Quantitative colorectal cancer perfusion measurement using dynamic contrast-enhanced multidetector-row computed tomography: effect of acquisition time and implications for protocols

J Comput Assist Tomogr. 2005 Jan-Feb;29(1):59-63. doi: 10.1097/01.rct.0000152847.00257.d7.

Abstract

Objective: To determine the effect of acquisition time on quantitative colorectal cancer perfusion measurement.

Methods: Dynamic contrast-enhanced computed tomography (CT) was performed prospectively in 10 patients with histologically proven colorectal cancer using 4-detector row CT (Lightspeed Plus; GE Healthcare Technologies, Waukesha, WI). Tumor blood flow, blood volume, mean transit time, and permeability were assessed for 3 acquisition times (45, 65, and 130 seconds). Mean values for all 4 perfusion parameters for each acquisition time were compared using the paired t test.

Results: Significant differences in permeability values were noted between acquisitions of 45 seconds and 65 and 130 seconds, respectively (P=0.02, P=0.007). There was no significant difference for values of blood volume, blood flow, and mean transit time between any of the acquisition times.

Conclusions: Scan acquisitions of 45 seconds are too short for reliable permeability measurement in the abdomen. Longer acquisition times are required.

MeSH terms

  • Adenocarcinoma / blood supply
  • Adenocarcinoma / diagnostic imaging*
  • Adenocarcinoma / metabolism
  • Adult
  • Aged
  • Aged, 80 and over
  • Blood Volume / physiology
  • Colonic Neoplasms / blood supply
  • Colonic Neoplasms / diagnostic imaging*
  • Colonic Neoplasms / metabolism
  • Contrast Media* / pharmacokinetics
  • Female
  • Humans
  • Image Processing, Computer-Assisted / methods
  • Iopamidol / pharmacokinetics
  • Male
  • Middle Aged
  • Permeability
  • Prospective Studies
  • Rectal Neoplasms / blood supply
  • Rectal Neoplasms / diagnostic imaging*
  • Rectal Neoplasms / metabolism
  • Regional Blood Flow / physiology
  • Time Factors
  • Tissue Distribution
  • Tomography, Spiral Computed / methods*

Substances

  • Contrast Media
  • Iopamidol