Skip to main content

Perfusion, Neoplasms

  • Reference work entry
Encyclopedia of Diagnostic Imaging

Synonym

Blood flow

Definitions

Perfusion is the nutritive flow of blood through tissues. There is a growing interest in imaging perfusion in tumours. Perfusion can be a measure of pharmacodynamic response to anti‐angiogenic drugs and vascular disrupting agents and many chemotherapeutic agents. Perfusion is also a prognostic factor, with perfusion being both a poor and good prognostic factor.

Volumetric imaging with CT or MRI is less useful for assessing efficacy of anti‐angiogenic drugs as these are cytostatic rather than causing tumour shrinkage. Hence, the increased need for direct imaging of effects on tumour vasculature.

Perfusion is governed by tumour vasculature and perfusion pressure. Tumour blood vessels have structural and functional abnormalities. This includes irregular branching, increased permeability and independence from normal flow control mechanisms. Such abnormalities lead to variable and inadequate perfusion. Angiogenesis is the formation of new vessels, essential...

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Subscribe and save

Springer+ Basic
$34.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or eBook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 949.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 899.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Bibliography

  1. Shemirani B, Crowe DL (2000) Head and neck squamous cell carcinoma lines produce biologically active angiogenic factors. Oral Oncol 36(1):61–66

    PubMed  CAS  Google Scholar 

  2. Frackowiak RS et al (1980) Regional cerebral oxygen utilization and blood flow in normal man using oxygen‐15 and positron emission tomography. Acta Neurol Scand 62(6):336–344

    PubMed  CAS  Google Scholar 

  3. Lammertsma AA, Jones T (1992) Low oxygen extraction fraction in tumours measured with the oxygen‐15 steady state technique: effect of tissue heterogeneity. Br J Radiol 65(776):697–700

    PubMed  CAS  Google Scholar 

  4. Posey JA et al (2001) A pilot trial of vitaxin, a humanized anti‐vitronectin receptor (anti alpha v beta 3) antibody in patients with metastatic cancer. Cancer Biother Radiopharm 16(2):125–132

    PubMed  CAS  Google Scholar 

  5. Kulasegaram R et al (2001) In vivo evaluation of 111In‐DTPA‐N‐TIMP‐2 in Kaposi sarcoma associated with HIV infection. Eur J Nucl Med 28(6):756–761

    PubMed  CAS  Google Scholar 

  6. Thorwarth D et al (2005) Kinetic analysis of dynamic 18F‐fluoromisonidazole PET correlates with radiation treatment outcome in head‐and‐neck cancer. BMC Cancer 5:152

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2008 Springer-Verlag Berlin Heidelberg New York

About this entry

Cite this entry

Price, P., Charnley, N., Matthews, J. (2008). Perfusion, Neoplasms. In: Baert, A.L. (eds) Encyclopedia of Diagnostic Imaging. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-35280-8_1911

Download citation

  • DOI: https://doi.org/10.1007/978-3-540-35280-8_1911

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-35278-5

  • Online ISBN: 978-3-540-35280-8

  • eBook Packages: MedicineReference Module Medicine

Publish with us

Policies and ethics