Department of Radiology, Chinese Academy of Medical Sciences & Peking Union Medical College, Peking Union Medical College Hospital, No.1 Shuaifuyuan, Dongcheng District, Beijing, 100730, China.
Department of Biomedical Engineering, Chinese Academy of Medical Sciences & Peking Union Medical College, Institute of Basic Medical Sciences, No.5 Dongdan, Dongcheng District, Beijing, 100730, China.
BMC Cancer. 2018 Aug 20;18(1):833. doi: 10.1186/s12885-018-4684-z.
The aim of this study was to evaluate the early anti-tumor efficiency of different therapeutic agents with a combination of multi-b-value DWI, DCE-MRI and texture analysis.
Eighteen 4 T1 homograft tumor models were divided into control, paclitaxel monotherapy and paclitaxel and bevacizumab combination therapy groups (n = 6) that underwent multi-b-value DWI, DCE-MRI and texture analysis before and 15 days after treatment.
After treatment, the tumors in the control group were significantly larger than those in the combination group (P = 0.018). In multi-b-value DWI, the ADC obviously increased in the combination group compared to that in the others (P < 0.01). The f increased in the control and paclitaxel groups, but the combination group showed a significant decrease versus the others (P < 0.02). Additionally, in DCE-MRI, the decreasing K showed an evident difference between the combination and control groups (P = 0.003) due to the latter's increasing K. The intra-group comparisons of tumor texture in pre-, mid- and post-treatments showed that the entropy had all significantly increased in all groups (P < 0.01, SSF = 0-6), though the MPP, mean and SD increased only in the combination group (P < 0.05, SSF = 4-6). Moreover, the inter-group comparisons revealed that the mean and MPP exhibited significant differences after treatment (P < 0.05, SSF = 0-3).
All these results suggest some strong correlations among DWI, DCE and texture analysis, which are beneficial for further study and clinical research.
本研究旨在评估多 b 值 DWI、DCE-MRI 和纹理分析联合应用不同治疗药物的早期抗肿瘤疗效。
将 18 个 4T1 同种异体移植瘤模型分为对照组、紫杉醇单药治疗组和紫杉醇联合贝伐珠单抗治疗组(每组 n=6),在治疗前和治疗后 15 天进行多 b 值 DWI、DCE-MRI 和纹理分析。
治疗后,对照组肿瘤明显大于联合组(P=0.018)。在多 b 值 DWI 中,与其他组相比,联合组的 ADC 明显增加(P<0.01)。f 在对照组和紫杉醇组中增加,但联合组与其他组相比明显降低(P<0.02)。此外,在 DCE-MRI 中,由于后者的 K 增加,联合组和对照组之间的 K 降低表现出明显差异(P=0.003)。肿瘤纹理的组内比较显示,在治疗前、中、后,所有组的熵均显著增加(P<0.01,SSF=0-6),尽管 MPP、均值和标准差仅在联合组中增加(P<0.05,SSF=4-6)。此外,组间比较显示,治疗后均值和 MPP 存在显著差异(P<0.05,SSF=0-3)。
DWI、DCE 和纹理分析之间存在一定的相关性,这些结果有助于进一步的研究和临床研究。