Tumor Vascularity in Renal Masses: Correlation of Arterial Spin-Labeled and Dynamic Contrast-Enhanced Magnetic Resonance Imaging Assessments

Yue Zhang, Payal Kapur, Qing Yuan, Yin Xi, Ingrid Carvo, Sabina Signoretti, Ivan Dimitrov, Jeffrey A Cadeddu, Vitaly Margulis, Naira Muradyan, James B Brugarolas, Ananth J Madhuranthakam, Ivan Pedrosa

Research output: Contribution to journalArticle

26 Scopus citations

Abstract

Background The objective of this study was to investigate potential correlations between perfusion using arterial spin-labeled (ASL) magnetic resonance imaging (MRI) and dynamic contrast-enhanced (DCE) MRI-derived quantitative measures of vascularity in renal masses > 2 cm and to correlate these with microvessel density (MVD) in clear cell renal cell carcinoma (ccRCC). Patients and Methods Informed written consent was obtained from all patients before imaging in this Health Insurance Portability and Accountability Act-compliant, institutional review board-approved, prospective study. Thirty-six consecutive patients scheduled for surgery of a known renal mass > 2 cm underwent 3T ASL and DCE MRI. ASL perfusion measures (PASL) of mean, peak, and low perfusion areas within the mass were correlated to DCE-derived volume transfer constant (Ktrans), rate constant (Kep), and fractional volume of the extravascular extracellular space (Ve) in the same locations using a region of interest analysis. MRI data were correlated to MVD measures in the same tumor regions in ccRCC. Spearman correlation was used to evaluate the correlation between PASL and DCE-derived measurements, and MVD. P ASL correlated with Ktrans (ρ = 0.48 and P =.0091 for the entire tumor and ρ = 0.43 and P =.03 for the high flow area, respectively) and Kep (ρ = 0.46 and P =.01 for the entire tumor and ρ = 0.52 and P =.008 for the high flow area, respectively). PASL (ρ = 0.66; P =.0002), Ktrans (ρ = 0.61; P =.001), and Kep (ρ = 0.64; P =.0006) also correlated with MVD in high and low perfusion areas in ccRCC. Conclusion PASL correlated with the DCE-derived measures of vascular permeability and flow, Ktrans and Kep, in renal masses > 2 cm in size. Both measures correlated to MVD in clear cell histology.

Original languageEnglish (US)
Pages (from-to)e25-e36
JournalClinical Genitourinary Cancer
Volume14
Issue number1
DOIs
StatePublished - Feb 1 2016

Keywords

  • Angiogenesis
  • Arterial spin labeling
  • Dynamic contrast-enhanced MRI
  • Kidney cancers
  • Microvessel density

ASJC Scopus subject areas

  • Oncology
  • Urology

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