Kiessling F, Lichy M, Grobholz R, Heilmann M, Huber P E, Meding J, Peschke P, Kauczor H-U, Schlemmer H-P
Abteilung Onkologische Diagnostik und Therapie, Deutsches Krebsforschungszentrum (dkfz) Heidelberg.
Radiologe. 2003 Jun;43(6):489-94. doi: 10.1007/s00117-003-0903-x.
The aim of this study was the noninvasive characterization of prostate carcinoma orthotopically implanted in rats using Gd-DTPA-assisted dynamic MRI (dMRI) and proton magnetic resonance spectroscopy ((1)H-MRS).
After surgical exposure of the prostate, Dunning R3327 orthotopic prostate carcinoma was induced by injecting cells of the MAT-LyLu subline. Six rats were examined 5 and 14 days after tumor induction with dMRI and (1)H-MRS at 1.5 T. Six tumor-free rats served as controls. Using an open two-compartment model, the parameters A (amplitude) and k(ep) (exchange rate constants) were calculated from the signal time curves of the dMRI. The relative signal intensities (Cho/Cr) of the resonances of choline (Cho) and the creatine-phosphocreatine complex (Cr) were computed from the MR spectra.
Already after 5 days, the tumors in the prostate could be clearly identified based on the decrease in signal intensity to T2w and increase of A and k(ep). High Cho/Cr levels and resonances of two lipid fractions (Lip(1) at 0.8-1.5 ppm and Lip(2) at 2.0-2.2 ppm) were observed by MRS in the highly necrotic tumors.
The orthotopic rat prostate carcinoma model resembles human prostate carcinoma in regard to MR morphology, dMRI, and (1)H-MRS. The noninvasive characterization of perfusion and metabolism makes a comparative examination of different treatment modalities possible.
本研究的目的是使用钆喷酸葡胺辅助动态磁共振成像(dMRI)和质子磁共振波谱((1)H-MRS)对原位植入大鼠的前列腺癌进行无创性特征分析。
在手术暴露前列腺后,通过注射MAT-LyLu亚系细胞诱导邓宁R3327原位前列腺癌。在肿瘤诱导后5天和14天,对6只大鼠进行1.5T的dMRI和(1)H-MRS检查。6只无肿瘤大鼠作为对照。使用开放双室模型,从dMRI的信号时间曲线计算参数A(振幅)和k(ep)(交换速率常数)。从磁共振波谱计算胆碱(Cho)和肌酸-磷酸肌酸复合物(Cr)共振的相对信号强度(Cho/Cr)。
仅在5天后,基于T2w信号强度降低以及A和k(ep)增加,前列腺中的肿瘤就可以被清晰识别。在高度坏死的肿瘤中,MRS观察到高Cho/Cr水平以及两个脂质组分的共振(0.8-1.5ppm处的Lip(1)和2.0-2.2ppm处的Lip(2))。
原位大鼠前列腺癌模型在磁共振形态、dMRI和(1)H-MRS方面类似于人类前列腺癌。灌注和代谢的无创性特征分析使得对不同治疗方式进行比较检查成为可能。