Yoshida K, Furuse M, Kaneoke Y, Sasou K, Motegi Y
Department of Neurosurgery, Nakatsugawa Municipal General Hospital, Japan.
No To Shinkei. 1988 Jun;40(6):531-7.
Effect of Gd-DTPA on tissue T1 were studied in 10 patients with intracranial tumors, including 4 meningiomas, 2 gliomas, 3 metastatic tumors and 1 brain abscess. T1 values were comparatively measured in the various portions of tumor tissue, peritumoral edema and normal brain before and after intravenous injection of 0.1 mmol Gd-DTPA per kg weight, with the time ranges between 5 and 60 minutes. In vivo T1 was determined by means of field focusing technique of a FONAR QED 80-alpha system (0.05T). T1 values of blood sample were also seriously measured and applied to estimate the enhancement pattern in the varied tumors. Meningiomas showed the maximal decrease of T1 5 minutes after Gd-DTPA administration and rapid recovery of T1 fairly paralleling to that of whole blood. On the other hand, such tumors as gliomas and metastasis revealed very slowly recovery of T1 followed by the similar T1 decrease just after administration of Gd-DTPA. In the portions of peritumoral edema and normal brain, there were no significant changes in tissue T1 by Gd-DTPA administration. In order to evaluate the clearance pattern of Gd-DTPA in tumor tissue, tissue-blood ratio (TBR) was calculated from the relaxation values at the terms of 5 and 30 minutes following Gd-DTPA administration. The ratios of relaxation rates, TBR 30/TBR 5, were ranged from 1.0 to 1.5 in cases of meningiomas, whereas they distributed in the ranges from 1.5 to 3.0 in the other types of brain tumors. This value of TBR 30/TBR 5 convincingly depends upon the differences in histological types of tumors.(ABSTRACT TRUNCATED AT 250 WORDS)
研究了钆喷酸葡胺(Gd-DTPA)对10例颅内肿瘤患者组织T1的影响,其中包括4例脑膜瘤、2例胶质瘤、3例转移瘤和1例脑脓肿。在静脉注射每千克体重0.1 mmol Gd-DTPA前后,于5至60分钟的时间范围内,比较测量肿瘤组织、瘤周水肿和正常脑组织各部位的T1值。采用FONAR QED 80-α系统(0.05T)的场聚焦技术测定体内T1。还认真测量了血样的T1值,并用于评估不同肿瘤的强化模式。脑膜瘤在注射Gd-DTPA后5分钟T1下降最大,随后T1迅速恢复,与全血的恢复情况相当平行。另一方面,胶质瘤和转移瘤等肿瘤在注射Gd-DTPA后T1恢复非常缓慢,随后T1也有类似下降。在瘤周水肿和正常脑组织部位,注射Gd-DTPA后组织T1无明显变化。为了评估Gd-DTPA在肿瘤组织中的清除模式,根据注射Gd-DTPA后5分钟和30分钟的弛豫值计算组织-血比(TBR)。脑膜瘤病例的弛豫率比值TBR 30/TBR 5在1.0至1.5范围内,而其他类型脑肿瘤的该比值分布在1.5至3.0范围内。TBR 30/TBR 5这个值确实取决于肿瘤组织学类型的差异。(摘要截短于250词)