Application of Distributed Parameter Model to Assessment of Glioma IDH Mutation Status by Dynamic Contrast-Enhanced Magnetic Resonance Imaging

Joint Authors

He, Bo
Li, Yanxi
Li, Zongfang
Zhang, Zhuo
Koh, Tong San
Zeng, Yizhen
Zhang, Jingzhong
Hou, Zujun
Zhao, Wei

Source

Contrast Media & Molecular Imaging

Issue

Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-11, 11 p.

Publisher

Hindawi Publishing Corporation

Publication Date

2020-11-23

Country of Publication

Egypt

No. of Pages

11

Main Subjects

Diseases
Medicine

Abstract EN

Previous studies using contrast-enhanced imaging for glioma isocitrate dehydrogenase (IDH) mutation assessment showed promising yet inconsistent results, and this study attempts to explore this problem by using an advanced tracer kinetic model, the distributed parameter model (DP).

Fifty-five patients with glioma examined using dynamic contrast-enhanced imaging sequence at a 3.0 T scanner were retrospectively reviewed.

The imaging data were processed using DP, yielding the following parameters: blood flow F, permeability-surface area product PS, fractional volume of interstitial space Ve, fractional volume of intravascular space Vp, and extraction ratio E.

The results were compared with the Tofts model.

The Wilcoxon test and boxplot were utilized for assessment of differences of model parameters between IDH-mutant and IDH-wildtype gliomas.

Spearman correlation r was employed to investigate the relationship between DP and Tofts parameters.

Diagnostic performance was evaluated using receiver operating characteristic (ROC) curve analysis and quantified using the area under the ROC curve (AUC).

Results showed that IDH-mutant gliomas were significantly lower in F (P = 0.018), PS (P<0.001), Vp (P<0.001), E (P<0.001), and Ve (P = 0.002) than IDH-wildtype gliomas.

In differentiating IDH-mutant and IDH-wildtype gliomas, Vp had the best performance (AUC = 0.92), and the AUCs of PS and E were 0.82 and 0.80, respectively.

In comparison, Tofts parameters were lower in Ktrans (P = 0.013) and Ve (P<0.001) for IDH-mutant gliomas.

No significant difference was observed in Kep (P = 0.525).

The AUCs of Ktrans, Ve, and Kep were 0.69, 0.79, and 0.55, respectively.

Tofts-derived Ve showed a strong correlation with DP-derived Ve (r > 0.9, P<0.001).

Ktrans showed a weak correlation with F (r < 0.3, P > 0.16) and a very weak correlation with PS (r < 0.06, P > 0.8), both of which were not statistically significant.

The findings by DP revealed a tissue environment with lower vascularity, lower vessel permeability, and lower blood flow in IDH-mutant than in IDH-wildtype gliomas, being hostile to cellular differentiation of oncogenic effects in IDH-mutated gliomas, which might help to explain the better outcomes in IDH-mutated glioma patients than in glioma patients of IDH-wildtype.

The advantage of DP over Tofts in glioma DCE data analysis was demonstrated in terms of clearer elucidation of tissue microenvironment and better performance in IDH mutation assessment.

American Psychological Association (APA)

Li, Zongfang& Zhao, Wei& He, Bo& Koh, Tong San& Li, Yanxi& Zeng, Yizhen…[et al.]. 2020. Application of Distributed Parameter Model to Assessment of Glioma IDH Mutation Status by Dynamic Contrast-Enhanced Magnetic Resonance Imaging. Contrast Media & Molecular Imaging،Vol. 2020, no. 2020, pp.1-11.
https://search.emarefa.net/detail/BIM-1139277

Modern Language Association (MLA)

Li, Zongfang…[et al.]. Application of Distributed Parameter Model to Assessment of Glioma IDH Mutation Status by Dynamic Contrast-Enhanced Magnetic Resonance Imaging. Contrast Media & Molecular Imaging No. 2020 (2020), pp.1-11.
https://search.emarefa.net/detail/BIM-1139277

American Medical Association (AMA)

Li, Zongfang& Zhao, Wei& He, Bo& Koh, Tong San& Li, Yanxi& Zeng, Yizhen…[et al.]. Application of Distributed Parameter Model to Assessment of Glioma IDH Mutation Status by Dynamic Contrast-Enhanced Magnetic Resonance Imaging. Contrast Media & Molecular Imaging. 2020. Vol. 2020, no. 2020, pp.1-11.
https://search.emarefa.net/detail/BIM-1139277

Data Type

Journal Articles

Language

English

Notes

Includes bibliographical references

Record ID

BIM-1139277