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Magnetic resonance imaging assessment of a convective therapy delivery paradigm in a canine prostate model

✍ Scribed by Anil M. Shetty; R. Jason Stafford; Andrew M. Elliott; Wassim Kassouf; Gordon A. Brown; L. Clifton Stephens; Peggy T. Tinkey; Luc Bidaut; Louis L. Pisters; John D. Hazle


Publisher
John Wiley and Sons
Year
2007
Tongue
English
Weight
377 KB
Volume
26
Category
Article
ISSN
1053-1807

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✦ Synopsis


Abstract

Purpose

To quantitatively investigate the feasibility of MRI as a tool for assessing the spatial distribution of a convectively delivered agent using a canine prostate model.

Materials and Methods

Canine prostates (ex vivo, n = 3; in vivo, n = 12) were injected under several injection paradigms with a solution of gadolinium‐DTPA for MR contrast and methylene blue as a grossly visible surrogate drug marker. Ex vivo and in vivo distributions were assessed at 1.5T and quantitatively compared.

Results

Measured distributions using MRI and methylene blue pathology photographs were analyzed using a Bland–Altman method. The fractional percentage volume covered (V~frac~) compared the measurements grossly: Pearson's correlation coefficients were R = 0.99 for ex vivo and R = 0.77 for in vivo (P < 0.05). The fractional percentage of area covered (A~frac~) demonstrated the high degree of spatial correlation between individual slices: R = 0.93 for ex vivo and R = 0.98 for in vivo (P < 0.05). There was no statistically observable bias in scale or offset between the measurements.

Conclusion

Measured distributions using MRI and pathology were highly correlated and unbiased, indicating the potential of MRI as a tool for quantitative assessment of interstitial delivery of injected therapies in vivo. J. Magn. Reson. Imaging 2007. © 2007 Wiley‐Liss, Inc.


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