Malaghan Institute of Medical Research and School of Biological Sciences, Victoria University of Wellington, Wellington, New Zealand.
PLoS One. 2013;8(2):e56572. doi: 10.1371/journal.pone.0056572. Epub 2013 Feb 20.
Despite advances in non-invasive medical imaging, accurate nodal staging of malignancy continues to rely on surgery. Superparamagnetic iron oxide nanoparticles (IONP) with lymphotropic qualities have shown some promise as contrast agents for MRI of the lymph nodes, but recent large-scale studies failed to show consistent detection of tumours below 5 mm. Herein we compare imaging of splenic and lymph node tissue using iron/iron oxide core/shell nanoparticles (Fe NP) that have superior magnetic qualities to IONP, to determine whether improved negative contrast in T(2)-weighted MRI can enhance the diagnosis of small tumours in the reticuloendothelial system. To provide an in vivo pre-clinical model of human lymph node micrometastases, breast cancer cells were injected into the spleens of mice, providing localised areas of tumour growth. MR images of groups of tumour-bearing and sham-treated animals were generated using a 1.5 T imaging system and analysed by two independent, blinded radiologists. Fe NP improved the sensitivity and specificity of MRI when compared to IONP, enabling accurate detection of tumours as small as 1-3 mm. The use of Fe NP as contrast agents have the potential to improve the diagnostic accuracy of MRI in cancer patients, leading to more rapid and effective treatment.
尽管非侵入性医学成像技术取得了进展,但恶性肿瘤的准确淋巴结分期仍然依赖于手术。具有淋巴亲合性的超顺磁氧化铁纳米颗粒(IONP)已显示出作为磁共振成像(MRI)淋巴结造影剂的一些潜力,但最近的大规模研究未能一致检测到 5 毫米以下的肿瘤。在此,我们比较了使用具有优于 IONP 的磁性的铁/氧化铁核/壳纳米颗粒(Fe NP)对脾脏和淋巴结组织的成像,以确定 T2 加权 MRI 中负对比的改善是否可以增强对网状内皮系统中小肿瘤的诊断。为了提供人类淋巴结微转移的体内临床前模型,将乳腺癌细胞注入小鼠脾脏中,提供局部肿瘤生长区域。使用 1.5 T 成像系统生成了一组荷瘤和假处理动物的 MR 图像,并由两位独立的、盲法的放射科医生进行分析。与 IONP 相比,Fe NP 提高了 MRI 的灵敏度和特异性,能够准确检测到小至 1-3 毫米的肿瘤。Fe NP 作为造影剂的使用有可能提高癌症患者 MRI 的诊断准确性,从而更快、更有效地进行治疗。
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