Purpose: To evaluate microvascular and relaxation parameters of prostate and nearby muscle in patients with benign prostatic hyperplasia (BPH), and to examine measurement reproducibility.
Materials and Methods:In this prospective study, 13 patients with BPH were imaged twice prior to surgery. The imaging protocol included a three-dimensional (3D) inversion-recovery turbo field-echo measurement of T 1 , a multiecho measurement of T 2 , and a high temporal resolution (1.5 seconds per volume) dynamic contrast-enhanced (DCE) acquisition. The DCE data were analyzed using a distributed parameter tracer kinetics model to provide estimates of perfusion (F b ), extraction fraction (E), mean transit time (T c ), and extravascular-extracellular volume (v e ) in both the central gland (CG) and the peripheral zone (PZ) of the prostate, and in nearby muscle. Precision of these estimates was calculated using a bootstrap technique and the reproducibility was evaluated using the within-patient coefficient of variation (wCV).
Results:The microvascular parameters were estimated in the prostate with high precision; in particular, E, F b , and v e had median CVs of Յ6%, Յ4 %, and Յ5%, respectively. Reproducibilities of the T 1 and T 2 measurements were excellent (wCV Յ 4%), and reproducibility of the other parameters reflected values seen in previous studies.
Conclusion:Microvascular and relaxation properties of BPH can be measured precisely with reproducibilities for a distributed parameter tracer kinetics model that are comparable to those for a simpler model. Measurements of T 1 and T 2 were highly reproducible.