Zhou Huimin, Qiu Xiaozhong, Shen Zheyu
Biomaterials Research Center, School of Biomedical Engineering, Southern Medical University, Guangzhou 510515, China.
Nan Fang Yi Ke Da Xue Xue Bao. 2020 Mar 30;40(3):427-444. doi: 10.12122/j.issn.1673-4254.2020.03.24.
Magnetic resonance imaging (MRI) is an important imaging modality for clinical disease diagnosis, and nearly 50% of clinical MRI examinations require contrast agents to enhance the diagnostic sensitivity. This review provides a summary of the major MRI contrast agents and their classification, and the advantages and limits of the commercially available MRI contrast agents, and elaborates on the exceedingly small magnetic iron oxide nanoparticles (ES-MIONs), dotted core-shell iron and gadolinium hybrid nanoparticles (FeGd-HN) and exceedingly small gadolinium oxide nanoparticles (ES-GON). These nanoparticles can greatly improve the efficiency of T-weighted MRI due to their high value and low / ratio, and are expected to be translated into clinical contrast agents for T-weighted MRI. The authors also review the diagnostic and therapeutic integration system that combines MRI contrast agents with various tumor therapies, such as MRI-guided ferroptosis therapy, radiosensitization therapy, and photothermal therapy, which allow efficient treatment as well as real-time monitoring of tumors and serve as potential cancer therapy strategies. The possible future research directions in the field of MRI-based multifunctional diagnostic and therapeutic formulations are also discussed.
磁共振成像(MRI)是临床疾病诊断的重要成像方式,近50%的临床MRI检查需要使用造影剂来提高诊断敏感性。本文综述了主要的MRI造影剂及其分类,以及市售MRI造影剂的优缺点,并详细阐述了超小磁性氧化铁纳米颗粒(ES-MIONs)、点状核壳铁和钆混合纳米颗粒(FeGd-HN)以及超小氧化钆纳米颗粒(ES-GON)。这些纳米颗粒因其高值和低/比,可大大提高T加权MRI的效率,有望转化为用于T加权MRI的临床造影剂。作者还综述了将MRI造影剂与各种肿瘤治疗方法相结合的诊断和治疗一体化系统,如MRI引导的铁死亡治疗、放射增敏治疗和光热治疗,这些方法可以实现对肿瘤的有效治疗以及实时监测,是潜在的癌症治疗策略。此外,还讨论了基于MRI的多功能诊断和治疗制剂领域未来可能的研究方向。