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Fig. 2C Use of T1-weighted dynamic contrast-enhanced technique to
evaluate permeability in patient with residual high-grade glioma after
previous resection. Technique uses dynamic contrast-enhanced 3D spoiled
gradient imaging sequence obtained every 6.45 sec for 58 sec after IV infusion
of 0.1 mmol/kg of gadopentetate dimeglumine. Before contrast material
infusion, five unenhanced T1-weighted spoiled gradient images are obtained,
each using different flip angle to derive T1 values of tissue needed for
analysis of permeability. Color-coded quantitative map of degree of contrast
enhancement, an indirect measure of permeability, superimposed on image in
A depicts pixels that have peak signal intensity values between 120%
and 139% of mode signal intensity value of contralateral hemisphere in blue,
those between 140% and 159% in yellow, and those greater than 160% in red.
Most of tumor has marked degree of contrast enhancement due to disruption of
blood-brain barrier, and central portion has lower degree of enhancement,
reflecting relatively well appearance of Ktrans map in
B.