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7T 小动物 MRI 研究在肝泡型包虫病中的应用。

7T Small Animal MRI Research for Hepatic Alveolar Echinococcosis.

机构信息

Imaging Center, Affiliated Hospital of Qinghai University, Xining, Qinghai, China; and.

Department of Hepatopancreatobiliary Surgery, The Affiliated Hospital of Qinghai University, Xining, Qinghai, China.

出版信息

Top Magn Reson Imaging. 2022 Dec 1;31(6):53-59. doi: 10.1097/RMR.0000000000000297.

Abstract

OBJECTIVES

7T small animal magnetic resonance imaging (MRI) was used to analyze the growth characteristics of hepatic alveolar echinococcosis (HAE).

METHODS

A mouse model of HAE was established by intraperitoneal injection of alveolar Echinococcus tissue suspension. Ten mouse models successfully inoculated by ultrasound screening were selected. The mouse model was scanned with T1-weighted imaging (T1WI), T2-weighted imaging (T2WI), and diffusion-weighted imaging (DWI) sequence by 7T small animal MRI. Size, morphology, boundary, signal, and relationship with surrounding tissues of the lesions were recorded as characteristic alterations. Mice were killed at the end of the experiment, and the pathological specimens were taken for routine hematoxylin and eosin staining.

RESULTS

Lesions were mainly located in the right lobe of the liver. The multivesicular structure is the characteristic manifestation of this disease. In the liver, lesions invaded the portal vein and were mainly distributed at the hepatic hilum. The left branch of the portal vein was mainly invaded. The mean diameter of the lesions in the left lobe of the liver was larger than in other parts of the liver. The mean diameter of the cystic solid lesions was greater than the multilocular cystic lesions. HAE showed hypointense on T1WI, hyperintense on T2WI, and hypointense on DWI; the marginal zone of the lesion showed hyperintensity on DWI and grew toward the hilum. The MRI features of intraperitoneal lesions were similar to those of intrahepatic lesions. Intraperitoneal lesions increased faster than intrahepatic lesions in the same period.

CONCLUSION

Polyvesicular structure is a characteristic manifestation of hepatic alveolar echinococcosis in mice. The noninvasive monitoring of liver HAE in mice by 7T small animal MRI provides a visual basis for the diagnosis and treatment integration of HAE.

摘要

目的

使用 7T 小动物磁共振成像(MRI)分析肝泡状棘球蚴病(HAE)的生长特征。

方法

通过腹腔注射泡状棘球蚴组织悬液建立 HAE 小鼠模型。通过超声筛选成功接种的 10 只小鼠模型,采用 7T 小动物 MRI 进行 T1 加权成像(T1WI)、T2 加权成像(T2WI)和弥散加权成像(DWI)序列扫描。记录病变的大小、形态、边界、信号及与周围组织的关系等特征性改变。实验结束时处死小鼠,取病理标本行常规苏木精-伊红染色。

结果

病变主要位于肝脏右叶。多房结构是该病的特征性表现。在肝脏内,病变侵犯门静脉,主要分布在肝门区。门静脉左支主要受累。左叶肝内病变的平均直径大于其他部位肝内病变的平均直径。囊实混合性病变的平均直径大于多囊性病变的平均直径。HAE 在 T1WI 上呈低信号,T2WI 上呈高信号,DWI 上呈低信号;病变边缘在 DWI 上呈高信号,向肝门生长。腹腔内病变的 MRI 特征与肝内病变相似。同一时期腹腔内病变的生长速度快于肝内病变。

结论

多囊结构是小鼠肝泡状棘球蚴病的特征性表现。7T 小动物 MRI 对肝泡状棘球蚴病的非侵入性监测为 HAE 的诊断与治疗一体化提供了直观依据。

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