concordant between PLDs of 1525 and 2525 ms, irrespective of the magnetic field strength. It is indicated that imaging with a single, standard PLD is acceptable for ASL assessment of brain tumor perfusion and that additional imaging with a long PLD is not required.
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spelling doaj.art-84adc2d296544b7ea819585d2e5f840b2023-11-16T23:36:46ZengMDPI AGTomography2379-13812379-139X2023-02-019143944810.3390/tomography9010036Effects of Post-Labeling Delay on Magnetic Resonance Evaluation of Brain Tumor Blood Flow Using Arterial Spin LabelingRyutaro Ukisu0Yusuke Inoue1Hirofumi Hata2Yoshihito Tanaka3Rie Iwasaki4Department of Diagnostic Radiology, Kitasato University School of Medicine, Sagamihara 252-0374, Kanagawa, JapanDepartment of Diagnostic Radiology, Kitasato University School of Medicine, Sagamihara 252-0374, Kanagawa, JapanDepartment of Radiology, Kitasato University Hospital, Sagamihara 252-0375, Kanagawa, JapanDepartment of Radiology, Kitasato University Hospital, Sagamihara 252-0375, Kanagawa, JapanDepartment of Diagnostic Radiology, Kitasato University School of Medicine, Sagamihara 252-0374, Kanagawa, JapanWe investigated the effect of post-labeling delay (PLD) on the evaluation of brain tumor blood flow using arterial spin labeling (ASL) magnetic resonance (MR) imaging to assess the need for imaging with two PLDs. Retrospective analysis was conducted on 63 adult patients with brain tumors who underwent contrast-enhanced MR imaging including ASL imaging with PLDs of both 1525 and 2525 ms on a 1.5 T or 3 T MR unit. Blood flow was estimated in the tumors and normal-appearing brain parenchyma, and tumor blood flow was normalized by parenchymal flow. Estimates of tumor blood flow, parenchymal flow, and normalized tumor flow showed no statistically significant differences between PLDs of 1525 and 2525 ms. Close correlations between different PLDs were found, with the closest correlation for normalized tumor flow. These results were similarly observed for the 1.5 T and 3 T units. The blood flow estimates obtained using ASL MR imaging in patients with brain tumors were highly concordant between PLDs of 1525 and 2525 ms, irrespective of the magnetic field strength. It is indicated that imaging with a single, standard PLD is acceptable for ASL assessment of brain tumor perfusion and that additional imaging with a long PLD is not required.https://www.mdpi.com/2379-139X/9/1/36magnetic resonance imagingarterial spin labelingblood flowbrain tumorpost-labeling delay
spellingShingle Ryutaro Ukisu
Yusuke Inoue
Hirofumi Hata
Yoshihito Tanaka
Rie Iwasaki
Effects of Post-Labeling Delay on Magnetic Resonance Evaluation of Brain Tumor Blood Flow Using Arterial Spin Labeling
Tomography
magnetic resonance imaging
arterial spin labeling
blood flow
brain tumor
post-labeling delay
title Effects of Post-Labeling Delay on Magnetic Resonance Evaluation of Brain Tumor Blood Flow Using Arterial Spin Labeling
title_full Effects of Post-Labeling Delay on Magnetic Resonance Evaluation of Brain Tumor Blood Flow Using Arterial Spin Labeling
title_fullStr Effects of Post-Labeling Delay on Magnetic Resonance Evaluation of Brain Tumor Blood Flow Using Arterial Spin Labeling
title_full_unstemmed Effects of Post-Labeling Delay on Magnetic Resonance Evaluation of Brain Tumor Blood Flow Using Arterial Spin Labeling
title_short Effects of Post-Labeling Delay on Magnetic Resonance Evaluation of Brain Tumor Blood Flow Using Arterial Spin Labeling
title_sort effects of post labeling delay on magnetic resonance evaluation of brain tumor blood flow using arterial spin labeling
topic magnetic resonance imaging
arterial spin labeling
blood flow
brain tumor
post-labeling delay
url https://www.mdpi.com/2379-139X/9/1/36
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