Ewing James R, Brown Stephen L, Nagaraja Tavarekere N, Bagher-Ebadian Hassan, Paudyal Ramesh, Panda Swayamprava, Knight Robert A, Ding Guangliang, Jiang Quan, Lu Mei, Fenstermacher Joseph D
Department of Neurology, Henry Ford Hospital, Detroit, Michigan 48202, USA.
J Magn Reson Imaging. 2008 Jun;27(6):1430-8. doi: 10.1002/jmri.21356.
To demonstrate in the rat 9L cerebral tumor model that repeated MRI measurements can quantitate acute changes in the blood-brain distribution of Gadomer after dexamethasone administration.
A total of 16 Fischer 344 rats were studied at 7T, 15 days after cerebral implantation of a 9L tumor. MRI procedures employed a T-One by Multiple Read Out Pulses (TOMROP) sequence to estimate R(1) (R(1) = 1/T(1)) at 145-second intervals before and after administration of Gadomer (Bayer), a macromolecular contrast agent (CA). Two baseline studies preceded Gadomer administration and 10 subsequent R(1) maps tracked CA concentration in blood and brain for 25 minutes. Thereafter, either dexamethasone (N = 10) or normal saline (N = 6) was administered intravenously. A total of 90 minutes later a second series of 12 TOMROP measurements of Gadomer distribution was performed. The influx constant, K(1), plasma distribution volume, v(D), backflux constant, k(b), and interstitial space, v(e), were determined, and the test-retest differences of each of four vascular parameters were calculated.
Dexamethasone decreased K(1) approximately 60% (P = 0.02), lowered k(b) and v(D) (P = 0.03 and P < 0.01, respectively), and marginally but insignificantly decreased v(e).
This noninvasive MRI technique can detect drug effects on blood-brain transfer constants of CAs within two hours of administration.
在大鼠9L脑肿瘤模型中证明,重复进行磁共振成像(MRI)测量能够定量地显示地塞米松给药后钆喷酸葡胺在血脑屏障分布的急性变化。
对16只Fischer 344大鼠进行研究,于脑内植入9L肿瘤15天后在7T磁场下进行MRI检查。MRI检查采用多读出脉冲T1序列(TOMROP),在给予大分子造影剂(CA)钆喷酸葡胺(拜耳公司)前后,每隔145秒估计一次R1(R1 = 1/T1)。在给予钆喷酸葡胺之前进行两项基线研究,随后进行10次R1图谱测量,追踪造影剂在血液和脑内的浓度,持续25分钟。此后,静脉注射地塞米松(n = 10)或生理盐水(n = 6)。共90分钟后,对钆喷酸葡胺的分布进行第二轮12次TOMROP测量。测定流入常数K1、血浆分布容积vD、回流常数kb和细胞外间隙ve,并计算四个血管参数各自的重测差异。
地塞米松使K1降低约60%(P = 0.02),降低kb和vD(分别为P = 0.03和P < 0.01),使ve略有降低但无统计学意义。
这种非侵入性MRI技术能够在给药后两小时内检测药物对造影剂血脑转运常数的影响。