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对比增强磁共振血管造影:在1.5特斯拉和3.0特斯拉条件下,将高弛豫性低扩散性钆基造影剂P846与钆喷酸葡胺在兔体内进行比较的评估

Contrast-enhanced magnetic resonance angiography: evaluation of the high relaxivity low diffusible gadolinium-based contrast agent P846 in comparison with gadoterate meglumine in rabbits at 1.5 Tesla and 3.0 Tesla.

作者信息

Peldschus Kersten, Hamdorf Mareike, Robert Philippe, Port Marc, Graessner Joachim, Adam Gerhard, Herborn Christoph U

机构信息

Department of Diagnostic and Interventional Radiology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.

出版信息

Invest Radiol. 2008 Dec;43(12):837-42. doi: 10.1097/RLI.0b013e3181852158.

DOI:10.1097/RLI.0b013e3181852158
PMID:19002055
Abstract

OBJECTIVES

To evaluate the gadolinium-based contrast agent P846 and compare it with gadoterate meglumine (Gd-DOTA) for contrast-enhanced magnetic resonance angiography (MRA) in rabbits at 1.5 T and 3.0 T, respectively.

MATERIALS AND METHODS

Five rabbits underwent contrast-enhanced MRA of the abdominal vasculature applying gadolinium doses of 0.025 mmoL/kg for P846 and 0.1 mmoL/kg for Gd-DOTA, respectively. All animals were examined on a 1.5-T and 3.0-T MR system. Image data were acquired during the first-pass arterial phase and repeatedly over 10 minutes. Contrast-to-noise-ratio (CNR) was determined in the aorta, the inferior vena cava, and the renal cortex. Image quality of arterial phase MR angiograms was consensually judged on a 5-point scale (5 = high).

RESULTS

Contrast-enhanced MRA was successful in all cases with both contrast agents. CNR values consistently proved statistically significantly higher for P846 compared with Gd-DOTA. CNR values in the aorta during the arterial phase were 46.0 +/- 3.7 (P846) and 28.0 +/- 3.2 (Gd-DOTA) at 1.5 T (P < 0.05), and correspondingly 89.3 +/- 12.7 (P846) and 64.1 +/- 15.0 (Gd-DOTA) at 3.0 T (P < 0.05). Image quality of arterial phase MR angiograms was rated with scores of 4.8 +/- 0.4 (P846) and 4.0 +/- 0.0 (Gd-DOTA) at 1.5 T (P = 0.06), and 5.0 +/- 0.0 (P846) and 4.8 +/- 0.4 (Gd-DOTA) at 3.0 T (P = 0.42), respectively.

CONCLUSIONS

The contrast agent P846 provides high contrast enhancement and image quality for contrast-enhanced MRA in rabbits at 1.5 T and 3.0 T with a 4-fold lower gadolinium dose compared with a standard extracellular contrast agent.

摘要

目的

评估钆基造影剂P846,并分别在1.5 T和3.0 T场强下将其与钆喷酸葡胺(Gd-DOTA)用于兔的对比增强磁共振血管造影(MRA)进行比较。

材料与方法

5只兔分别接受腹部血管系统的对比增强MRA,P846的钆剂量为0.025 mmol/kg,Gd-DOTA的钆剂量为0.1 mmol/kg。所有动物均在1.5 T和3.0 T MR系统上进行检查。在首次通过动脉期及随后的10分钟内反复采集图像数据。在主动脉、下腔静脉和肾皮质测定对比噪声比(CNR)。动脉期MR血管造影的图像质量通过一致认可的5分制进行判断(5分 = 高)。

结果

两种造影剂在所有病例中对比增强MRA均成功。与Gd-DOTA相比,P846的CNR值始终在统计学上显著更高。在1.5 T时,动脉期主动脉的CNR值分别为46.0±3.7(P846)和28.0±3.2(Gd-DOTA)(P<0.05),在3.0 T时相应为89.3±12.7(P846)和64.1±15.0(Gd-DOTA)(P<0.05)。在1.5 T时,动脉期MR血管造影的图像质量评分分别为4.8±0.4(P846)和4.0±0.0(Gd-DOTA)(P = 0.06),在3.0 T时分别为5.0±0.0(P846)和其4.8±0.4(Gd-DOTA)(P = 0.42)。

结论

造影剂P846在1.5 T和3.0 T场强下为兔的对比增强MRA提供了高对比增强和图像质量,与标准细胞外造影剂相比,钆剂量降低了4倍。

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