The modeling of tracer kinetics with use of low-temporal-resolution data
is of central importance for patient dose reduction in dynamic contrast-enhanced
CT (DCE-CT) study. Tracer kinetic models of the liver vary according to the
physiologic assumptions imposed on the model, and they can substantially differ
in the ways how the input for blood supply and tissue compartments are modeled.
In this study, single-input flow-limited (FL), Tofts-Kety (TK), extended TK
(ETK), Hayton-Brady (HB), two compartment exchange (2CX), and adiabatic
approximation to the tissue homogeneity (AATH) models were applied to the
analysis of liver 4-phase DCE-CT data with fully continuous-time parameter
formulation, including the bolus arrival time. The bolus arrival time for the
2CX and AATH models was described by modifying the vascular transport operator
theory. Initial results indicate that single-input tracer kinetic modeling is
feasible for distinguishing between hepatocellular carcinoma and normal liver
parenchyma.