TY - JOUR AU - Piechotta, Paula L AU - Bonekamp, David AU - Sill, Martin AU - Wick, Antje AU - Wick, Wolfgang AU - Bendszus, Martin AU - Kickingereder, Philipp TI - Increased Delay Between Gadolinium Chelate Administration and T1-Weighted Magnetic Resonance Imaging Acquisition Increases Contrast-Enhancing Tumor Volumes and T1 Intensities in Brain Tumor Patients. JO - Investigative radiology VL - 53 IS - 4 SN - 0020-9996 CY - Philadelphia, Pa. PB - Lippincott Williams & Wilkins M1 - DKFZ-2018-00381 SP - 223 - 228 PY - 2018 AB - The aim of this study was to evaluate the impact of delayed T1-weighted (T1-w) MRI acquisition after gadolinium chelate administration on brain tumor volumes and T1-w intensities.Fifty-five patients with histologically confirmed, contrast-enhancing intra-axial brain tumors were analyzed in this prospective test-retest study. Patients underwent 2 consecutive 3 T MRI scans (separated by a 1-minute break) during routine follow-up with contrast-enhanced T1 (ceT1-w), T2, and FLAIR acquisition. Macrocyclic gadolinium chelate-based contrast agent was only administered before the first ceT1-w acquisition; median latency to ceT1-w acquisition was 6.72 minutes (IQR, 6.53-6.92) in the first and 16.27 minutes (IQR, 15.49-17.26) in the second scan. Changes in tumor volumes and relative ceT1-w intensities between the 2 acquisitions were quantitatively assessed following semiautomated tumor segmentation (separately for contrast-enhancement [CE], necrosis [NEC], and nonenhancing [NE] tumor).Semiautomatically segmented CE tumor volumes were significantly larger in the second acquisition (median +32 LB - PUB:(DE-HGF)16 C6 - pmid:29200014 DO - DOI:10.1097/RLI.0000000000000432 UR - https://inrepo02.dkfz.de/record/132727 ER -