The [Shutter-Speed-Model-Dynamic-Contrast-Enhanced] SSM-DCE-MRI pharmacokinetic analysis has a metabolic dimension. However, SSM must be applied thoughtfully, especially in Glioblastoma multiforme [GBM], because of strong tissue vascular heterogeneity across the brain field-of-view Here, we present a method to select the appropriate SSM-DCE-MRI version to analyze such tissue, on a pixel-by-pixel basis. The supra-intensive parameters, vascular water efflux (kbo), cellular water efflux (kio), and vascular CA efflux (kpe) rate constants could be reliably determined. Pilot data on one recurrent and one pre-diagnosis GBM patient are presented to demonstrate method performance.
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