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Review
. 2007 Jan 29;96(2):189-95.
doi: 10.1038/sj.bjc.6603515. Epub 2007 Jan 9.

DCE-MRI biomarkers in the clinical evaluation of antiangiogenic and vascular disrupting agents

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Review

DCE-MRI biomarkers in the clinical evaluation of antiangiogenic and vascular disrupting agents

J P B O'Connor et al. Br J Cancer. .

Abstract

Dynamic contrast-enhanced magnetic resonance imaging (DCE-MRI) is now frequently used in early clinical trial assessment of antiangiogenic and vascular disrupting compounds. Evidence of drug efficacy and dose-dependent response has been demonstrated with some angiogenesis inhibitors. This review highlights the critical issues that influence T(1)-weighted DCE-MRI data acquisition and analysis, identifies important areas for future development and reviews the clinical trial findings to date.

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Figures

Figure 1
Figure 1
Compartmental modelling of the tumour microvasculature: blood flows through the tumour enabling contrast media molecules (represented as black dots) to distribute in two potential compartments – the blood plasma volume vp and the volume of the extravascular extracellular space ve. Clinically available MRI contrast agents do not leak into the intracellular space vi. Contrast agent leakage is governed by the concentration difference between the plasma and the extracellular extravascular space and by the permeability and surface area of the capillary endothelia, expressed as PS.

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