Schmiedl U, Ogan M D, Moseley M E, Brasch R C
AJR Am J Roentgenol. 1986 Dec;147(6):1263-70. doi: 10.2214/ajr.147.6.1263.
Albumin-(gadolinium-diethylenetriaminepentaacetic acid), albumin-(Gd-DTPA), a macromolecular MR contrast agent designed for intravascular distribution, was compared with gadolinium-diethylenetriaminepentaacetic acid (Gd-DTPA), an extracellular fluid agent, for imaging characteristics in normal rats at 2.0 T. Albumin-(Gd-DTPA) produced larger-intensity increases in myocardium (125%), liver (114%), and brain (21%), at a dose of 0.062 mmol Gd/kg than did Gd-DTPA at a dose of 0.2 mmol/kg. The duration and pattern of enhancement differed between the two compounds; the enhancement with albumin-(Gd-DTPA) persisted at relatively constant levels from 2 min to 1 hr. The Gd-DTPA tissue enhancement peaked at 2 min and had virtually disappeared at 60 min. Gd-DTPA better enhanced subcutaneous tissues, presumably because of capillary permeability and enhancement of the abundant extracellular fluid space. When albumin-(Gd-DTPA) is used, the strong persistent enhancement of the microvascular compartment is well demonstrated on subtracted images and supports potential application of albumin-(Gd-DTPA) for blood-volume and perfusion-dependent contrast enhancement of myocardium, liver, and brain.
白蛋白-(钆-二乙烯三胺五乙酸),即白蛋白-(钆-DTPA),是一种设计用于血管内分布的大分子磁共振造影剂,在2.0T条件下,将其与细胞外液造影剂钆-二乙烯三胺五乙酸(钆-DTPA)在正常大鼠体内的成像特征进行了比较。在剂量为0.062 mmol钆/千克时,白蛋白-(钆-DTPA)使心肌(1增25%)、肝脏(增加114%)和脑(增加21%)的信号强度增加幅度大于剂量为0.2 mmol/千克的钆-DTPA。两种化合物的增强持续时间和模式有所不同;白蛋白-(钆-DTPA)的增强在2分钟至1小时内保持相对恒定水平。钆-DTPA的组织增强在2分钟时达到峰值,在60分钟时几乎消失。钆-DTPA对皮下组织的增强效果更好,可能是由于毛细血管通透性以及丰富的细胞外液间隙的增强。当使用白蛋白-(钆-DTPA)时,在减影图像上能很好地显示微血管腔的强烈持续增强,这支持了白蛋白-(钆-DTPA)在心、肝、脑血容量和灌注依赖性对比增强方面的潜在应用。