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The standardization of dynamic susceptibility contrast (DSC)-magnetic resonance imaging (MRI) have has been confounded by a lack of consensus on DSC-MRI methodology for preventing potential relative cerebral blood volume (CBV) inaccuracies, including the choice of acquisition protocols and postprocessing algorithms. Therefore, a digital reference object (DRO) was developed using physiological and kinetic parameters derived from a patient database, unique voxel-wise 3-dimensional tissue structures, and a validated MRI signal computational approach. The primary, intended use of the DRO is to validate image acquisition and analysis methods for accurately measuring relative cerebral blood volume in glioblastomas [1,2]. The DRO datasets have also been used as part of the QIN-challenge titled “DSC-DRO Challenge” to evaluate multisite rCBV consistency [3], and for systematic assessment of multi-echo DSC-MRI [4].

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