Department of Interventional Radiology, First Affiliated Hospital of Fujian Medical University, Fuzhou, China.
The Department of Radiology, Mindong Hospital, Ningde City, China.
Int J Hyperthermia. 2021;38(1):349-356. doi: 10.1080/02656736.2021.1892214.
This study aimed to explore the accuracy of different imaging methods for lesion volume estimation pre- and post-microwave ablation (MWA) as compared with that of pathological examination.
We used the VX2 cell line to establish the VX2 lung tumor model in rabbits, followed by MWA of the tumor. The imaging features of the VX2 tumors were documented. The volume of the tumors and the ablated lesions were measured and compared across imaging methods, using the pathological examination as reference.
Tumors were successfully developed in 11 rabbits (age, 13.91 ± 1.38 weeks; weight, 2.15 ± 0.56 kg). The mean volume of the tumors was 2.05 ± 1.88 cm. CT showed the strongest correlation with the pathologic examination results ( = 0.998, <.001). MWA created three-layered structures that were delineated on MRI. The mean volume of the post-ablation lesion was 10.39 ± 8.93 cm, and the measurement of the post-ablation volume on 3D-VIBE-T1WI showed the strongest correlation with the pathologic examination results ( = 0.991, <.001).
Both CT and MRI are capable of depicting lung tumors. In terms of post-ablation evaluation, MR images could provide more versatile information. The 3D-VIBE-T1WI sequence provides more precise lesion volume evaluation after ablation compared with other methods.
本研究旨在探讨与病理检查相比,不同影像学方法在微波消融(MWA)前后对病灶体积估计的准确性。
我们使用 VX2 细胞系在兔子中建立了 VX2 肺肿瘤模型,然后对肿瘤进行 MWA。记录 VX2 肿瘤的影像学特征。通过影像学方法测量肿瘤和消融病灶的体积,并与病理检查结果进行比较。
11 只兔子(年龄 13.91±1.38 周;体重 2.15±0.56 千克)成功建立了肿瘤。肿瘤的平均体积为 2.05±1.88cm。CT 与病理检查结果相关性最强( = 0.998,<.001)。MWA 产生了在 MRI 上可描绘的三层结构。消融后病灶的平均体积为 10.39±8.93cm,3D-VIBE-T1WI 上消融后体积的测量与病理检查结果相关性最强( = 0.991,<.001)。
CT 和 MRI 均能描绘肺肿瘤。在消融后评估方面,MR 图像可以提供更多的信息。3D-VIBE-T1WI 序列与其他方法相比,提供了更精确的消融后病灶体积评估。