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乳腺的31P磁共振波谱分析及月经周期的影响

(31)P magnetic resonance spectroscopy of the breast and the influence of the menstrual cycle.

作者信息

Stehouwer B L, van der Kemp W J M, Luijten P R, van den Bosch M A A J, Veldhuis W B, Wijnen J P, Klomp D W J

机构信息

Department of Radiology, University Medical Center Utrecht, Room E01.132, PO Box 85500, 3508 GA, Utrecht, Netherlands,

出版信息

Breast Cancer Res Treat. 2014 Apr;144(3):583-9. doi: 10.1007/s10549-014-2889-7. Epub 2014 Feb 26.

Abstract

Phosphorus metabolite ratios are potential biomarkers in breast cancer diagnosis and treatment monitoring. Our purpose was to investigate the metabolite ratios phosphomonoester to phosphodiester, phosphoethanolamine (PE) to glycerophosphoethanolamine (GPE), and phosphocholine (PC) to glycerophosphocholine (GPC) in glandular breast tissue, and the potential effect of the menstrual cycle, using (31)P magnetic resonance spectroscopy (MRS) at 7T. Seven women with regular menstrual cycles each underwent four examinations using a 3D (31)P multi-echo magnetic resonance spectroscopic imaging sequence. Peak integrals were assessed using IDL and JMRUI software. First, T2 relaxation times were calculated using multi-echo data pooled across subjects and time points. Subsequent, metabolite ratios were calculated for each phase of the menstrual cycle using the calculated T2 values to account for when combining the free induction decay and all five echoes. The metabolite ratios were calculated both on group level and individually. T2 decay fits resulted in a T2 relaxation time for PE of 154 ms (95 % CI 144-164), for PC of 173 ms (95 % CI 148-205), for Pi of 188 ms (95 % CI 182-193), for GPE of 48 ms (95 % CI 44-53), and for GPC of 23 ms (95 % CI 21-26). The metabolite ratios analyzed on group level showed negligible variation throughout the menstrual cycle. Individual results did show an apparent intra-individual variation; however, not significant due to the measurements' uncertainty. To conclude, phospholipids in glandular tissue as measured with (31)P MRS at 7 T are not significantly affected by the menstrual cycle.

摘要

磷代谢物比率是乳腺癌诊断和治疗监测中的潜在生物标志物。我们的目的是使用7T的(31)P磁共振波谱(MRS)研究乳腺腺体组织中磷酸单酯与磷酸二酯、磷酸乙醇胺(PE)与甘油磷酸乙醇胺(GPE)以及磷酸胆碱(PC)与甘油磷酸胆碱(GPC)的代谢物比率,以及月经周期的潜在影响。七名月经周期规律的女性每人使用3D(31)P多回波磁共振波谱成像序列进行了四次检查。使用IDL和JMRUI软件评估峰值积分。首先,使用跨受试者和时间点汇总的多回波数据计算T2弛豫时间。随后,使用计算出的T2值计算月经周期各阶段的代谢物比率,以考虑在组合自由感应衰减和所有五个回波时的情况。代谢物比率在组水平和个体水平上均进行了计算。T2衰减拟合得出PE的T2弛豫时间为154毫秒(95%置信区间144 - 164),PC为173毫秒(95%置信区间148 - 205),Pi为188毫秒(95%置信区间182 - 193),GPE为48毫秒(95%置信区间44 - 53),GPC为23毫秒(95%置信区间21 - 26)。在组水平上分析的代谢物比率在整个月经周期中显示出可忽略不计的变化。个体结果确实显示出明显的个体内差异;然而,由于测量的不确定性,差异并不显著。总之,在7T下用(31)P MRS测量的腺体组织中的磷脂不受月经周期的显著影响。

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