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放疗治疗大鼠前列腺癌的动态磁共振断层扫描和质子磁共振波谱分析

Dynamic magnetic resonance tomography and proton magnetic resonance spectroscopy of prostate cancers in rats treated by radiotherapy.

作者信息

Kiessling Fabian, Huber Peter E, Grobholz Rainer, Heilmann Melanie, Meding Jörg, Lichy Matthias P, Fink Christian, Krix Martin, Peschke Peter, Schlemmer Heinz-Peter

机构信息

Department of Oncological Diagnostics and Therapy, German Cancer Research Center (dkfz), Heidelberg, Germany.

出版信息

Invest Radiol. 2004 Jan;39(1):34-44. doi: 10.1097/01.rli.0000095472.37056.0b.

Abstract

RATIONALE AND OBJECTIVES

To establish an experimental setting for monitoring perfusion and metabolism in orthotopic prostate cancer at 1.5 T using dynamic contrast-enhanced magnetic resonance imaging (DCE MRI) and 1H-MR spectroscopy (MRS).

METHODS

Dunning rat prostate cancer cells were injected into the prostate by open surgery. Twelve tumor-bearing rats (5 of these irradiated) and 6 healthy controls were followed up using gadolinium-diethylenetriaminepentaacetic acid -enhanced dynamic MRI and 1H-MRS. Amplitude and the exchange rate constant kep were calculated (2-compartment model). From 1H-MR spectra, ratios of choline (Cho) and creatine (tCr) were calculated. All tumors were examined histologically.

RESULTS

On DCE MRI parameter maps, tumors showed increased vascularization. kep and microvessel density were correlated (r = 0.97). Tumors showed elevated Cho/tCr and an unexpected lipid fraction (2.0-2.2 parts per million). Irradiation slowed tumor growth significantly. Changes of perfusion and metabolism could be detected in all tumors during follow up.

CONCLUSION

DCE MRI and 1H-MRS has potential to characterize orthotopic Dunning prostate cancer in rats, which is a promising model similar to human prostate carcinomas.

摘要

原理与目的

利用动态对比增强磁共振成像(DCE MRI)和氢质子磁共振波谱(1H-MRS),在1.5 T条件下建立监测原位前列腺癌灌注和代谢的实验环境。

方法

通过开放手术将邓宁大鼠前列腺癌细胞注入前列腺。对12只荷瘤大鼠(其中5只接受照射)和6只健康对照大鼠进行钆-二乙烯三胺五乙酸增强动态MRI和1H-MRS随访。计算幅度和交换率常数kep(双室模型)。从1H-MR波谱中计算胆碱(Cho)与肌酸(tCr)的比值。所有肿瘤均进行组织学检查。

结果

在DCE MRI参数图上,肿瘤显示血管生成增加。kep与微血管密度相关(r = 0.97)。肿瘤显示Cho/tCr升高以及意外的脂质分数(百万分之2.0 - 2.2)。照射显著减缓肿瘤生长。随访期间在所有肿瘤中均可检测到灌注和代谢的变化。

结论

DCE MRI和1H-MRS有潜力对大鼠原位邓宁前列腺癌进行特征性描述,这是一种类似于人类前列腺癌的有前景的模型。

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