Preda Anda, Turetschek Karl, Daldrup Heike, Floyd Eugenia, Novikov Viktor, Shames David M, Roberts Timothy P L, Carter Wayne O, Brasch Robert C
Center for Pharmaceutical and Molecular Imaging, Department of Radiology, University of California San Francisco, CA 94143, USA.
Invest Radiol. 2005 Jun;40(6):349-54. doi: 10.1097/01.rli.0000163740.40474.48.
The objectives of this study were to determine if magnetic resonance (MR) estimates of quantitative tissue microvascular characteristics from regions of interest (ROI) limited to the tumor periphery provided a better correlation with tumor histologic grade than ROI defined for the whole tumor in cross-section.
A metaanalysis was based on 98 quantitative MR image breast tumor characterizations acquired in 3 separate experimental studies using identical methods for tumor induction and contrast enhancement.
The endothelial transfer coefficient (K) of albumin (Gd-DTPA)30 from the tumor periphery correlated (r = 0.784) significantly more strongly (P < 0.001) with the pathologic tumor grade than K derived from the whole tumor (r = 0.604). K estimates, either from the tumor periphery or from the whole tumor, correlated significantly more strongly with histologic grade (P < 0.01) than MR image estimates of fractional plasma volume (fPV) from either tumor periphery (r = 0.368) or whole tumor (r = 0.323).
K estimates from the tumor periphery were the best of these measurable MR image microvascular characteristics for predicting the histologic grade.
本研究的目的是确定,对于定量组织微血管特征,局限于肿瘤周边区域的感兴趣区(ROI)的磁共振(MR)估计值,与肿瘤组织学分级的相关性是否优于肿瘤横截面整体定义的ROI。
一项荟萃分析基于98个定量MR图像乳腺肿瘤特征,这些特征是在3项独立实验研究中获得的,采用相同的肿瘤诱导和对比增强方法。
来自肿瘤周边的白蛋白(钆喷酸葡胺)30的内皮转运系数(K)与病理肿瘤分级的相关性(r = 0.784)显著强于(P < 0.001)来自整个肿瘤的K(r = 0.604)。来自肿瘤周边或整个肿瘤的K估计值与组织学分级的相关性(P < 0.01)显著强于来自肿瘤周边(r = 0.368)或整个肿瘤(r = 0.323)的分数血浆容量(fPV)的MR图像估计值。
对于预测组织学分级而言,来自肿瘤周边的K估计值是这些可测量的MR图像微血管特征中最佳的。