Comparison of tumor histology to dynamic contrast enhanced magnetic resonance imaging-based physiological estimates

Purpose

The purpose of this study was to compare histologically determined cellularity and extracellular space to dynamic contrast-enhanced magnetic resonance imaging (DCE MRI)-based maps of a two-compartment model's parameters describing tumor contrast agent extravasation, specifically tumor extravascular extracellular space (EES) volume fraction (v_e), tumor plasma volume fraction (v_p) and volume-normalized contrast agent transfer rate between tumor plasma and interstitium (K_TRANS/V_T).

Materials and Methods

Obtained v_e, v_p and K_TRANS/V_T maps were estimated from gadolinium diethylenetriamine penta-acetic acid DCE T₁-weighted gradient-echo images at resolutions of 469, 938 and 2500 μm. These parameter maps were compared at each resolution to histologically determined tumor type, and the high-resolution 469-μm maps were compared with automated cell counting using Otsu's method and a color-thresholding method for estimated intracellular (V_{intracellular}) and extracellular (V_{extracellular}) space fractions.

Results

The top five K_TRANS/V_T values obtained from each tumor at 469 and 938 μm resolutions are significantly different from those obtained at 2500 μm (P<.0001) and from one another (P=.0014). Using these top five K_TRANS/V_T values and the corresponding tumor EES volume fractions v_e, we can statistically differentiate invasive ductal carcinomas from noninvasive papillary carcinomas for the 469- and 938-μm resolutions (P=.0017 and P=.0047, respectively), but not for the 2500-μm resolution (P=.9008). The color-thresholding method demonstrated that v_e measured by DCE MRI is statistically similar to histologically determined EES. The V_{extracellular} obtained from the color-thresholding method was statistically similar to the v_e measured with DCE MRI for the top 10 K_TRANS/V_T values (P>.05). DCE MRI-based K_TRANS/V_T estimates are not statistically correlated with histologically determined cellularity.

Conclusion

DCE MRI estimates of tumor physiology are a limited representation of tumor histological features. Extracellular spaces measured by both DCE MRI and microscopic analysis are statistically similar. Tumor typing by DCE MRI is spatial resolution dependent, as lower resolutions average out contributions to voxel-based estimates of K_TRANS/V_T. Thus, an appropriate resolution window is essential for DCE MRI tumor diagnosis. Within this resolution window, the top K_TRANS/V_T values with corresponding v_e are diagnostic for the tumor types analyzed in this study.     

Detection of T2 changes in an early mouse brain tumor

The aim of the study was to determine the effect of early tumor growth on T₂ relaxation times in an experimental glioma model. A 9.4-T magnetic resonance imaging (MRI) system was used for the investigations. An animal model (n=12) of glioma was established using an intracranial inoculation of U87MGdEGFRvIII cells. The imaging studies were performed from Day 10 through Day 13 following tumor inoculation. Tumor blood vessel density was determined using quantitative immunochemistry. Tumor volume was measured daily using MR images. T₂ values of the tumor were measured in five areas across the tumor and calculated using a single exponential fitting of the echo train. The measurements on Days 10 and 13 after tumor inoculation showed a 20% increase in T₂. The changes in T₂ correlated with the size of the tumor. Statistically significant differences in T₂ values were observed between the edge of the tumor and the brain tissue on Days 11, 12 and 13 (P=.014, .008, .001, respectively), but not on Day 10 (P=.364). The results show that T₂-weighted MRI may not detect glioma during an early phase of growth. T₂ increases in growing glioma and varies heterogenously across the tumor.     

Evaluation of time-intensity curves in ductal carcinoma in situ (DCIS) and mastopathy obtained using dynamic contrast-enhanced magnetic resonance imaging

Purpose

The aim of this study was to retrospectively evaluate the ability of dynamic, contrast-enhanced magnetic resonance imaging (DCE-MRI) to differentiate between ductal carcinoma in situ (DCIS) and mastopathy by analyzing their signal intensities (SIs).

