“The blood–brain barrier (BBB) is a major part of the neurovascular unit, and is often breached following brain injuries, such as stroke. It is therefore important to image and evaluate BBB function following brain injury and to repeat such measurements to not only stage the lesion but also to evaluate the efficacy of treatment. Dynamic contrast-enhanced (DCE) imaging of the blood–brain distribution of magnetic resonance contrast agents (MRCAs) that do not permeate the normal BBB has the potential to do this, and has the advantage of being minimally invasive. This raises the question of the accuracy of MRI estimates of MRCA concentration in blood and brain and of the pathophysiological parameters that can be derived from them, e.g. the blood-to-brain influx rate constant (Ki) and the volume of circulating blood in the microvasculature.”