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Abstract #5418

Multicentre pediatric brain tumour dynamic susceptibility contrast (DSC-) MRI with contrast agent leakage correction

Stephanie Withey1,2,3, Jan Novak4, Lesley MacPherson5, Laurence Abernethy6, Barry Pizer7, Richard Grundy8, Simon Bailey9, Dipayan Mitra10, Theodoros Arvanitis2,3,11, Dorothee Auer12, Shivaram Avula6, and Andrew Peet2,3

1RRPPS, University Hospitals Birmingham NHS Foundation Trust, Birmingham, United Kingdom, 2Oncology, Birmingham Children's Hospital, Birmingham, United Kingdom, 3Institute of Cancer and Genomic Sciences, University of Birmingham, Birmingham, United Kingdom, 4Aston University, Birmingham, United Kingdom, 5Radiology, Birmingham Children's Hospital, Birmingham, United Kingdom, 6Radiology, Alder Hey Children's NHS Foundation Trust, Liverpool, United Kingdom, 7Oncology, Alder Hey Children's NHS Foundation Trust, Liverpool, United Kingdom, 8The Children’s Brain Tumour Research Centre, University of Nottingham, Nottingham, United Kingdom, 9Sir James Spence Institute of Child Health, Royal Victoria Infirmary, Newcastle upon Tyne, United Kingdom, 10Neuroradiology, The Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, United Kingdom, 11Institute of Digital Healthcare, University of Warwick, Coventry, United Kingdom, 12Sir Peter Mansfield Imaging Centre, University of Nottingham, Nottingham, United Kingdom

Dynamic susceptibility contrast (DSC-) MRI provides measures of relative cerebral blood volume (rCBV) in pediatric brain tumors. Correction of rCBV for the effects of contrast agent leakage can be done using post-processing techniques. Forty pediatric patients with high and low grade tumors underwent DSC-MRI scans pre-treatment at four centers. DSC-data was analyzed with and without leakage correction to calculate rCBV and the leakage parameter, K2. There were significant differences between all parameters when comparing the high and low grade tumor groups. Low grade tumors tended to show T1-dominant leakage effects while high grade tumors showed predominantly T2* dominance.

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