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兔肺肿瘤微波消融术后病变的红外热成像-磁共振成像-病理学相关性评估

Evaluation of the correlation between infrared thermal imaging-magnetic resonance imaging-pathology of microwave ablation of lesions in rabbit lung tumors.

作者信息

Chen Jian, Lin Xiao-Nan, Miao Xian-Hua, Chen Jin, Lin Rui-Xiang, Su Huai-Ying, Lin Jia-Bin, Lin Zheng-Yu

机构信息

Department of Interventional Radiology, First Affiliated Hospital of Fujian Medical University, Fuzhou, China.

Department of Radiology, Fujian Provincial People's Hospital, Fuzhou, China.

出版信息

J Cancer Res Ther. 2020 Sep;16(5):1129-1133. doi: 10.4103/0973-1482.296428.

Abstract

PURPOSE

This study aimed to evaluate the correlation between infrared thermal imaging-magnetic resonance imaging (MRI)-pathology of microwave ablation (MWA) of lesions in rabbit lung tumors.

MATERIALS AND METHODS

MR-guided MWA was performed in nine VX2 tumor-bearing rabbits. Infrared thermal imaging, postoperative MRI, and pathological presentation were obtained and analyzed. The differences between the infrared thermal imaging-MRI-pathology of MWA were compared.

RESULTS

The center of the ablated lesion exhibited a high signal on T1-Vibe, and an isointense envelope was observed; the center of the ablated lesion exhibited a low signal on fat-suppressed turbo spin-echo T2-weighted imaging (TSE-T2WI-FS) and bands of high signal surrounding it compared with before MWA. No statistically significant difference existed between the maximum diameter of the central low-signal area of the ablation zone on TSE-T2WI-FS after MWA, the high-signal area of the ablation zone on T1-Vibe after MWA, and the maximum diameter of the pathological coagulation necrosis area, as well as between the maximum diameter of the isointense signal area peripheral to the ablation zone on T1-Vibe after MWA, the high-signal area peripheral to the ablation zone on TSE-T2WI-FS, the maximum diameter at the 41°C isothermal zone on infrared thermal imaging, and the maximum diameter of the pathological thermal injury zone.

CONCLUSIONS

MWA of malignant lung tumors had specific MRI characteristics that were comparable with postoperative pathology. Infrared thermal imaging combined with MRI can be used to evaluate the extent of thermal damage to lung VX2 tumors.

摘要

目的

本研究旨在评估兔肺肿瘤微波消融(MWA)的红外热成像-磁共振成像(MRI)-病理学之间的相关性。

材料与方法

对9只荷VX2肿瘤的兔进行磁共振引导下的MWA。获取并分析红外热成像、术后MRI及病理表现。比较MWA的红外热成像-MRI-病理学之间的差异。

结果

消融灶中心在T1-Vibe序列上呈高信号,可见等信号包膜;与MWA前相比,消融灶中心在脂肪抑制快速自旋回波T2加权成像(TSE-T2WI-FS)上呈低信号,周围有高信号带。MWA后TSE-T2WI-FS上消融区中心低信号区的最大直径、MWA后T1-Vibe上消融区高信号区、病理凝固性坏死区的最大直径之间,以及MWA后T1-Vibe上消融区外周等信号区的最大直径、TSE-T2WI-FS上消融区外周高信号区、红外热成像上41℃等温区的最大直径、病理热损伤区的最大直径之间,差异均无统计学意义。

结论

恶性肺肿瘤的MWA具有特定的MRI特征,与术后病理结果具有可比性。红外热成像联合MRI可用于评估肺VX2肿瘤的热损伤范围。

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