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钆塞酸二钠增强MRI T1映射评估兔肝纤维化模型中的肝功能:10分钟和20分钟时获得的肝胆期图像比较

Gd-EOB-DTPA-enhanced MRI T1 mapping for assessment of liver function in rabbit fibrosis model: comparison of hepatobiliary phase images obtained at 10 and 20 min.

作者信息

Zhou Zhi-Peng, Long Li-Ling, Huang Li-Juan, Yang Teng-Fei, Huang Zhong-Kui

机构信息

Department of Radiology, The First Affiliated Hospital of Guangxi Medical University, Nanning, 530021, Guangxi, People's Republic of China.

出版信息

Radiol Med. 2017 Apr;122(4):239-247. doi: 10.1007/s11547-016-0719-1. Epub 2017 Jan 9.

DOI:10.1007/s11547-016-0719-1
PMID:28070844
Abstract

OBJECTIVES

To compare hepatobiliary phase (HBP) images obtained at 10 and 20 min after Gd-EOB-DTPA-enhanced MRI for assessment of liver function in rabbit fibrosis model on 3.0 T MR imaging.

METHODS

34 animals were separated into three groups: 5 for a control group, 14 for a mild fibrosis group, and 15 for a severe fibrosis group based on pathological proof. T1 relaxation times (T1rt) were measured on T1 mapping and reduction rates of T1rt (rrT1rt) were calculated. HBP images were obtained at 10 and 20 min after Gd-EOB-DTPA enhancement. Indocyanine green retention rates at 15 min (ICG R15) were performed for all animals.

RESULTS

T1rt on pre-enhancement imaging showed no significant difference (p > 0.05) among all groups. T1rt on 10 min HBP and 20 min HBP showed significant difference (p < 0.05) among all groups. T1rt and rrT1rt in three groups showed no-significant difference (p > 0.05) between 10 min HBP and 20 min HBP. T1rt on both 10 and 20 min HBP showed significant correlation with ICG R15 (p < 0.05); rrT1rt on both 10 min HBP and 20 min HBP showed significant inverse correlation with ICG R15 (p < 0.05).

CONCLUSIONS

Comparing 10 min HBP and 20 min HBP T1 mapping after Gd-EOB-DTPA enhancement, our results suggest that 10 min HBP T1 mapping is feasible for quantitatively assessing liver function.

摘要

目的

比较钆塞酸二钠(Gd-EOB-DTPA)增强磁共振成像(MRI)后10分钟和20分钟获得的肝胆期(HBP)图像,以评估3.0T MR成像兔纤维化模型的肝功能。

方法

根据病理证实,将34只动物分为三组:对照组5只,轻度纤维化组14只,重度纤维化组15只。在T1 mapping上测量T1弛豫时间(T1rt)并计算T1rt的降低率(rrT1rt)。在Gd-EOB-DTPA增强后10分钟和20分钟获得HBP图像。对所有动物进行15分钟吲哚菁绿滞留率(ICG R15)检测。

结果

增强前成像的T1rt在所有组间无显著差异(p>0.05)。10分钟HBP和20分钟HBP的T1rt在所有组间有显著差异(p<0.05)。三组在10分钟HBP和20分钟HBP之间的T1rt和rrT1rt无显著差异(p>0.05)。10分钟和20分钟HBP的T1rt均与ICG R15呈显著正相关(p<0.05);10分钟HBP和20分钟HBP的rrT1rt均与ICG R15呈显著负相关(p<0.05)。

结论

比较Gd-EOB-DTPA增强后10分钟HBP和20分钟HBP的T1 mapping,结果表明10分钟HBP T1 mapping在定量评估肝功能方面是可行的。

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