Kuo Yu-Ting, Chen Chiao-Yun, Liu Gin-Chung, Wang Yun-Ming
Department of Medical Imaging, Chi Mei Hospital, Tainan, Taiwan.
Department of Organ Transplantation Center, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan.
PLoS One. 2016 Feb 17;11(2):e0148695. doi: 10.1371/journal.pone.0148695. eCollection 2016.
Liver tumors are common and imaging methods, particularly magnetic resonance imaging (MRI), play an important role in their non-invasive diagnosis. Previous studies have shown that detection of liver tumors can be improved by injection of two different MR contrast agents. Here, we developed a new contrast agent, Gd-manganese-doped magnetism-engineered iron oxide (Gd-MnMEIO), with enhancement effects on both T1- and T2-weighted MR images of the liver. A 3.0T clinical MR scanner equipped with transmit/receiver coil for mouse was used to obtain both T1-weighted spoiled gradient-echo and T2-weighted fast spin-echo axial images of the liver before and after intravenous contrast agent injection into Balb/c mice with and without tumors. After pre-contrast scanning, six mice per group were intravenously injected with 0.1 mmol/kg Gd-MnMEIO, or the control agents, i.e., Gd-DTPA or SPIO. The scanning time points for T1-weighted images were 0.5, 5, 10, 15, 20, 25, and 30 min after contrast administration. The post-enhanced T2-weighted images were then acquired immediately after T1-weighted acquisition. We found that T1-weighted images were positively enhanced by both Gd-DTPA and Gd-MnMEIO and negatively enhanced by SPIO. The enhancement by both Gd-DTPA and Gd-MnMEIO peaked at 0.5 min and gradually declined thereafter. Gd-MnMEIO (like Gd-DTPA) enhanced T1-weighted images and (like SPIO) T2-weighted images. Marked vascular enhancement was clearly visible on dynamic T1-weighted images with Gd-MnMEIO. In addition, the T2 signal was significantly decreased at 30 min after administration of Gd-MnMEIO. Whereas the effects of Gd-MnMEIO and SPIO on T2-weighted images were similar (p = 0.5824), those of Gd-MnMEIO and Gd-DTPA differed, with Gd-MnMEIO having a significant T2 contrast effect (p = 0.0086). Our study confirms the feasibility of synthesizing an MR contrast agent with both T1 and T2 shortening effects and using such an agent in vivo. This agent enables tumor detection and characterization in single liver MRI sections.
肝脏肿瘤很常见,成像方法,尤其是磁共振成像(MRI),在其无创诊断中发挥着重要作用。先前的研究表明,注射两种不同的磁共振造影剂可提高肝脏肿瘤的检测率。在此,我们开发了一种新型造影剂,钆 - 锰掺杂磁性工程氧化铁(Gd - MnMEIO),它对肝脏的T1加权和T2加权磁共振图像均有增强作用。使用配备小鼠发射/接收线圈的3.0T临床磁共振扫描仪,在向有肿瘤和无肿瘤的Balb/c小鼠静脉注射造影剂之前和之后,获取肝脏的T1加权扰相梯度回波和T2加权快速自旋回波轴向图像。在造影前扫描后,每组六只小鼠静脉注射0.1 mmol/kg Gd - MnMEIO或对照剂,即钆 - 二乙三胺五乙酸(Gd - DTPA)或超顺磁性氧化铁(SPIO)。T1加权图像的扫描时间点为造影剂给药后0.5、5、10、15、20、25和30分钟。在T1加权采集后立即采集增强后的T2加权图像。我们发现,Gd - DTPA和Gd - MnMEIO均使T1加权图像呈正增强,而SPIO使其呈负增强。Gd - DTPA和Gd - MnMEIO的增强在0.5分钟时达到峰值,此后逐渐下降。Gd - MnMEIO(与Gd - DTPA一样)增强T1加权图像,(与SPIO一样)增强T2加权图像。在使用Gd - MnMEIO的动态T1加权图像上,明显可见显著的血管增强。此外,在注射Gd - MnMEIO后30分钟,T2信号显著降低。虽然Gd - MnMEIO和SPIO对T2加权图像的影响相似(p = 0.5824),但Gd - MnMEIO和Gd - DTPA的影响不同,Gd - MnMEIO具有显著的T2对比效果(p = 0.0086)。我们的研究证实了合成具有T1和T2缩短效应的磁共振造影剂并在体内使用这种造影剂的可行性。这种造影剂能够在单次肝脏MRI切片中检测和表征肿瘤。