Vogl T J, Pegios W, Waitzinger J, Pirovano G, Balzer J, Lissner J
Radiologische Klinik, Universität München.
Rofo. 1992 May;156(5):465-70. doi: 10.1055/s-2008-1032922.
A phase 1 study on 8 normals has been carried out to determine the effectiveness and safety during MRI of a new hepatobiliary contrast medium Gd-BOPTA for causing enhancement of the upper abdominal organs. Gradient echo sequences (flash), T1 and T2-weighted spin echo sequences and turbo-flash sequences were used. The contrast medium was given as a single infusion in various concentrations (0.005, 0.05, 0.1, and 0.2 mmol/kg body weight). Optimal contrast of liver parenchyma was obtained with a dose of 0.05-0.1 mmol/kg body weight, resulting in contrast increase of 149.1% during gradient echo sequences and 107.8% during T1 spin echo sequences. In general, the increased contrast lasted for about two hours. Because of the biliary and renal excretion there was an enormous increase in signal intensity of the bile ducts and a significant increase in the kidneys and ureters. The results of the first in-vivo trial of Gd-BOPTA encourages the performance of further clinical studies of this new hepatobiliary contrast medium.
已对8名正常人进行了一项1期研究,以确定新型肝胆造影剂钆贝葡胺在磁共振成像(MRI)过程中增强上腹部器官的有效性和安全性。使用了梯度回波序列(快速成像序列)、T1和T2加权自旋回波序列以及快速扰相梯度回波序列。造影剂以不同浓度(0.005、0.05、0.1和0.2 mmol/kg体重)单次静脉注射。肝实质的最佳对比度在剂量为0.05 - 0.1 mmol/kg体重时获得,在梯度回波序列期间对比度增加149.1%,在T1自旋回波序列期间对比度增加107.8%。一般来说,增加的对比度持续约两小时。由于经胆汁和肾脏排泄,胆管的信号强度大幅增加,肾脏和输尿管的信号强度也显著增加。钆贝葡胺首次体内试验的结果鼓励对这种新型肝胆造影剂进行进一步的临床研究。