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Research ArticleHead and NeckT

CT Perfusion of the Neck: Internal Carotid Artery versus External Carotid Artery as the Reference Artery

A.C. Miracle, A. Rezaei, D. Gandhi and S.K. Mukherji
American Journal of Neuroradiology September 2009, 30 (8) 1598-1601; DOI: https://doi.org/10.3174/ajnr.A1531
A.C. Miracle
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A. Rezaei
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D. Gandhi
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S.K. Mukherji
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    Fig 1.

    PCT imaging with ICA reference of a patient with right tongue base squamous cell carcinoma. A, Axial contrast-enhanced CT scan shows a mass involving the right tongue base. Regions of interest have been placed in the ICA (1), the internal jugular vein (2), and the tumor (3). B, Time-enhancement curve for the patient shown in A. The first peak is arterial enhancement; the second is venous (arrows). The flat curve at the bottom represents tissue region-of-interest (3) enhancement. C, Fractional tissue BF map for the patient in A. There is increased fractional tissue BF in the region of the mass lesion compared with surrounding tissue. D, PS map for the same patient. The tumor site displays increased capillary permeability compared with surrounding tissue.

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    Fig 2.

    PCT imaging with ECA reference of the same patient depicted in Fig 1. A, Regions of interest have been placed in the ECA (1), the internal jugular vein (2), and tumor (3). B, Time-enhancement curve for the patient shown in A. The first peak is ECA enhancement; the second is venous enhancement (arrows). C, The fractional tissue BF map for the patient in A generated with ECA reference is similar to that generated by using the ICA as the reference function. D, PS map generated with ECA reference demonstrates increased capillary permeability similar to that generated by using the ICA as reference.

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    Fig 3.

    Scatterplots of perfusion parameter measurements derived with an ECA arterial reference compared with the ICA. r values are the Pearson product moment correlation coefficients. All correlations are significant (P < .05).

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    Table 1:

    Summary of patient characteristics

    Patient No.Age (yr)SexTumor LocationStage
    159MLeft tongue baseT4N2cM0
    350FOral tongueT3N0M0
    449FEpiglottisT2N0M0
    540MRight floor of mouthT4N2bM1
    866MEpiglottisT3N0M0
    941MLeft buccal areaT3N0M0
    1056MValleculaT2N2aM0
    1156MRight tonsilT4N2bM0
    1259MRight tonsilT4N2bM0
    1372FLeft tongue baseT4N0M0
    1446MLeft tonsilT1N2aM0
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    Table 2:

    Perfusion parameter values derived with ICA and ECA reference*

    ValuesICAECADifference between MeansP Value
    BF (mL/100 g/min)89.25 ± 34.4290.93 ± 43.94−1.67 ± 15.17.7221
    BV (mL/100 g)4.07 ± 1.464.38 ± 1.78−0.31 ± 0.46.0488
    MTT (s)4.03 ± 1.364.26 ± 1.19−0.23 ± 0.72.3190
    Capillary PS (mL/100 g/min)27.68 ± 6.2526.74 ± 5.450.94 ± 4.12.4676
    • Note:—ICA indicates internal carotid artery; ECA, external carotid artery; BF, blood flow; BV, blood volume; MTT, mean transit time; PS, permeability surface-area product.

    • * Data are mean ± SD.

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American Journal of Neuroradiology: 30 (8)
American Journal of Neuroradiology
Vol. 30, Issue 8
1 Sep 2009
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Cite this article
A.C. Miracle, A. Rezaei, D. Gandhi, S.K. Mukherji
CT Perfusion of the Neck: Internal Carotid Artery versus External Carotid Artery as the Reference Artery
American Journal of Neuroradiology Sep 2009, 30 (8) 1598-1601; DOI: 10.3174/ajnr.A1531

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CT Perfusion of the Neck: Internal Carotid Artery versus External Carotid Artery as the Reference Artery
A.C. Miracle, A. Rezaei, D. Gandhi, S.K. Mukherji
American Journal of Neuroradiology Sep 2009, 30 (8) 1598-1601; DOI: 10.3174/ajnr.A1531
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  • Perfusion CT of Head and Neck Cancer: Effect of Arterial Input Selection
    Ahmed M. Tawfik, Ahmed A. Abdel Razek, Lamiaa G. Elsorogy, Nermin Y. Soliman, J. Matthias Kerl, Martin G. Mack, Thomas J. Vogl
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  • CT perfusion measurements of head and neck carcinoma from single section with largest tumor dimensions or average of multiple sections: Agreement between the two methods and effect on intra- and inter-observer agreement
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  • Effect of Increasing the Sampling Interval to 2 Seconds on the Radiation Dose and Accuracy of CT Perfusion of the Head and Neck
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    Journal of Computer Assisted Tomography 2014 38 3
  • The Accuracy of Computed Tomographic Perfusion in Detecting Recurrent Nasopharyngeal Carcinoma After Radiation Therapy
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    Journal of Computer Assisted Tomography 2011 35 1

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  • Correlation of Apparent Diffusion Coefficient at 3T with Prognostic Parameters of Retinoblastoma
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  • Efficacy of Diffusion-Weighted Imaging for the Differentiation between Lymphomas and Carcinomas of the Nasopharynx and Oropharynx: Correlations of Apparent Diffusion Coefficients and Histologic Features
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