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用磁共振造影剂对栓塞性聚乙烯醇颗粒进行改性。

Modification of embolic-PVA particles with MR contrast agents.

作者信息

Cilliers Renee, Song Ying, Kohlmeir Ellen K, Larson Andrew C, Omary Reed A, Meade Thomas J

机构信息

Department of Biochemistry, Molecular Biology and Cell Biology, Northwestern University, Evanston, Illinois, USA.

出版信息

Magn Reson Med. 2008 Apr;59(4):898-902. doi: 10.1002/mrm.21518.

Abstract

We report the synthesis and characterization of polyvinyl alcohol (PVA) embolic particles modified with a clinically approved magnetic resonance (MR) contrast agent. PVA particles are used during transcatheter arterial embolization (TAE) procedures and this minimally invasive technique is a widely employed treatment for inoperable tumors. The PVA particles are injected into tumor vessels and prevent blood flow which results in tumor attenuation. An accurate assessment of the endpoint of embolization is critical to successful TAE procedures. Recent reports suggest that 20% of endpoint determination of TAE procedures by angiographic techniques are erroneous. Real time, in vivo imaging of the embolic particles would overcome this limitation. The contrast-modified PVA particles described here show an 80% decrease in T(1) relaxation times compared to unmodified particles. Images of particles in capillary tubes of similar size to catheters used in TAE procedures are clearly visible by MRI.

摘要

我们报告了用临床批准的磁共振(MR)造影剂修饰的聚乙烯醇(PVA)栓塞颗粒的合成与表征。PVA颗粒用于经导管动脉栓塞(TAE)手术,这种微创技术是治疗无法手术切除肿瘤的广泛采用的方法。将PVA颗粒注入肿瘤血管并阻止血流,从而导致肿瘤缩小。准确评估栓塞终点对于TAE手术的成功至关重要。最近的报告表明,通过血管造影技术确定TAE手术终点的结果有20%是错误的。对栓塞颗粒进行实时体内成像将克服这一局限性。与未修饰的颗粒相比,此处描述的经造影剂修饰的PVA颗粒的T(1)弛豫时间缩短了80%。通过MRI可以清晰地看到与TAE手术中使用的导管大小相似的毛细管中的颗粒图像。

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