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实验性乳腺癌骨转移的扩散加权成像与动态对比增强磁共振成像——与组织学的相关性研究

Diffusion-weighted imaging and dynamic contrast-enhanced MRI of experimental breast cancer bone metastases--a correlation study with histology.

作者信息

Merz Maximilian, Seyler Lisa, Bretschi Maren, Semmler Wolfhard, Bäuerle Tobias

机构信息

Department of Medical Physics in Radiology, German Cancer Research Center, Im Neuenheimer Feld 280, 69120 Heidelberg, Germany; Department of Hematology, Oncology and Rheumatology, Heidelberg University Hospital, Im Neuenheimer Feld 410, 69120 Heidelberg, Germany.

Department of Medical Physics in Radiology, German Cancer Research Center, Im Neuenheimer Feld 280, 69120 Heidelberg, Germany.

出版信息

Eur J Radiol. 2015 Apr;84(4):623-30. doi: 10.1016/j.ejrad.2015.01.002. Epub 2015 Jan 19.

Abstract

PURPOSE

To validate imaging parameters from diffusion-weighted imaging and dynamic contrast-enhanced MRI with immunohistology and to non-invasively assess microstructure of experimental breast cancer bone metastases.

MATERIALS AND METHODS

Animals bearing breast cancer bone metastases were imaged in a clinical 1.5 T MRI scanner. HASTE sequences were performed to calculate apparent diffusion coefficients. Saturation recovery turbo FLASH sequences were conducted while infusing 0.1 mmol/l Gd-DTPA for dynamic contrast-enhanced MRI to quantify parameters amplitude A and exchange rate constant kep. After imaging, bone metastases were analyzed immunohistologically.

RESULTS

We found correlations of the apparent diffusion coefficients from diffusion-weighted imaging with tumor cellularity as assessed with cell nuclei staining. Histological vessel maturity was correlated negatively with parameters A and kep from dynamic contrast-enhanced MRI. Tumor size correlated inversely with cell density and vessel permeability as well as positively with mean vessel calibers. Parameters from the rim of bone metastases differed significantly from values of the center.

CONCLUSION

In vivo diffusion-weighted imaging and dynamic contrast-enhanced MRI in experimental bone metastases provide information about tumor cellularity and vascularity and correlate well with immunohistology.

摘要

目的

通过免疫组织学验证扩散加权成像和动态对比增强磁共振成像的成像参数,并对实验性乳腺癌骨转移的微观结构进行无创评估。

材料与方法

对患有乳腺癌骨转移的动物在临床1.5T磁共振成像扫描仪中进行成像。采用HASTE序列计算表观扩散系数。在静脉注射0.1mmol/l钆喷酸葡胺的同时进行饱和恢复快速小角度激发序列以进行动态对比增强磁共振成像,从而量化参数幅度A和交换率常数kep。成像后,对骨转移灶进行免疫组织学分析。

结果

我们发现扩散加权成像的表观扩散系数与通过细胞核染色评估的肿瘤细胞密度相关。组织学上的血管成熟度与动态对比增强磁共振成像的参数A和kep呈负相关。肿瘤大小与细胞密度和血管通透性呈负相关,与平均血管口径呈正相关。骨转移灶边缘的参数与中心值有显著差异。

结论

实验性骨转移的体内扩散加权成像和动态对比增强磁共振成像可提供有关肿瘤细胞密度和血管分布的信息,且与免疫组织学相关性良好。

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