Methods

After the pre-contrast MRI was performed using a 1.5-T MRI system, DCE-MRI was performed four times following intravenous administration of contrast medium. We set the volumes of interest (VOIs) on the tumor and normal mammary gland and obtained the SIs in these VOIs. We calculated the entropy (EPY) in the pre-contrast (EPY0) and four post-contrast scans (EPY1, EPY2, EPY3, and EPY4 for the first, second, third and fourth scans, respectively) using the volume histogram method, and the wash-in (WR_in) and washout rates (WR_out) according to the Breast-Imaging Reporting and Data System developed by the American College of Radiology. We also calculated the early slope (Slope_early) from the pre- and post-contrast SIs in the tumor and normal gland. We evaluated the usefulness of the above parameters for differentiating between DCIS and mastopathy using the area under the receiver operating characteristic curve (Az).

Results

There were significant differences in EPY2 (P=.009), EPY3 (P=.017), EPY4 (P=.034), WR_in (P=.036), WR_out (P=.019), and Slope_early (P=.002) between DCIS and mastopathy. The average Az values were 0.67, 0.52, 0.64, 0.63, 0.67 and 0.70 for EPY2, EPY3, EPY4, WR_in, WR_out and Slope_early, respectively.

Conclusion

We evaluated the usefulness of various parameters calculated from SIs obtained by DCE-MRI for differentiating between DCIS and mastopathy. Our results suggested that Slope_early is more useful than EPYs, WR_in and WR_out.     

An evaluation of dosimetric characteristics of MAGIC gel modified by adding formaldehyde (MAGIC-f)

PurposeTo evaluate the dosimetric characteristics of a new formulation of MAGIC gel, called MAGIC-f, which contains the addition of 3.3% formaldehyde, resulting in a gel with increased thermal stability.MethodsMAGIC-f gel was prepared and stored in hermetically sealed plastic containers. After irradiation, magnetic resonance images (MRI) were acquired to evaluate dose and dose distribution. Dosimetric characterization was performed by means of depth dose measurements, dose response sensitivity and linearity, temporal stability, energy and dose rate dependence, dose integration using sequential beams, temperature influence during MRI acquisition and dose distribution integrity.ResultsMAGIC-f depth dose measurements are compatible with the dosimetric table data within ±4% uncertainty. The dosimeter's R₂ response varies linearly with dose at least from 0 to 6 Gy. The time–course of the sensitivity of the dosimeter following irradiation, indicated stabilization after 2 weeks. The dosimeter's response to irradiation was altered by 6% when increasing the energy from cobalt beams to 10 MV beams. The dose rate dependence of this new formulation of gel dosimeter is small: less than 2.5% for a variation from 200 to 500 cGy/min, and the dependence with the fractionation scheme is about 50% smaller than for standard MAGIC gel. The dependence on scanning temperature was also verified, and the integrity of the dose distribution was confirmed for a period of 90 days.ConclusionsThe results demonstrate the applicability of this new dosimeter in tridimensional dose distribution measurements.     

Ex vivo study of carotid endarterectomy specimens: quantitative relaxation times within atherosclerotic plaque tissues

Purpose

Previous studies reporting relaxation times within atherosclerotic plaque have typically used dedicated small-bore high-field systems and small sample sizes. This study reports quantitative T₁, T₂ and T₂^? relaxation times within plaque tissue at 1.5 T using spatially co-matched histology to determine tissue constituents.

Methods

Ten carotid endarterectomy specimens were removed from patients with advanced atherosclerosis. Imaging was performed on a 1.5-T whole-body scanner using a custom built 10-mm diameter receive-only solenoid coil. A protocol was defined to allow subsequent computation of T₁, T₂ and T₂^? relaxation times using multi-flip angle spoiled gradient echo, multi-echo fast spin echo and multi-echo gradient echo sequences, respectively. The specimens were subsequently processed for histology and individually sectioned into 2-mm blocks to allow subsequent co-registration. Each imaging sequence was imported into in-house software and displayed alongside the digitized histology sections. Regions of interest were defined to demarcate fibrous cap, connective tissue and lipid/necrotic core at matched slice-locations. Relaxation times were calculated using Levenberg-Marquardt's least squares curve fitting algorithm. A linear-mixed effect model was applied to account for multiple measurements from the same patient and establish if there was a statistically significant difference between the plaque tissue constituents.

