Department of Medical Physics and Engineering, Division of Medical Technology and Science, Faculty of Health Science, Graduate School of Medicine, Osaka University, 1-7 Yamadaoka, Suita, Osaka 565-0871, Japan.
Eur J Radiol. 2010 Apr;74(1):280-6. doi: 10.1016/j.ejrad.2009.03.006. Epub 2009 Apr 5.
To quantitatively assess the time course of changes of the renal volume and function in the early phase of streptozotocin (STZ)-induced diabetes in rats using dynamic contrast-enhanced computed tomography (DCE-CT).
The DCE-CT studies were performed in 24 male Sprague-Dawley rats (n=6 for control and n=18 for STZ-treated group) on days 0, 4, 7, 11, and 14 using a multi-detector row CT. The rats of an STZ-treated group were given intraperitoneally 65mg/kg body weight of STZ on day 0, and were divided into two groups based on the blood glucose concentration on day 4 being less than 300mg/dL [STZ-treated group (L), n=8] or greater than 300mg/dL [STZ-treated group (G), n=10]. The contrast clearance per unit renal volume (K(1)) was estimated from the DCE-CT data using the Patlak model. The renal volume (V(CT)) was calculated by manually delineating the kidney on the contrast-enhanced CT image. The contrast clearance of the entire kidney (K) was obtained by K(1)xV(CT).
V(CT) in the STZ-treated group was significantly enlarged on day 4 compared to that on day 0 and continued until day 14. Although there were no significant changes in the time course of K(1) in all groups, K in the STZ-treated groups (L) and (G) significantly increased on days 7 and 4, respectively, and continued until day 14, suggesting that hyperfiltration occurs in parallel with renal volume enlargement.
The present method appears useful for quantitatively evaluating the time course of STZ-induced diabetes in rats, because it allows repeated and simultaneous evaluation of renal morphology and function.
使用动态对比增强 CT(DCE-CT)定量评估链脲佐菌素(STZ)诱导的糖尿病大鼠早期肾脏体积和功能的变化过程。
在 24 只雄性 Sprague-Dawley 大鼠(对照组 n=6,STZ 处理组 n=18)上,于 0 天、4 天、7 天、11 天和 14 天进行 DCE-CT 研究,使用多排 CT 进行检查。STZ 处理组的大鼠于 0 天腹腔内给予 65mg/kg 体重的 STZ,根据第 4 天血糖浓度<300mg/dL[STZ 处理组(L),n=8]或>300mg/dL[STZ 处理组(G),n=10]分为两组。使用 Patlak 模型从 DCE-CT 数据中估计单位肾脏体积的对比清除率(K1)。通过手动勾画增强 CT 图像上的肾脏来计算肾脏体积(VCT)。整个肾脏的对比清除率(K)通过 K1xVCT 获得。
与第 0 天相比,STZ 处理组的 VCT 在第 4 天明显增大,并持续到第 14 天。尽管所有组的 K1 时间过程均无明显变化,但 STZ 处理组(L)和(G)的 K 在第 7 天和第 4 天分别显著增加,并持续到第 14 天,表明高滤过与肾脏体积增大同时发生。
本方法似乎可用于定量评估 STZ 诱导的糖尿病大鼠的时间过程,因为它可以重复且同时评估肾脏形态和功能。