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Quantitative assessment of brain perfusion with magnetic resonance imaging Bleeker, E.J.W.

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Citation

Bleeker, E. J. W. (2011, June 1). Quantitative assessment of brain perfusion with magnetic resonance imaging. Retrieved from

https://hdl.handle.net/1887/17680

Version: Publisher's Version

License: Licence agreement concerning inclusion of doctoral thesis in the Institutional Repository of the University of Leiden

Downloaded from: https://hdl.handle.net/1887/17680

Note: To cite this publication please use the final published version (if

applicable).

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Quantitative assessment of brain perfusion with magnetic resonance imaging

EgbErt J.W. blEEkEr 2011

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arterial input function measurements, as presented in this thesis, show for both the magnitude and the phase of the Mr signal a four-leaf-clover pattern. Is this just a coincidence or are we always lucky?

Quantitative assessment of brain perfusion with magnetic resonance imaging thesis, leiden University Medical Center, with references and summary in Dutch

layout and printing: Optima grafische Communicatie, rotterdam, the Netherlands ISbN: 978-94-6169-054-8

Copyright © 2011 Egbert Jan Willem bleeker, leiden, the Netherlands. All rights reserved. No parts of this publication may be reproduced or transmitted in any form or by any means, with- out prior written permission of the author.

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Quantitative assessment of brain perfusion with magnetic resonance imaging

proefschrift

ter verkrijging van

de graad van Doctor aan de Universiteit leiden, op gezag van de rector Magnificus prof.mr. P.F. van der Heijden,

volgens besluit van het College voor Promoties te verdedigen op woensdag 1 juni 2011

klokke 15:00 uur door

egbert Jan Willem Bleeker geboren te Paramaribo

in 1980

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Co-promotor: Dr. ir. M.J.P. van Osch

Overige leden: Prof. dr. P.r. luijten

(University Medical Center Utrecht, Utrecht, the Netherlands) Prof. dr. D.g. Norris

(Donders Centre for Cognitive Neuroimaging, Nijmegen, the Netherlands) Dr. l. knutsson

(lund University, lund, Sweden)

Financial support for publication of this thesis was generously provided by: Philips Healthcare, Stichting bazis, Stichting Imago, J.E.Jurriaanse Stichting, guerbet Nederland bV, bayer bV, toshiba and Medrad Europe bV.

the research described in this thesis was carried out at the department of radiology (head:

prof. dr. J.l. bloem) of the leiden University Medical Center.

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Aan mijn ouders

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Contents

Chapter 1: general introduction 9

Chapter 2: Measurement of cerebral perfusion using MrI 13 Chapter 3: Optimal location for arterial input function measure-

ments near the middle cerebral artery in first pass perfusion MrI

49

Chapter 4: Phase-based arterial input function measurements for dynamic susceptibility contrast MrI

69

Chapter 5: A new criterion to aid manual and automatic selection of the arterial input function in dynamic susceptibility contrast MrI

91

Chapter 6: Evaluation of signal formation in local arterial input function measurements of dynamic susceptibility contrast MrI

109

Chapter 7: Discrete differences in brain perfusion between migraineurs and controls: a voxelwise comparison of interictal dynamic susceptibility contrast MrI measure- ments

123

Chapter 8: general discussion 137

Summary 151

Samenvatting 155

Publications 159

Curriculum Vitae 161

Dankwoord (Acknowledgements) 163

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