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脑星形细胞瘤中MRI定量参数与缺氧诱导因子-1α表达的关系

The relationship between MRI quantitative parameters and the expression of hypoxia inducible factor-1 alpha in cerebral astrocytoma.

作者信息

Shu Chang, Wang Jinhuan

机构信息

Medical College of Nankai University, Tianjin, 300071, China.

Medical College of Nankai University, Tianjin, 300071, China; Department of Neurosurgery, Tianjin Huan Hu Hospital, Tianjin, 300060, China.

出版信息

Clin Neurol Neurosurg. 2017 Feb;153:14-19. doi: 10.1016/j.clineuro.2016.11.013. Epub 2016 Nov 23.

Abstract

OBJECTIVE

Astrocytoma is the common type of glioma. But the MRI scanning for astrocytoma preoperation pathological diagnosis is not exact. The purpose of this study was to use the MRI multi quantitative parameters to improve the diagnosis of astrocytoma and exploit their molecular mechanism related to the expression of HIF-1α.

METHODS

Superconducting MR scanner and its work station were used to calculate the MRI multi quantitative parameters of the selected patients in this experiment. Scion Image Beta4.03 software was used to get the cellular density of tumor tissue. The expression of HIF-1α in astrocytoma specimens was detected by immunohistochemistry method. The correlation of MRI multi quantitative parameters and the expression of HIF-1α was analyzed by statistical software.

RESULT

The values of ADC, RSIGd, EP, EI, cellular density and the expression of HIF-1α were changed with the malignant degree of astrocytoma to some extent, but not every quantitative parameter was related to the expression of HIF-1α.

CONCLUSION

The MRI multi quantitative parameters binding with conventional MRI imaging can significantly raise the diagnostic accuracy of astrocytoma preoperatively. MRI features could indirectly reflect the biological behavior of astrocytoma. The peritumoral edema can't be explained by only one theory.

摘要

目的

星形细胞瘤是胶质瘤的常见类型。但术前对星形细胞瘤进行病理诊断的MRI扫描并不准确。本研究的目的是利用MRI多定量参数提高星形细胞瘤的诊断水平,并探索其与缺氧诱导因子-1α(HIF-1α)表达相关的分子机制。

方法

本实验采用超导MR扫描仪及其工作站计算所选患者的MRI多定量参数。使用Scion Image Beta4.03软件获取肿瘤组织的细胞密度。采用免疫组织化学方法检测星形细胞瘤标本中HIF-1α的表达。运用统计软件分析MRI多定量参数与HIF-1α表达的相关性。

结果

表观扩散系数(ADC)、相对信号强度(RSIGd)、增强百分比(EP)、增强指数(EI)、细胞密度以及HIF-1α的表达在一定程度上随星形细胞瘤的恶性程度而变化,但并非每个定量参数都与HIF-1α的表达相关。

结论

结合传统MRI成像的MRI多定量参数可显著提高术前星形细胞瘤的诊断准确性。MRI特征可间接反映星形细胞瘤的生物学行为。瘤周水肿不能仅用一种理论来解释。

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