Department of Surgery, Memorial Sloan-Kettering Cancer Center, 1275 York Ave, New York, NY 10065, USA.
AJR Am J Roentgenol. 2013 Jun;200(6):1347-51. doi: 10.2214/AJR.12.8933.
Iodinated contrast agent for CT has a short half-life in the vasculature. As the field of interventional procedures expands, a more durable contrast agent would be highly useful. Our study investigated whether gold nanoparticles are feasible as a long-lasting vascular contrast agent for CT.
Gold nanoparticles were synthesized by a modified Turkevich method, coated with methoxy-polyethylene glycol-thiol chains, and compared with an iodine-based contrast agent used in mice. Contrast agents were imaged in tubes by CT at 40, 60, and 140 kVp and then were tested in vivo by tail vein injection. Nine mice received gold nanoparticles, two received iodine-based contrast agent, and one received saline. CT of mice was performed at 60 kVp immediately, 6 hours, and 24 hours after injection.
In an isolated form in tubes, gold nanoparticles had greater radiographic density than did iodine-based contrast agent at 40 kVp and were comparable at the other CT voltages. In mice, gold nanoparticles provided bright contrast enhancement that enabled clear visualization of the abdominal aorta and renal arteries, which could not be distinguished without contrast agent. This persisted up to 24 hours, which was the last time point assessed. Contrast enhancement of the vasculature by iodine-based contrast agent was present immediately after injection but had disappeared by 6 hours.
Gold nanoparticles can provide clear and durable contrast enhancement of the vasculature even at 24 hours. These findings merit further study of gold nanoparticles for their potential as a contrast agent in CT and CT-guided interventional procedures.
CT 用碘造影剂在血管内的半衰期较短。随着介入治疗领域的不断扩展,一种更持久的造影剂将非常有用。本研究旨在探讨金纳米颗粒是否可作为一种适用于 CT 的持久血管造影剂。
采用改良的 Turkevich 法合成金纳米颗粒,并用甲氧基聚乙二醇巯基链进行包覆,并与小鼠中使用的碘造影剂进行比较。采用 CT 在 40、60 和 140 kVp 下对管内造影剂进行成像,然后通过尾静脉注射进行体内试验。9 只小鼠接受金纳米颗粒注射,2 只接受碘造影剂注射,1 只接受生理盐水注射。在注射后立即、6 小时和 24 小时,使用 60 kVp 对小鼠进行 CT 检查。
在管内的分离状态下,金纳米颗粒在 40 kVp 时的射线照相密度大于碘造影剂,而在其他 CT 电压下则与之相当。在小鼠中,金纳米颗粒提供了明亮的对比增强效果,使腹主动脉和肾动脉能够清晰显示,而没有造影剂则无法区分这些血管。这种增强效果可持续到 24 小时,这是评估的最后一个时间点。注射后立即出现碘造影剂增强的血管对比度,但在 6 小时后消失。
金纳米颗粒即使在 24 小时后也能提供清晰且持久的血管对比增强效果。这些发现值得进一步研究金纳米颗粒作为 CT 和 CT 引导介入治疗中造影剂的潜力。