A Fast Method of Generating Pharmacokinetic Maps from Dynamic Contrast-Enhanced Images of the Breast

A new approach to fitting pharmacokinetic models to DCE-MRI data is described. The method relies on fitting individual concentration curves to a small set of basis functions and then making use of a look up table to relate the fitting coefficients to pre-calculated pharmacokinetic parameters. This is significantly faster than traditional non-linear fitting methods. Using simulated data and assuming a Tofts model, the accuracy of this direct approach is compared to the Levenberg-Marquardt algorithm. The effect of signal to noise ratio and the number of basis functions used on the accuracy is investigated. The basis fitting approach is slightly less accurate than the traditional non-linear least squares approach but the ten-fold improvement in speed makes the new technique useful as it can be used to generate pharmacokinetic maps in a clinically acceptable timeframe.

[1]  G P Liney,et al.  Differentiation of benign and malignant sub-1 cm breast lesions using dynamic contrast enhanced MRI. , 2004, Breast.

[2]  C. Kuhl,et al.  Dynamic breast MR imaging: are signal intensity time course data useful for differential diagnosis of enhancing lesions? , 1999, Radiology.

[3]  S. Heywang,et al.  MR imaging of the breast with Gd-DTPA: use and limitations. , 1989, Radiology.

[4]  R. Warren,et al.  Magnetic resonance imaging screening in women at genetic risk of breast cancer: imaging and analysis protocol for the UK multicentre study , 2000 .

[5]  Fiona J Gilbert,et al.  Reading protocol for dynamic contrast-enhanced MR images of the breast: sensitivity and specificity analysis. , 2005, Radiology.

[6]  L R Schad,et al.  Pharmacokinetic parameters in CNS Gd-DTPA enhanced MR imaging. , 1991, Journal of computer assisted tomography.

[7]  P S Tofts,et al.  Quantitative Analysis of Dynamic Gd‐DTPA Enhancement in Breast Tumors Using a Permeability Model , 1995, Magnetic resonance in medicine.

[8]  A Horsman,et al.  Quantitative analysis of multi‐slice Gd‐DTPA enhanced dynamic MR images using an automated simplex minimization procedure , 1994, Magnetic resonance in medicine.

[9]  William H. Press,et al.  Numerical recipes in C , 2002 .

[10]  W. Kaiser,et al.  MR imaging of the breast: fast imaging sequences with and without Gd-DTPA. Preliminary observations. , 1989, Radiology.

[11]  Ellen Warner,et al.  Surveillance of BRCA1 and BRCA2 mutation carriers with magnetic resonance imaging, ultrasound, mammography, and clinical breast examination , 2004, JAMA.

[12]  T W Redpath,et al.  The use of the Levenberg–Marquardt curve-fitting algorithm in pharmacokinetic modelling of DCE-MRI data , 2005, Physics in medicine and biology.