新型纳米颗粒造影剂增强超声在非小细胞肺癌患者临床诊断中的应用

Contrast-enhanced ultrasound with a novel nanoparticle contrast agent for clinical diagnosis in patients with non-small cell lung cancer.

作者信息

Li Na, Han Lu, Jing Hui

机构信息

Department of Ultrasound, General Hospital of Daqing Oilfield, Daqing, Heilongjiang 163000, P.R. China.

Department of Ultrasound, Harbin Medical University Cancer Hospital, Harbin, Heilongjiang 150040, P.R. China.

出版信息

Exp Ther Med. 2017 Oct;14(4):3768-3773. doi: 10.3892/etm.2017.4933. Epub 2017 Aug 16.

Abstract

Non-small cell lung cancer (NSCLC) initiates in the non-small cells of the lung and is one of the most common types of human cancer. It is known for its rapid growth, easy migration, invasion and reoccurrence, and has the highest incidence rate of all types of cancer. Early detection of NSCLC is difficult to achieve and this is the primary reason for low survival rates in NSCLC. Contrast-enhanced ultrasound is the most common application for evaluating patients diagnosed with NSCLC. In the present study, a contrast-enhanced ultrasound combined with nanoparticles was performed with the aim of identifying patients with NSCLC at an early stage. The present study evaluated the effectiveness of administering a nanoparticle contrast agent through respiration in combination with enhanced ultrasound at improving image quality compared with traditional ultrasound. This maybe a novel method of detecting early-stage tumors in patients. There are numerous benefits to conducting diagnoses of NSCLC using contrast-enhanced ultrasound. It is a non-invasive imaging modality, induces little pain, has a low cost, an extensive range and produces high-resolution images. This means that it is safer and more beneficial to use in patients with NSCLC than conventional imaging examinations, including X-ray and bronchoscopy. Furthermore, the nanoscale microbubble contrast agent containing liposome-encapsulated epidermal growth factor receptor was inhaled by nebulization, which may lead to an enhanced ultrasound image. The sensitivity of contrast-enhanced ultrasound was investigated in mice with early stage NSCLC. The results indicated that ultrasound administrated with nanoscale microbubble enhanced sensitivity and improved image quality compared with simple ultrasound. Furthermore, enhanced ultrasound resulted in a reliable and sensitive assessment of tumor mass in early-stage tumors. Altogether, contrast-enhanced ultrasound facilitated the efficient detection of NSCLC in patients at an early stage. This protocol improved the understanding of the pathophysiology of NSCLC and may be applied in the detection of early-stage tumors in patients suspected of having cancer.

摘要

非小细胞肺癌(NSCLC)起源于肺部的非小细胞,是人类最常见的癌症类型之一。它以生长迅速、易于转移、侵袭和复发而闻名,在所有癌症类型中发病率最高。NSCLC的早期检测很难实现,这也是NSCLC患者生存率低的主要原因。超声造影是评估NSCLC患者最常用的方法。在本研究中,进行了纳米颗粒联合超声造影,目的是早期识别NSCLC患者。本研究评估了通过呼吸给予纳米颗粒造影剂联合增强超声与传统超声相比在改善图像质量方面的有效性。这可能是一种检测患者早期肿瘤的新方法。使用超声造影诊断NSCLC有诸多益处。它是一种非侵入性成像方式,几乎不引起疼痛,成本低,范围广,能产生高分辨率图像。这意味着与包括X射线和支气管镜检查在内的传统成像检查相比,它在NSCLC患者中使用更安全、更有益。此外,通过雾化吸入含有脂质体包裹表皮生长因子受体的纳米级微泡造影剂,可能会增强超声图像。在早期NSCLC小鼠中研究了超声造影的敏感性。结果表明,与单纯超声相比,纳米级微泡增强超声的敏感性并改善了图像质量。此外,增强超声对早期肿瘤中的肿块进行了可靠且敏感的评估。总之,超声造影有助于早期有效检测NSCLC患者。该方案增进了对NSCLC病理生理学的理解,可能应用于疑似癌症患者的早期肿瘤检测。

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