Zheng Lei, Wang Yinghao, Yang Bin, Zhang Bo, Wu Yulian
Department of Surgery, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310000, People's Republic of China.
Key Laboratory of Cancer Prevention and Intervention, China National Ministry of Education, Cancer Institute, Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310000, People's Republic of China.
Diabetes Metab Syndr Obes. 2020 Sep 23;13:3301-3311. doi: 10.2147/DMSO.S263253. eCollection 2020.
Although islet transplantation plays an effective and powerful role in the treatment of diabetes, a large amount of islet grafts are lost at an early stage due to instant blood-mediated inflammatory reactions, immune rejection, and β-cell toxicity resulting from immunosuppressive agents. Timely intervention based on the viability and function of the transplanted islets at an early stage is crucial. Various islet transplantation imaging techniques are available for monitoring the conditions of post-transplanted islets. Due to the development of various imaging modalities and the continuous study of contrast agents, non-invasive islet transplantation imaging in vivo has made great progress. The tracing and functional evaluation of transplanted islets in vivo have thus become possible. However, most studies on contrast agent and imaging modalities are limited to animal experiments, and long-term toxicity and stability need further evaluation. Accordingly, the clinical application of the current achievements still requires a large amount of effort. In this review, we discuss the contrast agents for MRI, SPECT/PET, BLI/FI, US, MPI, PAI, and multimodal imaging. We further summarize the advantages and limitations of various molecular imaging methods.
尽管胰岛移植在糖尿病治疗中发挥着有效且强大的作用,但由于即时血液介导的炎症反应、免疫排斥以及免疫抑制剂导致的β细胞毒性,大量胰岛移植物在早期就会丢失。基于移植胰岛早期的活力和功能进行及时干预至关重要。各种胰岛移植成像技术可用于监测移植后胰岛的状况。由于各种成像模式的发展以及对造影剂的不断研究,体内非侵入性胰岛移植成像取得了很大进展。由此,体内移植胰岛的追踪和功能评估成为可能。然而,大多数关于造影剂和成像模式的研究仅限于动物实验,长期毒性和稳定性需要进一步评估。因此,目前成果的临床应用仍需要付出大量努力。在本综述中,我们讨论了用于磁共振成像(MRI)、单光子发射计算机断层扫描/正电子发射断层扫描(SPECT/PET)、生物发光成像/荧光成像(BLI/FI)、超声(US)、磁共振成像(MPI)、光声成像(PAI)和多模态成像的造影剂。我们进一步总结了各种分子成像方法的优缺点。