Mean change in Δ1/T1 using oxygen and carbogen inhalation.

Title
Cross-Visit Tumor Sub-segmentation and Registration with Outlier Rejection for Dynamic Contrast-Enhanced MRI Time Series Data
Authors
G. A. Buonaccorsi, C. J. Rose, J. P. B. O’Connor, C. Roberts, Y. Watson, A. Jackson, G. C. Jayson and G. J. M. Parker
Journal
Lecture Notes in Computer Science
Link
http://www.springerlink.com/content/h7281848v14561k5/
Year
2010
Volume
6363/2010
Number
-
Pages
121–128
Month
-
Abstract
Clinical trials of anti-angiogenic and vascular-disrupting agents often use biomarkers derived from DCE-MRI, typically reporting whole-tumor summary statistics and so overlooking spatial parameter variations caused by tissue heterogeneity. We present a data-driven segmentation method comprising tracer-kinetic model-driven registration for motion correction, conversion from MR signal intensity to contrast agent concentration for cross-visit normalization, iterative principal components analysis for imputation of missing data and dimensionality reduction, and statistical outlier detection using the minimum covariance determinant to obtain a robust Mahalanobis distance. After applying these techniques we cluster in the principal components space using k-means. We present results from a clinical trial of a VEGF inhibitor, using time-series data selected because of problems due to motion and outlier time series. We obtained spatially-contiguous clusters that map to regions with distinct microvascular characteristics. This methodology has the potential to uncover localized effects in trials using DCE-MRI-based biomarkers.