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钆喷酸葡胺对磁共振成像的影响:一种潜在的血脑屏障指示剂

[The effect of Gd-DTPA on magnetic resonance imaging: a potential blood-brain barrier indicator].

作者信息

Hashimoto K, Yamagata S, Minamikawa J, Watanabe Y, Kanesiro M, Kikuchi H

机构信息

Department of Neurosurgery, National Cardiovascular Center, Kyoto, Japan.

出版信息

No To Shinkei. 1988 May;40(5):461-6.

PMID:3415864
Abstract

Magnetic resonance image (MRI) has been applied on central nervous system to evaluate the anatomical and functional aspects. On the other hand, gadolinium-diethylenetriamine-pentaacetic acid (Gd-DTPA) is considered to be a valuable contrast agent on MRI. This paramagnetic compound shortens the magnetic relaxation times of surrounding hydrogen nuclei by altering local magnetic environments. A molecular weight of this compound was 590, therefore this does not pass through the normal blood-brain barrier (BBB), and it may possible to detect a breakdown of BBB in vivo. In order to investigate the effect of Gd-DTPA as an indicator of BBB disruption on MRI, we measured T1 value of hemisphere of rat in osmotic BBB disruption model and experimental global cerebral ischemic model with and without Gd-DTPA. The MRI system employed was JNM-SMR 270 (JEOL) and the superconducting magnet was operated at a field strength of 6.34 tesla. Gd-DTPA was injected intra-venously through femoral vein and its dose was 0.5 mmol/kg. Osmotic BBB disruption model was made by intra-arterial injection of 25% mannitol through an internal carotid artery. Calculated T1 value of the ipsilateral hemisphere decreased with Gd-DTPA to 43.3 +/- 10.2% (n = 4) of control value immediately after BBB disruption with mannitol administration but no change of T1 value was recognized with Gd-DTPA in rats which Gd-DTPA was injected 4 hours after BBB disruption. Global ischemic insult was made by 3 vessel occlusion permanently and temporarily (30 or 120 minutes).(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

磁共振成像(MRI)已应用于中枢神经系统,以评估其解剖学和功能方面。另一方面,钆 - 二乙烯三胺五乙酸(Gd - DTPA)被认为是MRI上一种有价值的造影剂。这种顺磁性化合物通过改变局部磁环境来缩短周围氢核的磁弛豫时间。该化合物的分子量为590,因此它不会穿过正常的血脑屏障(BBB),并且有可能在体内检测到血脑屏障的破坏。为了研究Gd - DTPA作为血脑屏障破坏指标在MRI上的作用,我们在有和没有Gd - DTPA的情况下,测量了渗透性血脑屏障破坏模型和实验性全脑缺血模型中大鼠半球的T1值。所使用的MRI系统是JNM - SMR 270(日本电子株式会社),超导磁体在6.34特斯拉的场强下运行。Gd - DTPA通过股静脉静脉注射,剂量为0.5 mmol/kg。渗透性血脑屏障破坏模型通过经颈内动脉动脉内注射25%的甘露醇制成。在用甘露醇破坏血脑屏障后立即给予Gd - DTPA,同侧半球计算出的T1值降至对照值的43.3±10.2%(n = 4),但在血脑屏障破坏后4小时注射Gd - DTPA的大鼠中,未观察到T1值有变化。全脑缺血损伤通过永久性和暂时性(30或120分钟)的三血管闭塞造成。(摘要截断于250字)

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