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Published online before print April 2, 2004, 10.1148/radiol.2312030489
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(Radiology 2004;231:587-593.)
© RSNA, 2004


Technical Developments

User-defined Vascular Input Function Curves: Influence on Mean Perfusion Parameter Values and Signal-to-Noise Ratio1

Susan M. Kealey, FFR, RCSI, Vilert A. Loving, BS, David M. Delong, PhD and James D. Eastwood, MD

1 From the Departments of Radiology (S.M.K., J.D.E.) and Community and Family Medicine (D.M.D.), Duke University Medical Center, Box 3808, Durham, NC 27710; and School of Medicine, University of Pennsylvania, Philadelphia (V.A.L.). Received March 27, 2003; revision requested June 18; final revision received September 16; accepted October 8. Address correspondence to S.M.K. (e-mail: susankealey@hotmail.com).

The authors reviewed 40 computed tomographic (CT) perfusion studies to determine the effect of arterial and venous input function properties on perfusion parameter values and tissue signal-to-noise ratio (SNR). A 10-subject subset was analyzed to evaluate the effect of varying venous region of interest (ROI) locations. Venous peak enhancement correlated significantly with mean tissue cerebral blood flow (CBF) and cerebral blood volume (CBV); venous and arterial peak enhancement correlated significantly with SNR of perfusion maps. Different ROI locations within the same vein resulted in significantly different CBV and CBF values. Perfusion map parameters are related to peak enhancement within user-selected ROIs. Optimal ROI selection should limit variability and increase quality of CT perfusion images.

© RSNA, 2004

Index terms: Brain, perfusion • Computed tomography (CT), perfusion study, 14.12112




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