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磁共振 T2 映射和弥散加权成像在多囊肾病小鼠模型中对囊发生的早期检测和治疗反应的评估。

Magnetic resonance T2 mapping and diffusion-weighted imaging for early detection of cystogenesis and response to therapy in a mouse model of polycystic kidney disease.

机构信息

Department of Radiology, University Hospital of Cologne, Kerpener Str. 62, 50937 Cologne, Germany; Dr. Hancken Clinic, Harsefelder Str. 8, Stade, Germany.

Department of Radiology, University Hospital of Cologne, Kerpener Str. 62, 50937 Cologne, Germany.

出版信息

Kidney Int. 2017 Dec;92(6):1544-1554. doi: 10.1016/j.kint.2017.05.024. Epub 2017 Jul 26.

Abstract

Polycystic kidney disease (PKD) is among the leading causes of end-stage renal disease. Increasing evidence exists that molecular therapeutic strategies targeted to cyst formation and growth might be more efficacious in early disease stages, highlighting the growing need for sensitive biomarkers. Here we apply quantitative magnetic resonance imaging techniques of T2 mapping and diffusion-weighted imaging in the jck mouse model for PKD using a clinical 3.0 T scanner. We tested whether kidney T2 values and the apparent diffusion coefficient (ADC) are superior to anatomical imaging parameters in the detection of early cystogenesis, as shown on macro- and histopathology. We also tested whether kidney T2 values and ADC have the potential to monitor early treatment effects of therapy with the V2 receptor antagonist Mozavaptane. Kidney T2 values and to a lesser degree ADC were found to be highly sensitive markers of early cystogenesis and superior to anatomical-based imaging parameters. Furthermore, kidney T2 values exhibited a nearly perfect correlation to the histological cystic index, allowing a clear separation of the two mouse genotypes. Additionally, kidney T2 values and ADC were able to monitor early treatment effects in the jck mouse model in a proof-of-principle experiment. Thus, given the superiority of kidney T2 values and ADC over anatomical-based imaging in mice, further studies are needed to evaluate the translational impact of these techniques in patients with PKD.

摘要

多囊肾病 (PKD) 是终末期肾病的主要病因之一。越来越多的证据表明,针对囊肿形成和生长的分子治疗策略在疾病早期阶段可能更有效,这凸显了对敏感生物标志物的需求不断增长。在这里,我们使用临床 3.0 T 扫描仪在 jck 多囊肾病小鼠模型中应用 T2 映射和扩散加权成像的定量磁共振成像技术。我们测试了肾脏 T2 值和表观扩散系数 (ADC) 是否优于宏观和组织病理学上显示的早期囊发生的解剖成像参数。我们还测试了肾脏 T2 值和 ADC 是否有可能监测 V2 受体拮抗剂 Mozavaptan 治疗的早期治疗效果。结果发现,肾脏 T2 值和 ADC 是早期囊发生的高度敏感标志物,优于基于解剖的成像参数。此外,肾脏 T2 值与组织学囊泡指数几乎具有完美的相关性,能够清晰地区分两种小鼠基因型。此外,在一项原理验证实验中,肾脏 T2 值和 ADC 能够监测 jck 小鼠模型中的早期治疗效果。因此,鉴于肾脏 T2 值和 ADC 在小鼠中的优越性优于基于解剖的成像,需要进一步研究这些技术在 PKD 患者中的转化影响。

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