Results

T₂ and T₂^? relaxation times were statistically different between all plaque tissues (P=.026 and P=.002 respectively) [T₂: lipid/necrotic core was lower 47±13.7 ms than connective tissue (67±22.5 ms) and fibrous cap (60±13.2 ms); T₂^?: fibrous cap was higher (48±15.5ms) than connective tissue (19±10.6 ms) and lipid/necrotic core (24±8.2 ms)]. T₁ relaxation times were not significantly different (P=.287) [T₁: Fibrous cap: 933±271.9 ms; connective tissue (1002±272.9 ms) and lipid/necrotic core (1044±304.0 ms)]. We were unable to demarcate hemorrhage and calcium following histology processing.

Conclusions

This study demonstrates that there is a significant difference between qT₂ and qT₂^? in plaque tissues types. Derivation of quantitative relaxation times shows promise for determining plaque tissue constituents.     

Prediction of early response to concurrent chemoradiotherapy in cervical cancer: Value of multi-parameter MRI combined with clinical prognostic factors

PurposeThis study aimed to investigate the prediction of early response to concurrent chemoradiotherapy (CCRT) through a combination of pretreatment multi-parametric magnetic resonance imaging (MRI) with clinical prognostic factors (CPF) in cervical cancer patients.MethodsEighty-five patients with pathologically confirmed cervical cancer underwent conventional MRI, intravoxel incoherent motion diffusion weighted imaging (IVIM-DWI), and dynamic contrast-enhanced MRI (DCE-MRI) before CCRT. The patients were divided into non- and residual tumor groups according to post-treatment MRI. Univariable and multivariable analyses were performed to pretreatment MRI parameters and CPF between the two groups, and optimal thresholds and predictive performance for post-treatment residual tumor occurrence were estimated by drawing the receiver operating characteristic (ROC) curve.ResultsThere were 52 patients in non- and 33 in residual group. The residual group showed a lower perfusion fraction (f) value and volume transfer constant (K^trans) value, a higher apparent diffusion coefficient (ADC) value, diffusion coefficient (D) value and volume fraction of extravascular extracellular space (V_e) value, and a higher stage than the non-residual tumor group (all P < .05). D, K^trans, V_e and stage were independent prognostic factors. The combination of D, K^trans and V_e improved the diagnostic performance compared with individual MRI parameters. A further combination of these three MRI parameters with stage exhibited the highest predictive performance.ConclusionsPretreatment D, K^trans, V_e and stage were independent prognostic factors for cervical cancer. The predictive capacity of multi-parametric MRI was superior to individual MRI parameters. The combination of multi-parametric MRI with CPF further improved the predictive performance.     

Interrelationships between 3-T-MRI-derived cortical and trabecular bone structure parameters and quantitative-computed-tomography-derivedbone mineral density

Recently, 3-T magnetic resonance imaging (MRI) has been introduced for bone imaging. Through higher signal-to-noise ratios, as compared to 1.5-T MRI, it promises to be a more powerful tool for the assessment of cortical and trabecular bone measures. The goal of our study was to compare MRI-derived cortical and trabecular bone measures to quantitative computed tomography (QCT)-derived bone mineral density (BMD). Using 3-T MRI in 51 postmenopausal women, apparent (app.) measures of bone volume/total volume, trabecular number (Tb.N), trabecular thickness (Tb.Th) and trabecular separation were derived at the distal radius, distal tibia and calcaneus. Cortical thickness (Ct.Th) was calculated at the distal radius and distal tibia. These measures were compared to QCT-derived BMD of the spine, hip and radius. Significant correlations (^?P<.05; ^??P<.001; ^???P<.0001) were found between spine BMD- and MRI-derived Ct.Th (r_radius=.55, ^?P<.05; r_tibia=.67, ^???P<.0001) and app. Tb.N (r_radius=.33, ^?P<.05; r_tibia=.35, ^?P<.05) at the radius and tibia. Furthermore, within the first 10 mm at the radius, an inverse correlation for Ct.Th and app. BV/TV (r_6mm=−.56, P<.001; r_10mm=−.36, P<.05) and app. Tb.Th (r_6mm=−.54, P<.001; r_10mm=−.41, P<.05) was found.     

