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活体小鼠双对比微 CT 结肠镜检查。

Double-contrast micro-CT colonoscopy in live mice.

机构信息

Department of Neuroradiology Medical Faculty Mannheim, University of Heidelberg, Theodor-Kutzer-Ufer 1-3, 68167 Mannheim, Germany.

出版信息

Int J Colorectal Dis. 2011 Jun;26(6):721-7. doi: 10.1007/s00384-011-1181-0. Epub 2011 Mar 25.

Abstract

PURPOSE

Models of colon cancer in small rodents are of particular interest as they most closely simulate the development and growth of colonic cancer in humans. Micro-computed tomography has been used for detection of polyps in murine models of colon cancer. The study was performed to evaluate whether a novel high-speed continuous-rotation, single-breath-hold scanning protocol in combination with double-contrasting of the colon can be successfully applied for colonoscopy of live mice at acquisition times of 40 s.

METHODS

C57BL/6JApcMin/+ mice were intubated and ventilated. After double-contrasting the colon with barium and air, mice underwent continuous rotation micro-CT (mean resolution 41 × 41 × 53 μm) during a single-breath-hold period of 40 s. Sensitivity to detect colon polyps by four blinded radiologists was analysed. Number and location of polyps were verified in the excised colon. Radiation dose was measured using a thermoluminescence dosimeter placed within the distal colon.

RESULTS

In six of seven mice, a total of 12 polyps were detected in the explanted colon (one mouse without polyps). One tumor (8.3%) was located in the proximal third, seven tumors (58.1%) and four tumors (33.2%) were located in the middle and in the distal third of the colon, respectively. Mean tumor volume was 6.5 ± 3.6 mm(3). Sensitivity to detect colon polyps was 0.85 ± 0.1. Mean radiation dose was 0.241 ± 0.002 Gy.

CONCLUSION

Using a high-speed continuous rotation micro-CT protocol, double-contrast single-breath-hold colonoscopy in mice is feasible and yields sufficient contrast to visualize the proximal colonic folds and to detect colonic polyps in vivo.

摘要

目的

小型啮齿动物的结肠癌模型特别有趣,因为它们最能模拟人类结肠癌的发展和生长。微计算机断层扫描已用于检测结肠癌的鼠模型中的息肉。本研究旨在评估一种新型高速连续旋转、单次屏气扫描方案是否可以与结肠双重对比相结合,成功应用于 40 秒采集时间的活体小鼠结肠镜检查。

方法

C57BL/6JApcMin/+ 小鼠进行插管和通气。在使用钡剂和空气对结肠进行双重对比后,小鼠在 40 秒的单次屏气期间进行连续旋转微 CT(平均分辨率 41×41×53μm)。由四位盲法放射科医生分析检测结肠息肉的敏感性。切除的结肠中验证息肉的数量和位置。使用放置在远端结肠内的热释光剂量计测量辐射剂量。

结果

在七只小鼠中的六只中,总共在离体结肠中检测到 12 个息肉(一只小鼠无息肉)。一个肿瘤(8.3%)位于近端三分之一,七个肿瘤(58.1%)和四个肿瘤(33.2%)分别位于结肠的中三分之一和远三分之一。平均肿瘤体积为 6.5±3.6mm3。检测结肠息肉的敏感性为 0.85±0.1。平均辐射剂量为 0.241±0.002Gy。

结论

使用高速连续旋转微 CT 方案,小鼠的双重对比单次屏气结肠镜检查是可行的,并且可以产生足够的对比度来可视化近端结肠褶皱并在体内检测结肠息肉。

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