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肝脏转移瘤的磁共振成像:阴离子型与传统超顺磁性氧化铁颗粒在动态期和摄取期与肝胆对比剂的实验比较

Magnetic resonance imaging of liver metastases: experimental comparison of anionic and conventional superparamagnetic iron oxide particles with a hepatobiliary contrast medium during dynamic and uptake phases.

作者信息

Kaufels Nicola, Korn Ronny, Wagner Susanne, Schink Tania, Hamm Bernd, Taupitz Matthias, Schnorr Jörg

机构信息

Departments of Radiology, Charité-Universitätsmedizin Berlin, Berlin, Germany.

出版信息

Invest Radiol. 2008 Jul;43(7):496-503. doi: 10.1097/RLI.0b013e31816f1be1.

DOI:10.1097/RLI.0b013e31816f1be1
PMID:18580332
Abstract

OBJECTIVES

To assess the contrast-enhancing effects of citrate-coated superparamagnetic iron oxide particles (VSOP-C184) in a rat liver tumor model using dynamic and delayed magnetic resonance imaging in comparison to carboxydextran-coated particles (ferucarbotran) and a hepatobiliary contrast medium (gadobenate dimeglumine).

MATERIALS AND METHODS

A total of 32 male rats with liver tumors (CC-531 colorectal carcinoma) were examined at 1.5 T with a T1-weighted dynamic series (3D gradient echo sequence) and T1-weighted and T2*-weighted images (2D gradient echo sequences) before and 15 and 90 minutes after injection. VSOP-C184 was investigated at doses of 0.015, 0.045, and 0.06 mmol Fe/kg, ferucarbotran at 0.015 mmol Fe/kg, and gadobenate dimeglumine at 0.025, 0.05, and 0.1 mmol Gd/kg. Liver-tumor contrast-to-noise ratio (CNR) was calculated and statistically compared.

RESULTS

T1-weighted dynamic images: VSOP-C184 has significantly higher CNR values at a dose of 0,015 mmol Fe/kg than ferucarbotran at the same dose (P = 0.001). VSOP-C184 produces a significantly higher CNR at a dose of 0.045 mmol Fe/kg than gadobenate dimeglumine at a dose of 0.05 mmol Gd/kg (P = 0.019). At a dose of 0.06 mmol Fe/kg, the CNR for VSOP-C184 is significantly lower than that of gadobenate dimeglumine (0.1 mmol Gd/kg) (P = 0.005).T2-weighted delayed images: CNR values of VSOP-C184 are similar to those of ferucarbotran and are significantly higher than those of gadobenate dimeglumine (P < 0.05).

CONCLUSIONS

On T1-weighted magnetic resonance imaging of liver tumors VSOP-C184 produces a high contrast comparable to that of a hepatobiliary contrast medium in addition to its contrast-enhancing effect in T2-weighted imaging.

摘要

目的

使用动态和延迟磁共振成像,在大鼠肝肿瘤模型中评估柠檬酸盐包被的超顺磁性氧化铁颗粒(VSOP-C184)的对比增强效果,并与羧基葡聚糖包被的颗粒(ferucarbotran)和一种肝胆对比剂(钆贝葡胺)进行比较。

材料与方法

总共32只患有肝肿瘤(CC-531结肠直肠癌)的雄性大鼠在1.5T磁场下接受检查,在注射前、注射后15分钟和90分钟分别采集T1加权动态序列(3D梯度回波序列)以及T1加权和T2*加权图像(2D梯度回波序列)。研究了VSOP-C184的剂量为0.015、0.045和0.06 mmol Fe/kg,ferucarbotran的剂量为0.015 mmol Fe/kg,钆贝葡胺的剂量为0.025、0.05和0.1 mmol Gd/kg。计算肝脏肿瘤的对比噪声比(CNR)并进行统计学比较。

结果

T1加权动态图像:VSOP-C184在剂量为0.015 mmol Fe/kg时的CNR值显著高于相同剂量的ferucarbotran(P = 0.001)。VSOP-C184在剂量为0.045 mmol Fe/kg时产生的CNR显著高于钆贝葡胺在剂量为0.05 mmol Gd/kg时的CNR(P = 0.019)。在剂量为0.06 mmol Fe/kg时,VSOP-C184的CNR显著低于钆贝葡胺(0.1 mmol Gd/kg)(P = 0.005)。T2加权延迟图像:VSOP-C184的CNR值与ferucarbotran相似,且显著高于钆贝葡胺(P < 0.05)。

结论

在肝脏肿瘤的T1加权磁共振成像中,VSOP-C184除了在T2加权成像中具有对比增强作用外,还能产生与肝胆对比剂相当的高对比度。

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