Phantom validation of quantitative susceptibility and dynamic contrast-enhanced permeability MR sequences across instruments and sites.

MRI cavernoma cavernous angioma cavernous malformation clinical trial dynamic contrast-enhanced quantitative permeability (DCEQP) phantom validation quantitative susceptibility mapping (QSM)

Journal

Journal of magnetic resonance imaging : JMRI
ISSN: 1522-2586
Titre abrégé: J Magn Reson Imaging
Pays: United States
ID NLM: 9105850

Informations de publication

Date de publication:
04 2020
Historique:
received: 26 06 2019
accepted: 27 08 2019
pubmed: 14 9 2019
medline: 13 5 2021
entrez: 14 9 2019
Statut: ppublish

Résumé

Quantitative susceptibility mapping (QSM) and dynamic contrast-enhanced quantitative permeability (DCEQP) on magnetic resonance (MR) have been shown to correlate with neurovascular disease progression as markers of vascular leakage and hemosiderin deposition. Applying these techniques as monitoring biomarkers in clinical trials will be necessary; however, their validation across multiple MR platforms and institutions has not been rigorously verified. To validate quantitative measurement of MR biomarkers on multiple instruments at different institutions. Phantom validation between platforms and institutions. T 3T/QSM, T Philips Ingenia, Siemens Prisma, and Siemens Skyra at three different institutions were assessed. A QSM phantom with concentrations of gadolinium, corresponding to magnetic susceptibilities of 0, 0.1, 0.2, 0.4, and 0.8 ppm was assayed. DCEQP was assessed by measuring a MultiHance bolus as the consistency of the width ratio of the curves at the input and outputs over a range of flow ratios between outputs. Each biomarker was assessed by measures of accuracy (Pearson correlation), precision (paired t-test between repeated measurements), and reproducibility (analysis of covariance [ANCOVA] between instruments). QSM accuracy of r The phantom performed as expected and determined that MR measures of QSM and DCEQP are accurate and consistent across repeated measurements and between platforms. 1 Technical Efficacy Stage: 2 J. Magn. Reson. Imaging 2020;51:1192-1199.

Sections du résumé

BACKGROUND
Quantitative susceptibility mapping (QSM) and dynamic contrast-enhanced quantitative permeability (DCEQP) on magnetic resonance (MR) have been shown to correlate with neurovascular disease progression as markers of vascular leakage and hemosiderin deposition. Applying these techniques as monitoring biomarkers in clinical trials will be necessary; however, their validation across multiple MR platforms and institutions has not been rigorously verified.
PURPOSE
To validate quantitative measurement of MR biomarkers on multiple instruments at different institutions.
STUDY TYPE
Phantom validation between platforms and institutions.
PHANTOM MODEL
T
FIELD STRENGTH/SEQUENCE
3T/QSM, T
ASSESSMENT
Philips Ingenia, Siemens Prisma, and Siemens Skyra at three different institutions were assessed. A QSM phantom with concentrations of gadolinium, corresponding to magnetic susceptibilities of 0, 0.1, 0.2, 0.4, and 0.8 ppm was assayed. DCEQP was assessed by measuring a MultiHance bolus as the consistency of the width ratio of the curves at the input and outputs over a range of flow ratios between outputs.
STATISTICAL TESTS
Each biomarker was assessed by measures of accuracy (Pearson correlation), precision (paired t-test between repeated measurements), and reproducibility (analysis of covariance [ANCOVA] between instruments).
RESULTS
QSM accuracy of r
DATA CONCLUSION
The phantom performed as expected and determined that MR measures of QSM and DCEQP are accurate and consistent across repeated measurements and between platforms.
LEVEL OF EVIDENCE
1 Technical Efficacy Stage: 2 J. Magn. Reson. Imaging 2020;51:1192-1199.

