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用于监测肿瘤间质液压力的次谐波辅助压力估计:乳腺癌异种移植瘤中紫杉醇的校准与治疗

Subharmonic-Aided Pressure Estimation for Monitoring Interstitial Fluid Pressure in Tumors: Calibration and Treatment with Paclitaxel in Breast Cancer Xenografts.

作者信息

Halldorsdottir Valgerdur G, Dave Jaydev K, Marshall Andrew, Forsberg Anya I, Fox Traci B, Eisenbrey John R, Machado Priscilla, Liu Ji-Bin, Merton Daniel A, Forsberg Flemming

机构信息

Department of Radiology, Thomas Jefferson University, Philadelphia, Pennsylvania, USA; School of Biomedical Engineering, Science and Health Systems, Drexel University, Philadelphia, Pennsylvania, USA.

Department of Radiology, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.

出版信息

Ultrasound Med Biol. 2017 Jul;43(7):1401-1410. doi: 10.1016/j.ultrasmedbio.2017.02.011. Epub 2017 Apr 19.

DOI:10.1016/j.ultrasmedbio.2017.02.011
PMID:28433436
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6082419/
Abstract

Interstitial fluid pressure (IFP) in rats with breast cancer xenografts was non-invasively estimated using subharmonic-aided pressure estimation (SHAPE) versus an invasive pressure monitor. Moreover, monitoring of IFP changes after chemotherapy was assessed. Eighty-nine rats (calibration n = 25, treatment n = 64) were injected with 5 × 10 breast cancer cells (MDA-MB-231). Radiofrequency signals were acquired (39 rats successfully imaged) with a Sonix RP scanner (BK Ultrasound, Richmond, BC, Canada) using a linear array (L9-4, transmit/receive: 8/4 MHz) after administration of Definity (Lantheus Medical Imaging, North Billerica, MA, USA; 180 μL/kg) and compared with readings from an invasive pressure monitor (Stryker, Berkshire, UK). An inverse linear relationship was established between tumor IFP and SHAPE (y = -1.06x + 28.27, r = -0.69, p = 0.01) in the calibration group. Use of this relationship in the treatment group resulted in r = 0.74 (p < 0.05) between measured (pressure monitor) and SHAPE-estimated IFP (average error: 6.24 mmHg). No significant before/after differences were observed with respect to paclitaxel treatment (5 mg/kg, Mayne Pharma, Paramus, NJ, USA) with either method (p ≥ 0.15).

摘要

使用次谐波辅助压力估计(SHAPE)与侵入性压力监测器对乳腺癌异种移植大鼠的组织间液压力(IFP)进行了非侵入性估计。此外,还评估了化疗后IFP变化的监测情况。89只大鼠(校准组n = 25,治疗组n = 64)被注射了5×10个乳腺癌细胞(MDA-MB-231)。在给予Definity(美国马萨诸塞州北比勒里卡市Lantheus Medical Imaging公司;180μL/kg)后,使用线性阵列(L9-4,发射/接收:8/4 MHz)的Sonix RP扫描仪(加拿大不列颠哥伦比亚省里士满市BK超声公司)采集射频信号(39只大鼠成功成像),并与侵入性压力监测器(英国伯克郡Stryker公司)的读数进行比较。在校准组中,肿瘤IFP与SHAPE之间建立了反线性关系(y = -1.06x + 28.27,r = -0.69,p = 0.01)。在治疗组中使用这种关系,测量的(压力监测器)与SHAPE估计的IFP之间的r = 0.74(p < 0.05)(平均误差:6.24 mmHg)。两种方法在紫杉醇治疗(5 mg/kg,美国新泽西州帕拉默斯市Mayne Pharma公司)前后均未观察到显著差异(p≥0.15)。

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