Unbound MEDLINE

A quantitative method for estimating hepatic blood flow using a dual-input single-compartment model. The British journal of radiology [Br J Radiol] Journal article

 
TitleA quantitative method for estimating hepatic blood flow using a dual-input single-compartment model.
Author(s)Miyazaki S, Murase K, Yoshikawa T, Morimoto S, Ohno Y, Sugimura K 
InstitutionDepartment of Medical Physics and Engineering, Faculty of Health Science, Graduate School of Medicine, Osaka University, 1-7 Yamadaoka, Suita-shi, Osaka 565-0871, Japan.
SourceBr J Radiol 2008 Jun 30.
AbstractThe purpose of this study was to investigate the accuracy of a quantitative method for estimating arterial hepatic blood flow and portal hepatic blood flow separately using a dual-input single-compartment model compared with the maximum slope method using computer simulations and clinical data. In computer simulations, the rate constants for the transfer of contrast agent (CA) from the hepatic artery to the liver (K1a), from the portal vein to the liver (K1p) and from the liver to the blood (k2) were estimated from simulated time-density curves with various transit times of CA from the aorta to the liver (taua) and from the portal vein to the liver (taup) using the linear least-squares (LLSQ) method. In clinical studies, dynamic CT data were acquired from 27 patients, and parametric maps of K1a, K1p and k2 were generated by applying the LLSQ method pixel by pixel. In simulation studies, taua and taup were found to have a large and a small effect on the estimates of K1a and K1p, respectively. In clinical studies, the K1a and K1p values estimated with the MS method were underestimated by 60+/-29% and 37+/-12%, respectively, compared with those estimated by the LLSQ method. In conclusion, our results suggest that correction of taua is necessary for accurately estimating K1a and K1p. Our method is therefore promising for the evaluation of hepatic blood flow in various liver diseases because it allows us to evaluate arterial hepatic blood flow and portal hepatic blood flow separately and visually.
LanguageENG
Pub Type(s)JOURNAL ARTICLE
PubMed ID18591199
  
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