Lundbom N, Brown R D, Koenig S H, Lansen T A, Valsamis M P, Kasoff S S
IBM T.J. Watson Research Center, Yorktown Heights, New York.
Invest Radiol. 1990 Nov;25(11):1197-205. doi: 10.1097/00004424-199011000-00008.
The authors have measured the magnetic field dependence of 1/T1 (nuclear magnetic relaxation dispersion, or NMRD profiles) of water protons of histologically characterized samples of astrocytomas, meningiomas, and lymphomas. The goal was to elucidate the determinants of 1/T1 of brain tumors at the cellular level and, in particular, to search for a possible correlation of the profiles with neoplastic properties, including degree of malignancy. Because of the recently demonstrated contribution of myelin to 1/T1 of white matter, careful histologic analyses were performed to correct for its presence. The range of magnitude of the profiles of differing types and grades of tumors correlates with the range of water content of these tumors; the correlation of water content with cellularity (density of cell nuclei in a histologic preparation), in turn, produces correlations of 1/T1 with tumor type. For all the tumors studied, 1/T1 is proportional to solids content; the constant of proportionality is relatively insensitive to tumor type and, for astrocytomas, grade of malignancy; and is about the same as that of normal gray matter. For low- and intermediate-grade astrocytomas that contain myelin, the myelin-specific contribution to 1/T1 has to be considered to make manifest the underlying correlations, which are best demonstrated at low fields, where the background contribution of water and dissolved oxygen is minimal. At high fields, where most imaging is done, a change in oxygen partial pressure, as for example from ischemia in very malignant tumors, is sufficient to alter 1/T1 significantly, reducing the intrinsic correlation between histology and 1/T1.
作者测量了星形细胞瘤、脑膜瘤和淋巴瘤的组织学特征样本中水质子的1/T1(核磁弛豫色散,即NMRD图谱)的磁场依赖性。目的是在细胞水平上阐明脑肿瘤1/T1的决定因素,特别是寻找图谱与肿瘤特性(包括恶性程度)之间可能的相关性。由于最近已证明髓磷脂对白质1/T1有贡献,因此进行了仔细的组织学分析以校正其存在。不同类型和级别的肿瘤图谱的大小范围与这些肿瘤的含水量范围相关;含水量与细胞密度(组织学制剂中细胞核的密度)的相关性进而产生了1/T1与肿瘤类型的相关性。对于所有研究的肿瘤,1/T1与固体含量成正比;比例常数对肿瘤类型相对不敏感,对于星形细胞瘤,对恶性程度也不敏感;并且与正常灰质的比例常数大致相同。对于含有髓磷脂的低级别和中级别的星形细胞瘤,必须考虑髓磷脂对1/T1的特异性贡献,以揭示潜在的相关性,这种相关性在低场时最明显,此时水和溶解氧的背景贡献最小。在大多数成像所采用的高场中,例如在非常恶性的肿瘤中因局部缺血导致的氧分压变化,足以显著改变1/T1,从而降低组织学与1/T1之间的内在相关性。