2019
DOI: 10.1016/j.ejca.2019.03.007
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Repeatability and reproducibility of relative cerebral blood volume measurement of recurrent glioma in a multicentre trial setting

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Cited by 22 publications
(29 citation statements)
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“…Automatically segmented NAWM ROI can also reduce the time it takes to manually draw ROIs. Furthermore, studies have shown interrater variability when ROIs are manually drawn . In our study, the AUROC of rCBV for a manually drawn NAWM was 0.78, and is similar to ROC results published by Tietze et al, where their AUROC for rCBV was 0.78 .…”
Section: Discussionsupporting
confidence: 90%
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“…Automatically segmented NAWM ROI can also reduce the time it takes to manually draw ROIs. Furthermore, studies have shown interrater variability when ROIs are manually drawn . In our study, the AUROC of rCBV for a manually drawn NAWM was 0.78, and is similar to ROC results published by Tietze et al, where their AUROC for rCBV was 0.78 .…”
Section: Discussionsupporting
confidence: 90%
“…Additionally, the choice of NAWM ROI had the biggest impact on the optimal thresholds from the ROC analysis (whereas application of leakage correction did not alter the optimal threshold dramatically), suggesting that careful consideration is needed when reporting optimal thresholds. Prior studies also found differences in optimal thresholds for GBM progression depending on the software used, and recommended against specific thresholds for rCBV unless the same postprocessing was applied . Lastly, a recent publication demonstrated poor repeatability and reproducibility across normalized CBV when three radiologists were asked to manually select NAWM .…”
Section: Discussionmentioning
confidence: 99%
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“…30,31 Based on BA analysis, APTw max showed less observer dependence than rCBV max , which has been reported to vary not only with ROI placement, but also with variations in the choice of reference tissue used for normalization. 32,33 Even though APTw and rCBV appear to be positively correlated, the techniques represent different contrast mechanisms, reflecting two hallmarks of tumor activity. The APTw effect is considered to originate from hypercellularity and increased concentration of amide protons in the cytoplasm of proliferating glioma cells, whereas rCBV is a marker of neovascularization.…”
Section: Discussionmentioning
confidence: 99%
“…15 Of the various methodologic factors that can impact rCBV measurement (eg, software modeling, 18,19 preload dose, 16,17,20,21 pulse sequence parameters 16,17 ), the process of rCBV normalization is arguably the most fundamental. [22][23][24] While quantitative measurements of rCBV are not possible given the poor reliability of arterial input functions on DSC-MR imaging and unknown voxelwise contrast agent T2* relaxivity, rCBV normalization provides a means of semiquantification against internal reference tissue in each patient. By convention, users define ROIs within the contralateral normal-appearing white matter (NAWM) and/or normal gray matter.…”
mentioning
confidence: 99%