Department of Radiology, The Second Xiang-Ya Hospital, Central South University, Changsha 410012, Hunan, China.
Jpn J Radiol. 2013 Feb;31(2):105-14. doi: 10.1007/s11604-012-0156-6. Epub 2012 Dec 13.
To investigate prospectively dynamic characteristics of the apparent diffusion coefficient (ADC) on MR diffusion-weighted imaging (DWI) in a rabbit VX-2 tumor model.
Forty New Zealand rabbits were included in the study, and 47 rabbit VX-2 tumor models were developed by direct and intrahepatic implantation after opening the abdominal cavities. DWI was carried out periodically and respectively on days 7, 14 and 21 after implantation. The VX-2 tumor samples were studied by pathology. The distinction of VX-2 tumors on DWI was assessed by their ADC values by analysis of variance (ANOVA) using SPSS12.0 software.
The ADC values (mean ± SD) × 10(-3) mm(2)/s of 47 VX-2 tumors in the peripheral and central areas were 2.18 ± 0.29, 1.96 ± 0.33, 1.80 ± 0.35, 2.20 ± 0.29, 2.05 ± 0.30 and 1.96 ± 0.48, respectively, on days 7, 14 and 21 after implantation. ADC values of 47 VX-2 tumors in the area of the tumor periphery, center and normal parenchyma were higher when the b-value was 100 s/mm(2) than those when the b-value was 300 s/mm(2) (F = 17.964, p < 0.001; F = 13.986, p < 0.001; F = 128.681, p < 0.001). ADC values in the area of normal liver parenchyma were higher than those in the area of the VX-2 tumor periphery and center when the b-value was 100 or 300 s/mm(2). ADCs of viable tumor cells in VX-2 tumors were lower on DWI than those in the area of normal liver parenchyma around the tumor, and ADCs of dead tumor cells in VX-2 tumors were unequal, including high, equal and low values, but they were higher than in the area of normal liver parenchyma around tumors after dead tumor cells had been liquefied or had become cystic.
ADC is correlated with the tumor histology and degree of malignancy, and DWI has potential value for dynamically monitoring tumors and evaluating the degree of malignancy and therapeutic effect.
前瞻性研究兔 VX-2 肿瘤模型中 MR 扩散加权成像(DWI)上表观扩散系数(ADC)的动态特征。
本研究纳入 40 只新西兰兔,通过开腹后直接和肝内种植的方式建立 47 只兔 VX-2 肿瘤模型。分别于种植后第 7、14、21 天进行 DWI 检查。通过病理研究 VX-2 肿瘤样本。使用 SPSS12.0 软件通过方差分析(ANOVA)分析 ADC 值来评估 DWI 上 VX-2 肿瘤的区分。
种植后第 7、14、21 天,肿瘤外周和中心区域的 47 个 VX-2 肿瘤 ADC 值(均值 ± 标准差)×10(-3) mm(2)/s 分别为 2.18 ± 0.29、1.96 ± 0.33、1.80 ± 0.35、2.20 ± 0.29、2.05 ± 0.30 和 1.96 ± 0.48。当 b 值为 100 s/mm(2) 时,肿瘤外周、中心和正常肝实质区域的 47 个 VX-2 肿瘤 ADC 值均高于 b 值为 300 s/mm(2) 时(F = 17.964,p < 0.001;F = 13.986,p < 0.001;F = 128.681,p < 0.001)。当 b 值为 100 或 300 s/mm(2) 时,正常肝实质区域的 ADC 值均高于 VX-2 肿瘤外周和中心区域。VX-2 肿瘤存活肿瘤细胞的 DWI 上 ADC 值低于肿瘤周围正常肝实质区域,而 VX-2 肿瘤死亡肿瘤细胞的 ADC 值不等,包括高、等和低值,但在死亡肿瘤细胞液化或形成囊肿后高于肿瘤周围正常肝实质区域。
ADC 与肿瘤组织学和恶性程度相关,DWI 具有动态监测肿瘤和评估恶性程度和治疗效果的潜在价值。