Objective
To quantify hepatocellular carcinoma (HCC) perfusion and flow with
the fast exchange regime-allowed Shutter-Speed model (SSM) compared to the
Tofts model (TM).
Materials and methods
In this prospective study, 25 patients with HCC underwent DCE-MRI.
ROIs were placed in liver parenchyma, portal vein, aorta and HCC lesions.
Signal intensities were analyzed employing dual-input TM and SSM models. ART
(arterial fraction), Ktrans (contrast agent
transfer rate constant from plasma to extravascular extracellular space),
ve (extravascular extracellular volume
fraction), kep (contrast agent intravasation
rate constant), and τi (mean
intracellular water molecule lifetime) were compared between liver
parenchyma and HCC, and ART, Ktrans,
ve and kep
were compared between models using Wilcoxon tests and limits of agreement.
Test–retest reproducibility was assessed in 10 patients.
Results
ART and ve obtained with TM; ART,
ve, ke and
τi obtained with SSM were
significantly different between liver parenchyma and HCC (p
< 0.04). Parameters showed variable reproducibility (CV range
14.7–66.5 % for both models). Liver
Ktrans and ve;
HCC ve and kep were
significantly different when estimated with the two models
(p < 0.03).
Conclusion
Our results show differences when computed between the TM and the
SSM. However, these differences are smaller than parameter reproducibilities
and may be of limited clinical significance.