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采用双重对比法提高活体胰腺胰岛的检测率。

Improved detection of pancreatic islets in vivo using double contrast.

机构信息

MR-Unit, Department of Diagnostic and Interventional Radiology, Institute for Clinical and Experimental Medicine, Prague, Czech Republic.

出版信息

Contrast Media Mol Imaging. 2011 Jul-Aug;6(4):308-13. doi: 10.1002/cmmi.432.

Abstract

The transplantation of pancreatic islets containing β-cells, which produce insulin, is an alternative approach to the treatment of type 1 diabetes mellitus. The non-invasive visualization of transplanted islets can be performed using MRI; however, this requires labeling of the islets with a suitable contrast agent prior to transplantation. The detection of islets labeled by iron oxide-based contrast agents and transplanted into the liver tissue can be significantly improved using the intravenous administration of a suitable gadolinium contrast agent prior to MRI. The applied contrast agent not only improves the contrast-to-noise ratio, but also eliminates artifacts that may lead to an overestimation of the number of hypointense spots and their area; thus it improves the accuracy of automated and semi-automated procedures used for transplanted islet segmentation and quantification.

摘要

胰岛β细胞移植是治疗 1 型糖尿病的一种方法。磁共振成像(MRI)可用于非侵入性可视化移植的胰岛,但需要在移植前用合适的对比剂对胰岛进行标记。在 MRI 检查前静脉内给予合适的钆对比剂,可以显著提高氧化铁基对比剂标记并移植到肝组织中的胰岛的检测效果。应用的对比剂不仅提高了对比噪声比,而且消除了可能导致低估低信号点数量及其面积的伪影;因此,它提高了用于移植胰岛分割和定量的自动化和半自动程序的准确性。

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