Identifiants

pubmed: 31515878
doi: 10.1002/jmri.26927
pmc: PMC7065930
mid: NIHMS1051037
doi:

Types de publication

Journal Article Research Support, N.I.H., Extramural Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

1192-1199

Subventions

Organisme : NINDS NIH HHS
ID : R01 NS093908
Pays : United States
Organisme : NINDS NIH HHS
ID : U01 NS104157
Pays : United States
Organisme : NINDS NIH HHS
ID : R01NS093908
Pays : United States

Informations de copyright

© 2019 International Society for Magnetic Resonance in Medicine.

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Auteurs

Nicholas Hobson (N)

Neurovascular Surgery Program, Section of Neurosurgery, Department of Surgery, University of Chicago Medicine and Biological Sciences, Chicago, Illinois, USA.

Sean P Polster (SP)

Neurovascular Surgery Program, Section of Neurosurgery, Department of Surgery, University of Chicago Medicine and Biological Sciences, Chicago, Illinois, USA.

Ying Cao (Y)

Neurovascular Surgery Program, Section of Neurosurgery, Department of Surgery, University of Chicago Medicine and Biological Sciences, Chicago, Illinois, USA.

Kelly Flemming (K)

Department of Neurology, Mayo Clinic, Rochester, Minnesota, USA.

Yunhong Shu (Y)

Department of Radiology, Mayo Clinic, Rochester, Minnesota, USA.

John Huston (J)

Department of Radiology, Mayo Clinic, Rochester, Minnesota, USA.

Chandra Y Gerrard (CY)

Department of Radiology, University of New Mexico, Albuquerque, New Mexico, USA.

Reed Selwyn (R)

Department of Radiology, University of New Mexico, Albuquerque, New Mexico, USA.

Marc Mabray (M)

Department of Radiology, University of New Mexico, Albuquerque, New Mexico, USA.

Atif Zafar (A)

Department of Neurology, University of New Mexico, Albuquerque, New Mexico, USA.

Romuald Girard (R)

Neurovascular Surgery Program, Section of Neurosurgery, Department of Surgery, University of Chicago Medicine and Biological Sciences, Chicago, Illinois, USA.

Julián Carrión-Penagos (J)

Neurovascular Surgery Program, Section of Neurosurgery, Department of Surgery, University of Chicago Medicine and Biological Sciences, Chicago, Illinois, USA.

Yu Fen Chen (YF)

Department of Radiology, Northwestern University, Feinberg School of Medicine, Chicago, Illinois, USA.

Todd Parrish (T)

Department of Radiology, Northwestern University, Feinberg School of Medicine, Chicago, Illinois, USA.

Xiaohong Joe Zhou (XJ)

Center for MR Research and Department of Radiology, University of Illinois at Chicago, Chicago, Illinois, USA.

James I Koenig (JI)

National Institute of Neurological Disorders and Stroke, Bethesda, Maryland, USA.

Robert Shenkar (R)

Neurovascular Surgery Program, Section of Neurosurgery, Department of Surgery, University of Chicago Medicine and Biological Sciences, Chicago, Illinois, USA.

Agnieszka Stadnik (A)

Neurovascular Surgery Program, Section of Neurosurgery, Department of Surgery, University of Chicago Medicine and Biological Sciences, Chicago, Illinois, USA.

Janne Koskimäki (J)

Neurovascular Surgery Program, Section of Neurosurgery, Department of Surgery, University of Chicago Medicine and Biological Sciences, Chicago, Illinois, USA.

Alexey Dimov (A)

Department of Diagnostic Radiology, University of Chicago Medicine and Biological Sciences, Chicago, Illinois, USA.

Dallas Turley (D)

Department of Diagnostic Radiology, University of Chicago Medicine and Biological Sciences, Chicago, Illinois, USA.

Timothy Carroll (T)

Department of Diagnostic Radiology, University of Chicago Medicine and Biological Sciences, Chicago, Illinois, USA.

Issam A Awad (IA)

Neurovascular Surgery Program, Section of Neurosurgery, Department of Surgery, University of Chicago Medicine and Biological Sciences, Chicago, Illinois, USA.

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