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正常小鼠乳腺导管及原位癌导管中造影剂分布与渗漏的磁共振成像导管造影术

MRI ductography of contrast agent distribution and leakage in normal mouse mammary ducts and ducts with in situ cancer.

作者信息

Markiewicz Erica, Fan Xiaobing, Mustafi Devkumar, Zamora Marta, Conzen Suzanne D, Karczmar Gregory S

机构信息

Department of Radiology, University of Chicago, Chicago, IL, USA.

Medicine, Hematology/Oncology, University of Chicago, Chicago, IL, USA.

出版信息

Magn Reson Imaging. 2017 Jul;40:48-52. doi: 10.1016/j.mri.2017.03.009. Epub 2017 Mar 30.

Abstract

High resolution 3D MRI was used to study contrast agent distribution and leakage in normal mouse mammary glands and glands containing in situ cancer after intra-ductal injection. Five female FVB/N mice (19weeks old) with no detectable mammary cancer and eight C3(1) SV40 Tag virgin female mice (15weeks old) with extensive in situ cancer were studied. A 34G, 45° tip Hamilton needle with a 25μL Hamilton syringe was inserted into the tip of the nipple and approximately 15μL of a Gadodiamide was injected slowly over 1min into the nipple and throughout the duct on one side of the inguinal gland. Following injection, the mouse was placed in a 9.4T MRI scanner, and a series of high resolution 3D T1-weighted images was acquired with a temporal resolution of 9.1min to follow contrast agent leakage from the ducts. The first image was acquired at about 12min after injection. Ductal enhancement regions detected in images acquired between 12 and 21min after contrast agent injection was five times smaller in SV40 mouse mammary ducts (p<0.001) than in non-cancerous FVB/N mouse mammary ducts, perhaps due to rapid washout of contrast agent from the SV40 ducts. The contrast agent washout rate measured between 12min and 90min after injection was ~20% faster (p<0.004) in SV40 mammary ducts than in FVB/N mammary ducts. These results may be due to higher permeability of the SV40 ducts, likely due to the presence of in situ cancers. Therefore, increased permeability of ducts may indicate early stage breast cancers.

摘要

采用高分辨率三维磁共振成像(3D MRI)研究导管内注射造影剂后正常小鼠乳腺及原位癌乳腺中的造影剂分布和渗漏情况。研究了5只无可检测到的乳腺癌的雌性FVB/N小鼠(约19周龄)和8只患有广泛原位癌的C3(1) SV40 Tag处女雌性小鼠(约15周龄)。使用带有25μL Hamilton注射器的34G、45°尖端Hamilton针插入乳头尖端,将约15μL钆双胺在1分钟内缓慢注入腹股沟腺一侧的乳头及整个导管。注射后,将小鼠置于9.4T MRI扫描仪中,以9.1分钟的时间分辨率采集一系列高分辨率三维T1加权图像,以追踪造影剂从导管的渗漏情况。第一张图像在注射后约12分钟采集。在注射造影剂后12至21分钟之间采集的图像中检测到的导管增强区域,在SV40小鼠乳腺导管中比在无癌的FVB/N小鼠乳腺导管中小五倍(p<0.001),这可能是由于造影剂从SV40导管中快速洗脱所致。注射后12分钟至90分钟之间测量的造影剂洗脱率,在SV40乳腺导管中比在FVB/N乳腺导管中快约20%(p<0.004)。这些结果可能是由于SV40导管的通透性较高,可能是由于原位癌的存在。因此,导管通透性增加可能表明早期乳腺癌。

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