Preda A, Wielopolski P A, Ten Hagen T L M, van Vliet M, Veenland J F, Ambagtsheer G, van Tiel S T, Vogel M W, Eggermont A M M, Krestin G P, van Dijke C F
Department of Radiology, Erasmus MC-University Medical Center Rotterdam, Dr. Molewaterplein 40, 3015, GD, Rotterdam, The Netherlands.
MAGMA. 2004 Dec;17(3-6):296-302. doi: 10.1007/s10334-004-0050-z. Epub 2004 Oct 10.
The objective of this study was to evaluate the potential of dynamic contrast-enhanced MRI for quantitative characterization of tumor microvessels and to assess the microvascular changes in response to isolated limb perfusion with TNF-alpha and melphalan. Dynamic contrast-enhanced MRI was performed in an experimental cancer model, using a macromolecular contrast medium, albumin-(Gd-DTPA)45. Small fragments of BN 175, a soft-tissue sarcoma, were implanted in 11 brown Norway (BN) rats. Animals were assigned randomly to a control (Haemaccel) or drug-treated group (TNF-alpha/melphalan). MRI was performed at baseline and 24 h after ILP. The transendothelial permeability (K(PS)) and the fractional plasma volume (fPV) were estimated from the kinetic analysis of MR data using a two-compartment bi-directional model. K(PS) and fPV decreased significantly in the drug-treated group compared to baseline (p<0.05). In addition, K(PS) post therapy was significantly lower (p<0.05) in the drug-treated group than in the control group. There was no significant difference in fPV between the drug-treated and the control group after therapy. Tumor microvascular changes in response to isolated limb perfusion can be determined after 24 h by dynamic contrast-enhanced MRI. The data obtained in this experimental model suggest possible applications in the clinical setting, using the appropriate MR contrast agents.
本研究的目的是评估动态对比增强磁共振成像(MRI)对肿瘤微血管进行定量表征的潜力,并评估肿瘤微血管对肿瘤坏死因子-α(TNF-α)和马法兰进行离体肢体灌注后的变化。在一个实验性癌症模型中,使用大分子造影剂白蛋白-(钆-二乙三胺五乙酸)45进行动态对比增强MRI检查。将软组织肉瘤BN 175的小碎片植入11只棕色挪威(BN)大鼠体内。将动物随机分为对照组(贺斯)或药物治疗组(TNF-α/马法兰)。在基线时和离体肢体灌注后24小时进行MRI检查。使用双室双向模型通过对MR数据的动力学分析来估计跨内皮通透性(K(PS))和血浆分数容积(fPV)。与基线相比,药物治疗组的K(PS)和fPV显著降低(p<0.05)。此外,药物治疗组治疗后的K(PS)显著低于对照组(p<0.05)。治疗后,药物治疗组和对照组之间的fPV没有显著差异。通过动态对比增强MRI可以在24小时后确定肿瘤微血管对离体肢体灌注的反应变化。在这个实验模型中获得的数据表明,使用合适的MR造影剂,在临床环境中可能有应用价值。