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犬原发性颅内肿瘤的动态对比增强高场磁共振成像

Dynamic contrast enhanced high field magnetic resonance imaging for canine primary intracranial neoplasia.

作者信息

Choi Simon, Brighi Caterina, Long Sam

机构信息

Veterinary Referral Hospital, Dandenong, VIC, Australia.

Image X Institute, Sydney School of Health Services, The University of Sydney, Sydney, NSW, Australia.

出版信息

Front Vet Sci. 2024 Oct 4;11:1468831. doi: 10.3389/fvets.2024.1468831. eCollection 2024.

Abstract

INTRODUCTION

Distinguishing meningiomas from other intracranial neoplasms is clinically relevant as the prognostic and therapeutic implications differ greatly and influence clinical decision making. Dynamic contrast-enhanced MRI (DCE-MRI) is an imaging technique that assists with characterisation of physiologic alterations such as blood flow and tissue vascular permeability. Quantitative pharmacokinetic analysis utilising DCE-MRI has not been studied in canine neuro-oncology.

METHODS

A retrospective study was performed in canine patients that underwent DCE-MRI with an imaging diagnosis of an intracranial meningioma and surgery for histopathological diagnosis. Kinetic parameters Ktrans and cerebral blood flow were measured and compared to assess whether differences could be identified between meningiomas and other intracranial neoplasms.

RESULTS

Six dogs with meningiomas and 3 dogs with other intracranial neoplasms were included for statistical analysis. Cerebral blood flow values were found to be statistically higher within meningiomas compared to other intracranial neoplasms. Ktrans values were higher within meningiomas than in other types of intracranial tumours, however this difference did not reach statistical significance.

DISCUSSION

Based on the results of this study cerebral blood flow measurement can be utilised to differentiate canine intracranial meningiomas from other similar appearing intracranial tumours.

摘要

引言

鉴别脑膜瘤与其他颅内肿瘤具有临床意义,因为其预后和治疗意义差异很大,会影响临床决策。动态对比增强磁共振成像(DCE-MRI)是一种成像技术,有助于对诸如血流和组织血管通透性等生理改变进行特征描述。利用DCE-MRI进行的定量药代动力学分析在犬类神经肿瘤学中尚未得到研究。

方法

对接受DCE-MRI检查且成像诊断为颅内脑膜瘤并接受手术进行组织病理学诊断的犬类患者进行回顾性研究。测量并比较转运常数(Ktrans)和脑血流量等动力学参数,以评估脑膜瘤与其他颅内肿瘤之间是否存在差异。

结果

纳入6只患有脑膜瘤的犬和3只患有其他颅内肿瘤的犬进行统计分析。结果发现,与其他颅内肿瘤相比,脑膜瘤内的脑血流量值在统计学上更高。脑膜瘤内的Ktrans值高于其他类型的颅内肿瘤,然而这种差异未达到统计学意义。

讨论

基于本研究结果,脑血流量测量可用于区分犬颅内脑膜瘤与其他外观相似的颅内肿瘤。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a4f/11486673/8309b71c35a2/fvets-11-1468831-g001.jpg

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