Quantitative MRI using T1ρ and T2 in human osteoarthritic cartilage specimens: correlation with biochemical measurements and histology

Purpose

A direct correlation between T_1ρ, T₂ and quantified proteoglycan and collagen contents in human osteoarthritic cartilage has yet to be documented. We aimed to investigate the orientation effect on T_1ρ and T₂ values in human osteoarthritic cartilage and to quantify the correlation between T_1ρ, T₂ vs. biochemical composition and histology in human osteoarthritic cartilage.

Materials and methods

Thirty-three cartilage specimens were collected from patients who underwent total knee arthroplasty due to severe osteoarthritis and scanned with a 3T MR scanner for T_1ρ and T₂ quantification. Nine specimens were scanned at three different orientations with respect to the B₀: 0°, 90° and 54.7°. Core punches were taken after MRI. Collagen and proteoglycan contents were quantified using biochemical assays. Histology sections were graded using Mankin scores. The correlation between imaging parameters, biochemical contents and histological scores were studied.

Results

Both mean T_1ρ and T₂ at 54.7° were significantly higher than those measured at 90° and 0°, with T_1ρ showing less increase compared to T₂. R_1ρ (1/T_1ρ) values had a significant but moderate correlation with proteoglycan contents (R=.45, P=.002), while R₂ (1/T₂) was not correlated with proteoglycan. No significant correlation was found between relaxation times (T_1ρ or T₂) and collagen contents. The T_1ρ values of specimen sections with high Mankin scores were significantly higher than those with low Mankin scores (P<.05).

Conclusions

Quantitative MRI has a great potential to provide noninvasive imaging biomarkers for cartilage degeneration in osteoarthritis.     

MRI phantom for tissue simulation with respect to diffusion coefficient and kurtosis - Validation with injection of liposomal theranostics

This study presents gelatine-based and agar-based phantoms with an addition of glycerol, safflower oil, silicone oil and cellulose microcrystalline with a potential to cover the entire range of tissue diffusion coefficients and kurtosis values. Forty types of phantoms were prepared and examined for NMR relaxation times T₁ and T₂ and diffusional metrics D, K and ADC. Wide ranges of values of D (0.0003–0.0031 mm²s⁻¹), K (0.00–7.24) and ADC (0.0002–0.0031 mm²s⁻¹) were observed. Two of the phantoms closely mimic muscle and cortical gray matter with respect to water diffusion parameters. Although many of the presented phantoms display both D and K values within the range of human tissues, they match different tissues with respect to D and K. The imaging results for the gray matter simulating phantom injected with the liposomal solution, bear a resemblance to the particle size effect described in the literature. The phantoms presented in this work are simple in preparation and affordable tissue-simulating materials to be used primarily in development of diffusion kurtosis-based MRI methods and possibly in a preliminary assessment of MRI contrast agents. Further adjustments of the chemical compositions could potentially lead to development of new types of phantoms mimicking diffusional properties of more kinds of soft tissues.     

Dose effects on the long persistent luminescence properties of beta irradiated SrAl2O4:Eu2+, Dy3+ phosphor

The SrAl₂O₄:Eu²⁺, Dy³⁺ is a phosphor characterized by a long persistent luminescence (PLUM) when it is excited with UV–VIS light and ionizing radiation. In this paper, we study the PLUM behavior as a function of beta irradiation dose in the 0–650 Gy range with a fixed dose rate of 5 Gy/min. The PLUM intensity showed a complex decay behavior, exhibiting a near linear response in the 0–1.7 Gy low dose range and gradually increasing up to 160 Gy. The PLUM reached the saturation for higher doses (>275 Gy) with a slight decrease in the range of 300–650 Gy. In addition, a systematic PLUM enhancement was produced after a thermal cleaning procedure and irradiation at RT in a series of 10 cycles. The observed phenomenon may be related to a radiation-induced process of charge trapping accumulation, which is triggered by thermal stimulation during the irradiation stage. It improves the luminescent characteristics of SrAl₂O₄:Eu²⁺, Dy³⁺ phosphors rendering them suitable for permanent display and illumination devices.     

