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肝细胞性磁共振对比剂:钆塞酸二钠与钆贝葡胺给药后肝脏实质和门静脉的增强特点比较。

Hepatocellular MR contrast agents: enhancement characteristics of liver parenchyma and portal vein after administration of gadoxetic acid in comparison to gadobenate dimeglumine.

机构信息

Duke University Medical Center, Department of Radiology, DUMC 3808, Durham, NC 27710, United States.

出版信息

Eur J Radiol. 2012 Sep;81(9):2037-41. doi: 10.1016/j.ejrad.2011.06.014. Epub 2011 Jun 29.

DOI:10.1016/j.ejrad.2011.06.014
PMID:21719224
Abstract

PURPOSE

To investigate the enhancement characteristics of liver parenchyma and portal vein as well as the portal vein-to liver contrast in Gd-EOB-DTPA- and Gd-BOPTA-enhanced abdominal MRI.

MATERIALS AND METHODS

The local institutional review board approved this retrospective study. A total of 70 patients (30 female, 40 male) without relevant liver disease underwent either Gd-EOB-DTPA-enhanced (35 patients, dose 0.025 mmol/kg) or Gd-BOPTA-enhanced (35 patients, dose 0.1 mmol/kg) abdominal MRI. Signal-to-noise ratios (SNR) for the portal vein and the liver as well as portal vein-to-liver contrast-to-noise ratios (CNR) were calculated for three consecutive arterial phases, one portal venous phase and one delayed imaging phase.

RESULTS

The liver SNR showed higher values for the Gd-BOPTA group in the arterial and portal venous phases (statistically significant for the second and third arterial phase), while the liver SNR in the delayed phase was higher for the Gd-EOB-DTPA group. The portal venous SNR as well as the portal vein-to-liver CNR was higher in the Gd-BOPTA group in all imaging phases (statistically significant in all phases except for the first arterial phase).

CONCLUSION

The enhancement of liver parenchyma and portal vein as well as the portal vein-to-liver contrast in the arterial and portal venous imaging phases were higher for patients receiving Gd-BOPTA compared with Gd-EOB-DTPA at the respective recommended doses. Gd-BOPTA might therefore enable better evaluation of the portal vein.

摘要

目的

研究钆塞酸二钠(Gd-EOB-DTPA)与钆喷替酸葡甲胺(Gd-BOPTA)增强腹部 MRI 时肝实质和门静脉的强化特征及门静脉-肝对比。

材料与方法

本回顾性研究经当地机构审查委员会批准。共 70 例(女 30 例,男 40 例)无相关肝病患者行 Gd-EOB-DTPA(剂量 0.025mmol/kg,35 例)或 Gd-BOPTA(剂量 0.1mmol/kg,35 例)增强腹部 MRI。计算 3 个动脉期、1 个门静脉期和 1 个延迟期连续 3 个肝实质和门静脉的信噪比(SNR)及门静脉-肝对比噪声比(CNR)。

结果

动脉期和门静脉期,Gd-BOPTA 组肝 SNR 较高(第 2、3 个动脉期有统计学差异),而 Gd-EOB-DTPA 组延迟期肝 SNR 较高。Gd-BOPTA 组门静脉 SNR 及门静脉-肝 CNR 在各期均较高(除第 1 个动脉期外,均有统计学差异)。

结论

在推荐剂量下,Gd-BOPTA 增强肝实质和门静脉强化程度以及门静脉-肝对比优于 Gd-EOB-DTPA,可能使门静脉评估更佳。

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