Adam M. Winchell1,2, Ulrike Lobel1, Jan Sedlacik1, Ralf Loeffler1, Zoltan Patay1, Michael Hamm3, Claudia Hillenbrand1
1Radiological Sciences, St. Jude Children's Research Hospital, Memphis, TN, USA; 2Biomedical Engineering, University of Memphis, Memphis, TN, USA; 3Siemens Medical Solutions, USA
Perfusion weighted imaging has increasingly been used to assess brain perfusion in various clinical settings such as cerebral ischemia, arteriovenous malformations or for characterization of brain tumors. In contrast to manual and global arterial input function (AIF) selection, automated evaluation of dynamic susceptibility contrast-enhanced data using a local AIF minimizes deconvolution errors due to the effects of delay and dispersion of the contrast agent bolus. Furthermore, inter-rater variability selecting the AIF is eliminated. Aim of our study was to compare the reliability of CBF values detected by the different techniques exemplarily in a pediatric patient with diffuse brain stem glioma.