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血管通透性磁共振成像测量中的模型选择:钆喷酸葡胺在大鼠脑肿瘤9L模型中的应用

Model selection in magnetic resonance imaging measurements of vascular permeability: Gadomer in a 9L model of rat cerebral tumor.

作者信息

Ewing James R, Brown Stephen L, Lu Mei, Panda Swayamprava, Ding Guangliang, Knight Robert A, Cao Yue, Jiang Quan, Nagaraja Tavarekere N, Churchman Jamie L, Fenstermacher Joseph D

机构信息

Department of Neurology, Henry Ford Health Systems, University of Michigan, Detroit, 48202, USA.

出版信息

J Cereb Blood Flow Metab. 2006 Mar;26(3):310-20. doi: 10.1038/sj.jcbfm.9600189.

Abstract

Vasculature in and around the cerebral tumor exhibits a wide range of permeabilities, from normal capillaries with essentially no blood-brain barrier (BBB) leakage to a tumor vasculature that freely passes even such large molecules as albumin. In measuring BBB permeability by magnetic resonance imaging (MRI), various contrast agents, sampling intervals, and contrast distribution models can be selected, each with its effect on the measurement's outcome. Using Gadomer, a large paramagnetic contrast agent, and MRI measures of T(1) over a 25-min period, BBB permeability was estimated in 15 Fischer rats with day-16 9L cerebral gliomas. Three vascular models were developed: (1) impermeable (normal BBB); (2) moderate influx (leakage without efflux); and (3) fast leakage with bidirectional exchange. For data analysis, these form nested models. Model 1 estimates only vascular plasma volume, v(D), Model 2 (the Patlak graphical approach) v(D) and the influx transfer constant K(i). Model 3 estimates v(D), K(i), and the reverse transfer constant, k(b), through which the extravascular distribution space, v(e), is calculated. For this contrast agent and experimental duration, Model 3 proved the best model, yielding the following central tumor means (+/-s.d.; n = 15): v(D) = 0.07 +/- 0.03 for K(i) = 0.0105 +/- 0.005 min(-1) and v(e) = 0.10 +/- 0.04. Model 2 K(i) estimates were approximately 30% of Model 3, but highly correlated (r = 0.80, P < 0.0003). Sizable inhomogeneity in v(D), K(i), and k(b) appeared within each tumor. We conclude that employing nested models enables accurate assessment of transfer constants among areas where BBB permeability, contrast agent distribution volumes, and signal-to-noise vary.

摘要

脑肿瘤内部及周围的血管具有广泛的通透性,从基本没有血脑屏障(BBB)渗漏的正常毛细血管到甚至能使白蛋白等大分子自由通过的肿瘤血管。在通过磁共振成像(MRI)测量BBB通透性时,可以选择各种造影剂、采样间隔和造影剂分布模型,每种都对测量结果有影响。使用大的顺磁性造影剂Gadomer,并在25分钟内通过MRI测量T(1),对15只患有第16天9L脑胶质瘤的Fischer大鼠的BBB通透性进行了估计。开发了三种血管模型:(1)不可渗透(正常BBB);(2)中等流入(有渗漏但无流出);(3)双向交换的快速渗漏。为了进行数据分析,这些模型构成了嵌套模型。模型1仅估计血管血浆容积v(D),模型2(Patlak图形法)估计v(D)和流入转移常数K(i)。模型3估计v(D)、K(i)和反向转移常数k(b),通过它可以计算血管外分布容积v(e)。对于这种造影剂和实验持续时间,模型3被证明是最佳模型,得出以下肿瘤中心均值(±标准差;n = 15):v(D) = 0.07 ± 0.03,K(i) = 0.0105 ± 0.005 min⁻¹,v(e) = 0.10 ± 0.04。模型2的K(i)估计值约为模型3的30%,但相关性很高(r = 0.80,P < 0.0003)。每个肿瘤内v(D)、K(i)和k(b)都出现了相当大的不均匀性。我们得出结论,采用嵌套模型能够准确评估BBB通透性、造影剂分布容积和信噪比不同区域之间的转移常数。

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