Du Taoming, Luo Haiyang, Song Huizhen, Lin Tao, Yu Qin
Department of Radiology, Chengdu Seventh People's Hospital (Affiliated Cancer Hospital of Chengdu Medical College), Chengdu, Sichuan 610213, P.R. China.
Int J Oncol. 2025 Aug;67(2). doi: 10.3892/ijo.2025.5776. Epub 2025 Jul 19.
Magnetic Resonance Imaging (MRI) relies on contrast agents to enhance image quality and diagnostic accuracy. Traditional metal‑based agents, such as gadolinium compounds, raise safety concerns due to potential toxicity and long‑term retention in the body. The present review examines recent advancements in non‑metal‑based MRI contrast agents, focusing on fluorine‑19 (19F) compounds, chemical exchange saturation transfer (CEST) agents, nitroxide radicals, and hyperpolarized carbon agents. It discussed the mechanisms by which these agents improve contrast, including their biocompatibility and ability to provide molecular and metabolic information. Key findings highlight the high specificity of19F agents due to negligible background signals, the capacity of CEST agents for molecular imaging without metals, nitroxide radicals' utility in redox‑sensitive imaging, and hyperpolarized C compounds' role in real‑time metabolic assessment. Despite challenges such as low sensitivity and technical complexities, these non‑metal‑based agents offer promising, safer alternatives with enhanced diagnostic capabilities, paving the way for more precise and personalized medical imaging.
磁共振成像(MRI)依靠造影剂来提高图像质量和诊断准确性。传统的金属基造影剂,如钆化合物,由于潜在的毒性和在体内的长期留存而引发安全担忧。本综述探讨了非金属基MRI造影剂的最新进展,重点关注氟-19(¹⁹F)化合物、化学交换饱和转移(CEST)剂、氮氧化物自由基和超极化碳剂。它讨论了这些造影剂改善对比度的机制,包括它们的生物相容性以及提供分子和代谢信息的能力。主要发现突出了¹⁹F造影剂因背景信号可忽略不计而具有的高特异性、CEST剂在无金属情况下进行分子成像的能力、氮氧化物自由基在氧化还原敏感成像中的效用以及超极化碳化合物在实时代谢评估中的作用。尽管存在诸如低灵敏度和技术复杂性等挑战,但这些非金属基造影剂提供了具有增强诊断能力的、有前景的更安全替代方案,为更精确和个性化的医学成像铺平了道路。
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