An investigation of the structural aspects of the tomato fruit by means of quantitative nuclear magnetic resonance imaging

In this study, magnetic resonance imaging (MRI) was applied to study the structural aspects of the tomato fruit. The main study was performed on tomatoes (cv. Tradiro) using a 0.2-T electromagnet scanner. Spin-echo images were acquired to visualize the tomato macrostructure. The air bubble content in tissues was evaluated by exploiting susceptibility effects using multiple gradient echo images. The microstructure was further studied by measuring spin–spin (T₂) and spin–lattice (T₁) relaxation time distributions. Nuclear magnetic resonance relaxometry, macro vision imaging and chemical analysis were used as complementary and independent experimental methods in order to emphasize the MRI results. MRI images showed that the air bubble content varied between tissues. The presence of gas was attested by macro vision images. Quantitative imaging showed that T₂ and T₁ maps obtained by MRI reflected the structural differences between tomato tissues and made it possible to distinguish between them. The results indicated that cell size and chemical composition contribute to the relaxation mechanism.     

Fractional order vs. exponential fitting in UTE MR imaging of the patellar tendon

PurposeQuantification of the T₂¹ relaxation time constant is relevant in various magnetic resonance imaging applications. Mono- or bi-exponential models are typically used to determine these parameters. However, in case of complex, heterogeneous tissues these models could lead to inaccurate results. We compared a model, provided by the fractional-order extension of the Bloch equation with the conventional models.MethodsAxial 3D ultra-short echo time (UTE) scans were acquired using a 3.0 T MRI and a 16-channel surface coil. After image registration, voxel-wise T₂¹ was quantified with mono-exponential, bi-exponential and fractional-order fitting. We evaluated all three models repeatability and the bias of their derived parameters by fitting at various noise levels. To investigate the effect of the SNR for the different models, a Monte-Carlo experiment with 1000 repeats was performed for different noise levels for one subject. For a cross-sectional investigation, we used the mean fitted values of the ROIs in five volunteers.ResultsComparing the mono-exponential and the fractional order T₂¹ maps, the fractional order fitting method yielded enhanced contrast and an improved delineation of the different tissues. In the case of the bi-exponential method, the long T₂¹ component map demonstrated the anatomy clearly with high contrast. Simulations showed a nonzero bias of the parameters for all three mathematical models. ROI based fitting showed that the T₂¹ values were different depending on the applied method, and they differed most for the patellar tendon in all subjects.ConclusionsIn high SNR cases, the fractional order and bi-exponential models are both performing well with low bias. However, in all observed cases, one of the bi-exponential components has high standard deviation in T₂¹. The bi-exponential model is suitable for T₂¹ mapping, but we recommend using the fractional order model for cases of low SNR.     

Hypervascular hepatocellular carcinoma in the cirrhotic liver: diffusion-weighted imaging versus superparamagnetic iron oxide-enhanced MRI

Purpose

The purpose of the study was to validate diffusion-weighted imaging (DWI) in the assessment of hypervascular hepatocellular carcinoma (HCC) compared with superparamagnetic iron oxide (SPIO)-enhanced magnetic resonance imaging (MRI) in the cirrhotic liver.

Material and Methods

Forty-six consecutive patients with 106 hypervascular focal lesions in the cirrhotic liver who underwent DWI using three b factors and gadopentetate dimeglumine-enhanced dynamic MRI followed by SPIO-enhanced MRI were enrolled. Two independent radiologists evaluated two separated image sets (SPIO set, dynamic MRI and SPIO-enhanced T2*-weighted images; DWI set, DWI and dynamic MRI) and assigned confidence levels for diagnosis of HCC using a five-point scale for each lesion. Area under the receiver operating characteristic curve (A_z) was calculated for each image set.

Results

The A_z value of the DWI set was larger than the SPIO set by both readers (reader 1, 0.936 vs. 0.900, P=.050; reader 2, 0.938 vs. 0.905, P=.110). For the sensitivity (reader 1, 93.1% vs. 86.2%, P=.146; reader 2, 95.4% vs. 88.5%, P=.070) and specificity (reader 1, 89.5% vs. 73.7%, P=.250; reader 2, 79.0% vs. 73.7%, P=1.000) of HCC diagnosis, DWI sets were superior to SPIO sets without statistically significant differences.

