Introduction to Perfusion Analysis in MEDx 3.3

Perfusion Package Developers

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Perfusion - Theory

Lets examine the ‘Perfusion’ of this system. What’s the ‘model’?

Q.  What is the ‘perfusion’ of people within a single region (i.e., building)?

Lets examine this single region in detail.

Each building (pixel) has an inflow and an outflow.  But there are multiple paths through the building.

Method:  Inject an “impulse” of runners into the system, then monitor their arrival(s) downstream.

Lets further idealize the picture

What is the impulse response, h(t)?

Where to make our observations?

But, consider our actual observation points...

Consequence of Observer Location

How to understand R(t)?

Practically, we image a convo-lution of the Residue function.

What’s in a shape? What does the shape of R(t) mean?

Q. How do our observations relate to the
histogram of transit times, h(t)?

What is MTT in terms of the residue function, R(t)?    - 1.

What is MTT in terms of the residue function, R(t)?    - 2.

What is MTT in terms of the residue function, R(t)?    - 3.

Why is the Output Equation Scaled by the Flow Arriving at the Pixel?

Good Modeling References

What is Volume Fraction, V?

 An analogy to understand CBV as relative capacity.

V:  Total # people to enter is proportional to capacity

CBV - Assumptions

Getting Started with Perfusion in MEDx

Data Flow

Pre-processing of Perfusion Data - Parameters

Pre-processing of Perfusion Data -Masking

Masking - Why?

Perfusion - Report Setup

Report Setup - Proportionality Constants

Report Setup -
Conversion Factors

Perfusion -
 Arterial Input Function

Arterial Curve - Map Metrics

Arterial Curve - Map Metrics

Arterial Curve Selection - Supervised Mode

Arterial Map Metrics -
What do they find?

Auto Arterial Mode -
Scoring the AIFs

Arterial Map Metrics
Automatic Mode - Results

Manual Arterial Curve - Pixel Editor

Perfusion - Create Maps

Sample Results

Revisit the Data Flow

Create Maps - Parameters

Create Maps - Parameters

Why a take-off threshold - 1.

Why a take-off threshold - 2.

Why a Recirculation Threshold ?

CBV- Effect of Recirculation Threshold

Why an SVD threshold? - 1

Why an SVD threshold? - 2

Setting the SVD Threshold - References

Effect of SVD threshold
on CBF and Residue Funct.

Characteristic Times - A Visual Comparison

Characteristic Times - A Statistical Comparison

Goodness of Fit - via Normalized Chi Square

Interactive Temporal Display

Temporal Display - How Good is the Fit?

Temporal Display - Residue Functions

Perfusion - Post-process

Post-Process - Median Filter

Post-Process - Talairach Normalization

Post-Process - Segmentation

End of Presentation

...Additional    
Discussion
Slides

Q. What assumptions do we make in applying our simple model?

What implications are there to our assumptions?

Consequence of BBB Leakage to Contrast Agent