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Abstract #2350

Novel MR Method to Detect Non-Normoxic Tissue Based on Cluster Analysis of the Dynamic R2* and R1 Response to a Hyperoxic Respiratory Challenge

Stefanie Remmele1, Alois Martin Sprinkart2, Andreas Mller2, Frank Trber2, M von Lehe3, Jrgen Gieseke, 24, Sebastian Flacke, 25, Winfried A. Willinek2, Julien Sngas1, Jochen Keupp1, Hans H. Schild2, Petra Mrtz2

1Philips Research, Hamburg, Germany; 2Department of Radiology, University of Bonn, Bonn, Germany; 3Department of Neurosurgery, University of Bonn, Bonn, Germany; 4Philips Healthcare, Best, Netherlands; 5Department of Radiology, Tufts University Medical School, MA, United States

This work describes a novel approach of how to analyze the multi-parametric response to a respiratory challenge in order to differentiate normoxic from non-normoxic tissue. The technique is based on the simultaneous measurement of the change of two relaxation parameters (R1 and R2*) during inhalation of oxygen-enriched air. (dR2*,dR1) scatter-plots are used to identify tissue voxels with an response behavior presumably related to abnormal oxygen function or oxygenation. We present abnormal response maps that visualize these non-normoxic voxels for 4 patients with intracranial tumors.

Keywords

abnormalities according accuracy amount amplitude amplitudes analyze anatomical anatomies assessment assumed best blood cancer carried caused challenge challenges classified clinical cluster coded coil combined complex comprehensive confounding consent content corrected decay define defined delivered depends depicted depicting depiction described describes detect detection differentiate differently ding display dissolved distance distinct dynamic edema either enhanced excluded expected extrapolated findings flow fluid fraction frank functions global graphical green important included increasing influence invasive larger largest limitation located lowest lymphoma majority manually maps martin metastasis minimize mostly need neighbors neurosurgery novel outbalance outliers outside oxygen oxygenation paramagnetic parametric parts patients perfused plot plots processes proposed quadrature radiation radiology reflect relate related represented residual resolution respiratory respond response rest robustness routine saturation scanner scatter school section sections seems selection sensitivity separating slabs slightly specificity spoiled steady still studies temporal therapies therapy threshold thresholds tissue tool treatments tumor tumors underwent valuable veins volume volunteer wise written zero