A limitation of the extended Tofts model (ETM) is that estimates of Ktrans, transfer constant, reflect both capillary plasma flow (Fp) and the capillary permeability-surface area product (PS). Other DCE-MRI models can separate out these physiological effects, but such models mandate high-temporal resolution data, compromising spatial resolution and volume coverage. In this in vivo brain tumor study, we demonstrate that incorporating the ETM and an early-timepoints absolute CBF (ET-CBF) method with a dual-temporal resolution, DCE-MRI approach, termed LEGATOS, permits generation of high-spatial resolution maps of Ktrans, Fp and PS, allowing high-spatial resolution interrogation of flow and permeability effects.
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