Conclusion

For assessment of hypervascular HCC, DWI in combination with dynamic MRI provides comparable or slightly better information compared with the combination of dynamic and SPIO-enhanced MRI.     

Gamma Knife® 3-D Dose Distribution Mapping by Magnetic Resonance Imaging

In medical processes where ionizing radiation is used, dose planning and dose delivery are the key elements to patient safety and treatment success, particularly, when the delivered dose in a single session of treatment can be an order of magnitude higher than the regular doses of radiotherapy. Therefore, the radiation dose should be well defined and precisely delivered to the target while minimizing radiation exposure to surrounding normal tissues [1]. Several methods have been proposed to obtain three-dimensional (3-D) dose distribution [2, 3]. In this paper, we propose an alternative method, which can be easily implemented in any stereotactic radiosurgery center with a magnetic resonance imaging (MRI) facility. A phantom with or without scattering centers filled with Fricke gel solution is irradiated with Gamma Knife^® system at a chosen spot. The phantom can be a replica of a human organ such as head, breast or any other organ. It can even be constructed from a real 3-D MR image of an organ of a patient using a computer-aided construction and irradiated at a specific region corresponding to the tumor position determined by MRI. The spin–lattice relaxation time T ₁ of different parts of the irradiated phantom is determined by localized spectroscopy. The T ₁-weighted phantom images are used to correlate the image pixels intensity to the absorbed dose and consequently a 3-D dose distribution with a high resolution is obtained.     

Effect of gamma irradiation on thermoluminescence and thermodynamic parameters of LiKSO4 doped with Nd2 O3

Abstract

The thermoluminescence and thermo-dynamic parameters of LiKSO₄: Nd were investigated. The effect of Nd dopant concentration in the range 0.1-1% as well as that of γ-irradiation dose in the range 56.3-3.24 × 10⁵ Gy were studied. The glow curves of the material are characterized by a double peak; each behaving seperately with radiation dose. The highest TL enhancement was obtained for Nd concentration of 0.5%; while irradiation dose of few hundreds Gy gave the best TL response. The thermodynamic parameters of LiKSO₄ doped with 0.5% Nd decreased with radiation dose up to about 5000 Gy.     

Accumulation features and TL of TLD-500 detectors in a wide temperature range at pulsed and continuous high-dose irradiation

The results of a comparative research of thermoluminescence (TL) of TLD-500 detectors based on anion-defective corundum irradiated with continuous and pulsed X-ray and pulsed electron beams in a range of doses of 0.3 ÷ 10⁷ Gy, dose rates of 0.02–2.6·10¹¹ Gy/s, and in a temperature range of 300–950 K are presented. It is found that, in contrast to continuous irradiation, upon pulsed irradiation with a duration of 10 ns and dose rate of P_P ≥ 5·10⁶ Gy/s, the first linear region of dose dependences for TL peaks at 450, 580 and 830 K is, instead of saturation, followed by a second one with a smaller slope at doses near 2, 200 and 10³ Gy. Moreover, the slope of the second region increases with growing P_P. It was also found that dose dependence for the peak at 830 K in the area of the first linear region at 10–10³ Gy remains invariable at P_P ≤ 10¹⁰ Gy/s. It is shown that the upper limit of doses registered by TLD-500 detectors can be increased to 2·10³ and 6·10⁶ Gy for continuous and pulsed irradiation, respectively. New broadband UV luminescence with a maximum hν = 4.1 eV and half width H = 0.85 eV was registered within the TL peak spectrum at 830 K. Besides, the optical depletion spectrum in which a single band with hν = 5.2 eV and H = 1.6 eV is observed was investigated for a trap causing a peak at 830 K.     

