Naeser P, Thuomas K A, Roberto A, Larsson B S
Department of Ophthalmology, Uppsala University, Sweden.
Acta Radiol. 1991 May;32(3):206-9.
MR imaging has been performed on malignant melanomas in vitro and in vivo. Changes of the water content in an enucleated malignant melanoma in vitro were followed by significant changes of the T1 and T2 values. In mice with implanted subcutaneous melanoma similar changes could be obtained after injection of glucose and fructose intraperitoneally. Malignant melanoma of the eye could be influenced in the same way in 10 consecutive patients after oral intake of glucose and fructose. The present study shows that the MR images may be significantly changed after a few hours by altered metabolism induced by glucose and fructose. It is anticipated that this is due to changes within the tumor leading to different water distribution. The finding may be of importance as a further help for diagnosing malignant melanoma of the eye.
磁共振成像已在体外和体内对恶性黑色素瘤进行了研究。体外摘除的恶性黑色素瘤中水分含量的变化伴随着T1和T2值的显著变化。在皮下植入黑色素瘤的小鼠中,腹腔注射葡萄糖和果糖后也能获得类似的变化。连续10例眼部恶性黑色素瘤患者口服葡萄糖和果糖后,眼部恶性黑色素瘤也会受到同样的影响。本研究表明,葡萄糖和果糖诱导的代谢改变可在数小时后使磁共振图像发生显著变化。预计这是由于肿瘤内部的变化导致水分分布不同所致。这一发现对于眼部恶性黑色素瘤的诊断可能具有重要的辅助作用。