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Dynamic Contrast-Enhanced Imaging

  • Aritrick Chatterjee
  • Federico Pineda
  • Gregory S. Karczmar
  • Aytekin OtoEmail author
Chapter
  • 44 Downloads

Abstract

DCE-MRI involves the acquisition of serial T1-weighted images of the prostate before and after the bolus injection of a gadolinium-based contrast agent. Prostate cancers (PCa) show early enhancement due to increased vascularity or angiogenesis. Increased capillary permeability leads to higher uptake of contrast agent that shortens T1 relaxation time, and therefore cancers show up as hyperintense relative to surrounding tissue. PI-RADS v2 recommends imaging with an in-plane resolution ≤2 × 2 mm with 3 mm slice thickness without any gaps between slices that match diffusion-weighted images. The use of temporal resolution of <15 s (<7 s preferred) without any gaps in acquisition for over 2 min is recommended. In addition to qualitative analysis, semiquantitative (curve type, EMM) and quantitative analysis (Tofts pharmacokinetic model) can be used for PCa diagnosis. Prostate cancers are characterized by increased contrast media transfer coefficient (Ktrans) and typically a type 3 signal curve with increased wash-in and washout rate compared to benign tissue. Currently, DCE is still an essential component of the mpMRI prostate examination; however, its role in determination of PI-RADS v2.1 assessment category is secondary to T2W and DWI.

Keywords

Prostate cancer DCE-MRI Contrast agent Tofts model Multiparametric MRI PI-RADS Gadolinium Signal enhancement Signal washout 

Notes

Disclosures

Dr Aritrick Chatterjee, Dr Federico Pineda and Dr Gregory Karczmar have no disclosures.

Dr Aytekin Oto has the following disclosures. Research Grant, Koninklijke Philips NV Research Grant, Guerbet SA Research Grant, Profound Medical Inc. Medical Advisory Board, Profound Medical Inc Speaker, Bracco Group.

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Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Aritrick Chatterjee
    • 1
    • 2
  • Federico Pineda
    • 1
  • Gregory S. Karczmar
    • 1
    • 2
  • Aytekin Oto
    • 1
    • 2
    Email author
  1. 1.University of Chicago, Department of RadiologyChicagoUSA
  2. 2.University of Chicago, Sanford J. Grossman Center of Excellence in Prostate Imaging and Image Guided TherapyChicagoUSA

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