Characterization of proton NMR relaxation times in normal and pathological tissues by correlation with other tissue parameters

To help understand which tissue parameters best account for the water proton NMR relaxation times, the longitudinal relaxation time (T₂), the transverse relaxation time (T₂), and the water content of 16 tissues from normal adult rats were measured at 10.7 MHz and 29°C. Regression analyses between the above and other tissue parameters were performed. These other tissue parameters included: the amounts of various organic and inorganic components, protein synthetic rate, oxygen consumption rate, and morphological composition. In addition, the differences in T₁, T₂, and water content values between normal liver and malignant tumor (Morris #7777 a transplantable hepatoma) were studied to help understand how a disease state can be detected and characterized by NMR spectroscopy. The results of this study and information from the literature allow the following generalizations to be made about tissue T₁ and T₂ values: (1) Each normal tissue has rather consistent and characteristic T₁ and T₂ relaxation times which are always shorter than the T₁ and T₂ of bulk water; (2) tissues with higher water content tend to have longer T₁ relaxation times; (3) tissue T₂ values are not, however, as well correlated with water content as T₁ values; (4) tissues with shorter T₁ values have higher calculated hydration fractions, greater amounts of rough endoplasmic reticulum, and a greater rate of protein synthetic activity; (5) tissues with higher lipid content, associated with intracellular non-membrane bounded lipid droplets, tend to have longer T₂ values; (6) tissues with greater overall surface area, whether in the form of cellular membranes or intracellular or extracellular fibrillar macromolecules, tend to have shorter T₂ values; (7) the differences between T₁ and T₂ values between tumor and normal tissues correlated with differences in the volume fraction (amounts) of extracellular fluid volumes and in the amounts of membrane and fibrillar surface area in the cells. The above generalizations should be useful in predicting T₁ and T₂ changes associated with specific tissue pathologies.     

Diffusion-weighted imaging versus superparamagnetic iron oxide (SPIO)-enhanced MRI: exclusive and combined values in the assessment of hepatic metastases

Purpose

The purpose was to validate diffusion-weighted imaging (DWI) in the assessment of hepatic metastases compared with superparamagnetic iron oxide (SPIO)-enhanced magnetic resonance imaging.

Materials and Methods

For 21 consecutive patients with 160 metastases from extrahepatic malignancy and 25 benign focal lesions, two radiologists evaluated four separate review sessions (I, SPIO-enhanced T2?-weighted images; II, precontrast DWI; III, SPIO-enhanced T2?-weighted images and precontrast DWI; IV, SPIO-enhanced T2?-weighted images plus precontrast and SPIO-enhanced DWI) and assigned confidence levels using a five-grade scale for each hepatic lesion.

Results

The A_z values after receiver operating characteristic curve analysis for Reader 1 and Reader 2 were 0.80 and 0.75 on session I, 0.91 and 0.91 on session II, 0.97 and 0.96 on session III and 0.96 and 0.96 on session IV, respectively. The A_z value of session II was significantly higher than that of session I (Reader 1, P=.004; Reader 2, P<.001), and that of session III was significantly higher than that of session I (P<.001 for each reader) or session II (Reader 1, P=.004; Reader 2, P=.003). Although there was no significant difference of A_z value between session III and session IV (Reader 1, P=.231; Reader 2, P=.878), the sensitivity improved for session IV compared with that for session III (Reader 1, P=.031; Reader 2, P=.039).

Conclusion

In the assessment of hepatic metastases, DWI can provide more accurate information than can SPIO-enhanced images. Diagnostic accuracy can be increased even more through the combination of both techniques.     

Radiation-dose dependence of E′1 centers in samples of quartz containing uncharged oxygen vacancies

EPR is used to study the generation of E′₁ centers (oxygen vacancies that have trapped one electron) in quartz samples containing uncharged oxygen vacancies as a function of irradiation dose. It is found experimentally that an irradiation dose of order 400 Gy is sufficient to allow every oxygen vacancy to trap two electrons apiece in essentially all such quartz samples. The linear segment of the dose dependences of E′₁ centers in samples annealed at 300 °C for 15 minutes can be used to reconstruct prior radiation doses up to 60–70 Gy. If the concentration of oxygen vacancies in the original sample is larger than 10¹⁸ cm⁻³, the signal intensity from E′₁ centers in the sample can be used to detect radiation doses as low as 1–3 Gy, which is significantly lower than the minimum radiation dose detectable by other paramagnetic centers in quartz. Fiz. Tverd. Tela (St. Petersburg) 40, 651–652 (April 1998)