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Abstract #1043

Validating DCE-MRI estimates of leakage volumes associated with subtle blood-brain barrier dysfunction using two-photon microscopy.

Martin Kozár1,2, Sarah Al-Bachari3, Laura Parkes2,4, Hervé Boutin5,6, Ingo Schiessl2,6, and Ben R Dickie1,2
1Division of Informatics, Imaging, and Data Sciences, School of Health Sciences, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester, United Kingdom, 2Geoffrey Jefferson Brain Research Center, Manchester Academic Health Science Center, The University of Manchester, Manchester, United Kingdom, 3University College London, London, United Kingdom, 4Division of Psychology, Communication and Human Neuroscience, School of Health Sciences, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester, United Kingdom, 5UMR 1253, iBrain, Inserm, Bat Planiol, UFR de Médecine, Université de Tours, Tours, France, 6Division of Neuroscience, School of Biological Sciences, Faculty of Biology, Medicine and Health, Manchester Academic Health Science Centre, The University of Manchester, Manchester, United Kingdom

Synopsis

Keywords: Contrast Agents, DSC & DCE Perfusion

Motivation: DCE-MRI can be used to quantify subtle blood-brain barrier disruption. In this setting, it is generally assumed that contrast agent has access to the entire interstitial space. Prior work from our group indicates that contrast agent has access to a leakage volume much smaller than the interstitial space.

Goal(s): To provide independent validation of DCE-MRI leakage-to-vessel volume ratios (ve/vb) in the case of subtle BBB impairment.

Approach: The ve/vb ratio of Sulphorhodamine-101 (MW = 606.7g/mol) was measured in mouse brain using two-photon microscopy and compared to DCE-MRI estimates.

Results: The ve/vb ratio of sulphorhodamine-101 agrees well with DCE-MRI estimates.

Impact: Our results indicate that DCE-MRI kinetic models that assume infinite leakage volume (e.g. Patlak model) do not accurately reflect how Gd-DOTA distributes within the brain when BBB impairment is subtle.

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