Goldstein E J, Burnett K R, Wolf G L, Wortman J, Joseph P, Sen S
Physiol Chem Phys Med NMR. 1985;17(1):113-22.
A visual comparison was made between both pre-contrast and post-contrast x-ray computerized tomographic images (X-CT) and magnetic resonance tomographic images (MRI) of spontaneous CNS tumors in three animals. The contrast agents, HypaqueR-76 (X-CT) and Gadolinium DTPA (MRI), were administered as an intravenous bolus injection. The parameters for comparison of pre- and post-contrast features included: lesion discrimination, demarcation, and intensity and pattern of enhancement. Necropsy specimens were included to correlate the anatomic fidelity of scan appearances for each modality and to establish a final diagnosis. There was good visual correlation of the lesion site with both X-CT and MRI. The intensity of lesion enhancement with the contrast reagents was similar for each modality but there were subtle differences in the pattern of enhancement. Overall, MRI in conjunction with the contrast agent Gadolinium DTPA, was as good or better at delineating the presence and extent of CNS tumors than contrast enhanced X-CT. Contrast agents may be necessary to provide increased lesion detectability and delineation when imaging with magnetic resonance.
对三只动物自发性中枢神经系统肿瘤的对比前和对比后X线计算机断层扫描图像(X-CT)及磁共振断层扫描图像(MRI)进行了视觉比较。分别静脉推注造影剂HypaqueR-76(用于X-CT)和钆喷酸葡胺(用于MRI)。对比前和对比后特征的比较参数包括:病变辨别、界限划分以及强化强度和模式。纳入尸检标本以关联每种检查方式扫描表现的解剖逼真度并确立最终诊断。病变部位在X-CT和MRI上均有良好的视觉相关性。每种检查方式下造影剂使病变强化的强度相似,但强化模式存在细微差异。总体而言,联合使用造影剂钆喷酸葡胺的MRI在描绘中枢神经系统肿瘤的存在和范围方面与对比增强X-CT一样好或更好。在磁共振成像时,造影剂可能对于提高病变的可检测性和界限划分是必要的。