Maximum-likelihood estimation for indicator dilution analysis

IEEE Trans Biomed Eng. 2014 Mar;61(3):821-31. doi: 10.1109/TBME.2013.2290375. Epub 2013 Nov 11.

Abstract

Indicator-dilution methods are widely used by many medical imaging techniques and by dye-, lithium-, and thermodilution measurements. The measured indicator dilution curves are typically fitted by a mathematical model to estimate the hemodynamic parameters of interest. This paper presents a new maximum-likelihood algorithm for parameter estimation, where indicator dilution curves are considered as the histogram of underlying transit-time distribution. Apart from a general description of the algorithm, semianalytical solutions are provided for three well-known indicator dilution models. An adaptation of the algorithm is also introduced to cope with indicator recirculation. In simulations as well as in experimental data obtained by dynamic contrast-enhanced ultrasound imaging, the proposed algorithm shows a superior parameter estimation accuracy over nonlinear least-squares regression. The feasibility of the algorithm for use in vivo is evaluated using dynamic contrast-enhanced ultrasound recordings obtained with the purpose of prostate cancer detection. The proposed algorithm shows an improved ability (increase in receiver-operating characteristic curve area of up to 0.13) with respect to existing methods to differentiate between healthy tissue and cancer.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Algorithms*
  • Contrast Media
  • Humans
  • Image Processing, Computer-Assisted
  • Indicator Dilution Techniques*
  • Likelihood Functions*
  • Male
  • Models, Biological
  • Prostate / diagnostic imaging
  • Prostate / physiology
  • Prostatic Neoplasms / diagnostic imaging
  • Prostatic Neoplasms / physiopathology
  • ROC Curve
  • Reproducibility of Results
  • Ultrasonography / methods

Substances

  • Contrast Media