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Improved Turnaround Times | Median time to first decision: 12 days

OtherBrain

Acquisition Time and Reproducibility of Continuous Arterial Spin-Labeling Perfusion Imaging at 3T

S. Gevers, C.B.L.M. Majoie, X.W. van den Tweel, C. Lavini and A.J. Nederveen
American Journal of Neuroradiology May 2009, 30 (5) 968-971; DOI: https://doi.org/10.3174/ajnr.A1454
S. Gevers
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C.B.L.M. Majoie
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X.W. van den Tweel
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C. Lavini
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A.J. Nederveen
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  • Fig 1.
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    Fig 1.

    Bland Altman plot of intrascan (A), intrasession (B), and intersession (C) WB-CBF differences plotted against mean WB-CBF. WB intrascan, intrasession, and intersession CBF differences are randomly distributed and are not dependent on mean WB-CBF. Dotted lines indicate that the mean WB-CBF difference ± 1.96 SD. 95% of the differences between repeated measurements are within 1.96 SD of the mean difference.

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    Fig 2.

    Absolute WB-CBF difference, as a function of the number of averages. Steady CBF values are reached after 20 averages.

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    Fig 3.

    Intrasession and intersession ICC as a function of the number of averages.

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    Fig 4.

    CASL sections obtained at 3T with 10, 20, 30, 40, and 50 averages, respectively (left to right); no clear differences are visible between perfusion images on the basis of 20 and 50 averages.

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    Table 1:

    WB and vascular region CBF means and SDs

    Means ± SD (ml/100 g/min)WBRACALACARMCALMCARPCALPCA
    All sessions56.1 ± 11.160.2 ± 12.561.9 ± 13.563.8 ± 14.161.8 ± 13.854.8 ± 13.053.0 ± 14.2
        Male54.2 ± 9.2
        Female58.1 ± 12.6
    Mean Session I56.0 ± 12.160.4 ± 14.061.5 ± 14.563.0 ± 16.062.0 ± 14.054.2 ± 13.552.9 ± 13.4
    Mean Session II55.6 ± 9.559.8 ± 10.461.0 ± 11.663.2 ± 11.161.0 ± 13.255.2 ± 12.153.0 ± 14.2
    Mean Session III56.8 ± 12.060.3 ± 13.563.0 ± 14.765.4 ± 15.562.3 ± 14.755.2 ± 13.853.0 ± 15.5
    • Note:—CBF indicates cerebral blood flow; LACA, left anterior cerebral artery; LMCA, left middle cerebral artery; LPCA, left posterior cerebral artery; RACA, right anterior cerebral artery; RMCA, right middle cerebral artery; RPCA, right posterior cerebral artery; WB, whole brain.

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    Table 2:

    Intrascan reproducibility on the basis of the measurement differences between the first 25 and the last 25 averages

    ReproducibilityWBRACALACARMCALMCARPCALPCA
    Intrascan
        RI (mL/100 g/min)10.212.413.112.213.512.811.6
        ICC (95% CI)0.88 (0.81–0.93)0.86 (0.78–0.92)0.87 (0.79–0.92)0.89 (0.83–0.93)0.86 (0.78–0.92)0.87 (0.79–0.92)0.91 (0.85–0.95)*
    • Note:—CI indicates confidence interval; ICC, intraclass correlation coefficient; RI, repeatability index.

    • * Log10 transformed data used in the calculation of the ICC.

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    Table 3:

    Intrasession and intersession reproducibility on the basis of 20 averages

    Reproducibility 20 averagesWBRACALACARMCALMCARPCALPCA
    Intrasession
        RI (ml/100 g/min)10.713.313.713.412.614.114.7
        ICC (95% CI)0.85 (0.72–0.93)0.82 (0.65–0.91)0.85 (0.70–0.92)0.86 (0.73–0.93)0.87 (0.75–0.94)0.82 (0.66–0.91)0.79 (0.60–0.89)*
    Intersession
        RI (mL/100 g/min)16.818.020.721.719.417.516.0
        ICC (95% CI)0.61 (0.24–0.87)0.63 (0.27–0.88)0.62 (0.25–0.87)0.60 (0.22–0.87)0.68 (0.33–0.90)0.70 (0.37–0.91)0.78 (0.50–0.93)*
    • * Log10 transformed data used in the calculation of the ICC.

    • View popup
    Table 4:

    Intrasession and intersession reproducibility based on 50 averages

    Reproducibility 50 averagesWBRACALACARMCALMCARPCALPCA
    Intrasession
        RI (mL/100 g/min)10.713.714.113.212.214.111.1
        ICC (95% CI)0.88 (0.76–0.94)0.85 (0.70–0.92)0.86 (0.73–0.93)0.89 (0.78–0.95)0.90 (0.80–0.95)0.85 (0.71–0.93)0.90 (0.80–0.95)*
    Intersession
        RI (ml/100 g/min)14.214.016.619.517.013.812.4
        ICC (95% CI)0.78 (0.49–0.93)0.83 (0.59–0.95)0.79 (0.52–0.94)0.74 (0.43–0.92)0.80 (0.53–0.94)0.84 (0.62–0.95)0.89 (0,72–0,97)*
    • * Log10 transformed data used in the calculation of the ICC.

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American Journal of Neuroradiology: 30 (5)
American Journal of Neuroradiology
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S. Gevers, C.B.L.M. Majoie, X.W. van den Tweel, C. Lavini, A.J. Nederveen
Acquisition Time and Reproducibility of Continuous Arterial Spin-Labeling Perfusion Imaging at 3T
American Journal of Neuroradiology May 2009, 30 (5) 968-971; DOI: 10.3174/ajnr.A1454

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Acquisition Time and Reproducibility of Continuous Arterial Spin-Labeling Perfusion Imaging at 3T
S. Gevers, C.B.L.M. Majoie, X.W. van den Tweel, C. Lavini, A.J. Nederveen
American Journal of Neuroradiology May 2009, 30 (5) 968-971; DOI: 10.3174/ajnr.A1454
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