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脾脏和肾脏的磁共振成像时间-强度关系:钆喷酸葡胺、白蛋白-(钆喷酸葡胺)和氧化钆胶体的比较研究

MR image time-intensity relations in spleen and kidney: a comparative study of GdDTPA, albumin-(GdDTPA), and Gd2O3 colloid.

作者信息

Daly P F, Zimmerman J B, Cannillo J A, Wolf G L

机构信息

Pittsburgh NMR Institute, University of Pittsburgh, Pennsylvania 15213.

出版信息

Am J Physiol Imaging. 1990;5(3):119-24.

PMID:2285522
Abstract

Magnetic resonance images were performed using a gradient recalled echo sequence with acquisition of images every 30 s in anesthetized rats before and after intravenous bolus injections of 100 microns/kg GdDTPA, 60 microns/kg albumin-(GdDTPA), and 60 microns/kg Gd2O3 colloid. All three agents caused significant enhancement of the renal cortex, and even greater enhancement of the spleen. GdDTPA showed an early peak at 11 s followed by a wash-out as blood concentrations fell, whereas albumin-(GdDTPA) and Gd2O3 showed sustained tissue enhancement. The enhancement in each organ was equivalent for albumin-(GdDTPA) and Gd2O3 which stay intravascular; but 30% less for GdDTPA which enters the interstitial space. In addition GdDTPA showed an initial enhancement of the renal medulla but then a subsequent loss of signal, whereas albumin-(GdDTPA) resulted in a greater enhancement of the medulla as compared to the cortex. We conclude that time-intensity studies of local tissue response to MR indicators reflect tissue physiological parameters such as perfusion, blood volume, and concentrating ability in a semiquantitative manner.

摘要

在静脉推注100微克/千克钆喷酸葡胺(GdDTPA)、60微克/千克白蛋白 - (GdDTPA)和60微克/千克氧化钆(Gd2O3)胶体之前和之后,对麻醉大鼠使用梯度回波序列进行磁共振成像,每30秒采集一次图像。所有三种试剂均导致肾皮质显著增强,脾脏增强更为明显。GdDTPA在11秒时出现早期峰值,随后随着血药浓度下降而洗脱,而白蛋白 - (GdDTPA)和Gd2O3显示出持续的组织增强。对于留在血管内的白蛋白 - (GdDTPA)和Gd2O3,每个器官的增强程度相当;但进入间质空间的GdDTPA的增强程度少30%。此外,GdDTPA显示肾髓质最初增强,但随后信号丢失,而白蛋白 - (GdDTPA)导致髓质相对于皮质有更大的增强。我们得出结论,局部组织对磁共振指示剂反应的时间 - 强度研究以半定量方式反映了组织生理参数,如灌注、血容量和浓缩能力。

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