Kiessling Fabian, Krix Martin, Heilmann Melanie, Vosseler Silvia, Lichy Matthias, Fink Christian, Farhan Nabeel, Kleinschmidt Katharina, Schad Lothar, Fusenig Norbert E, Delorme Stefan
Division of Oncological Diagnostics and Therapy, German Cancer Research Center, Heidelberg, Germany.
Invest Radiol. 2003 Aug;38(8):516-24. doi: 10.1097/01.rli.0000073448.16334.fe.
Angiogenesis is essential for spread and growth of malignant tumors. Because noninvasive methods for observing tumor vascularization are limited, most of previous results were based on histologic findings alone. In this study, dynamic parameters obtained using intermittent contrast-enhanced Doppler sonography and dynamic MRI were compared and correlated with microvessel density.
Eleven tumor-bearing nude mice were examined with dynamic T(1)-weighted sequences using Gd-DTPA in a 1.5 T magnetic resonance (MR) scanner and with intermittent power Doppler sonography after a single bolus of galactose based contrast agent. After examination 6 tumors were harvested for immunofluorescence microscopy using a CD31 stain. Using a 2-compartment model, the MR parameters amplitude (reflecting plasma volume) and k(ep) (influenced by the vessel permeability) were calculated and compared with maximal enhancement (max) and perfusion P measured with ultrasound.
The MR amplitude correlated with the ultrasound parameter max significantly (r = 0.61; P = 0.01). Max (r = 0.67; P = 0.01), amplitude (r = 0.72; P = 0.01), and perfusion (r = 0.62; P = 0.05) correlated with the microvessel density. k(ep) moderately correlated with max, but not with perfusion and microvessel density.
Dynamic MRI and contrast enhanced ultrasound are supplementing methods for examining perfusion and vascularity of experimental tumors.
血管生成对于恶性肿瘤的扩散和生长至关重要。由于观察肿瘤血管形成的非侵入性方法有限,以前的大多数结果仅基于组织学发现。在本研究中,比较了使用间歇性对比增强多普勒超声和动态磁共振成像获得的动态参数,并将其与微血管密度相关联。
11只荷瘤裸鼠在1.5 T磁共振(MR)扫描仪中使用钆喷酸葡胺进行动态T1加权序列检查,并在单次推注基于半乳糖的造影剂后进行间歇性功率多普勒超声检查。检查后,采集6个肿瘤用于使用CD31染色的免疫荧光显微镜检查。使用双室模型,计算磁共振参数幅度(反映血浆体积)和k(ep)(受血管通透性影响),并与超声测量的最大增强(max)和灌注P进行比较。
磁共振幅度与超声参数max显著相关(r = 0.61;P = 0.01)。Max(r = 0.67;P = 0.01)、幅度(r = 0.72;P = 0.01)和灌注(r = 0.62;P = 0.05)与微血管密度相关。k(ep)与max中度相关,但与灌注和微血管密度无关。
动态磁共振成像和对比增强超声是检查实验性肿瘤灌注和血管形成的补充方法。