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[核自旋断层造影剂钆-DTPA的人体试验。耐受性、造影效果及首批临床结果]

[Human testing of the nuclear spin tomographic contrast medium gadolinium-DTPA. Tolerance, contrast affect and the 1st clinical results].

作者信息

Schörner W, Felix R, Laniado M, Lange L, Weinmann H J, Claussen C, Fiegler W, Speck U, Kazner E

出版信息

Rofo. 1984 May;140(5):493-500. doi: 10.1055/s-2008-1053017.

Abstract

In an initial clinical trial we examined the tolerance and the influence exercised on signals in nuclear magnetic resonance tomography by gadolinium-DTPA. In an open study, 4 dosages between 0.005 and 0.25 mmol Gd-DTPA/kg body-weight were tested on 5 healthy volunteers each. To ensure renal elimination of Gd-DTPA, NMR images were produced (0.35 T Magnetom) visualising the kidneys and urinary bladder before and more than 60 minutes after application of the contrast medium. The article shows in what manner the image is influenced by the dosage of the contrast medium and also by the time interval elapsing between injection of the contrast medium and production of the NMR tomogram. - Finally, first clinical results of NMR tomography contrast medium application are demonstrated in the case of 5 patients with cerebral tumours.

摘要

在一项初步临床试验中,我们研究了钆喷酸葡胺(gadolinium-DTPA)的耐受性及其对核磁共振断层扫描信号的影响。在一项开放性研究中,对5名健康志愿者分别测试了0.005至0.25 mmol钆喷酸葡胺/千克体重的4种剂量。为确保钆喷酸葡胺经肾脏排泄,在注射造影剂前及注射后60多分钟,利用(0.35 T Magnetom)产生核磁共振图像,以观察肾脏和膀胱。本文展示了造影剂剂量以及注射造影剂与生成核磁共振断层图像之间的时间间隔对图像的影响方式。最后,还展示了5例脑肿瘤患者应用核磁共振断层扫描造影剂的首批临床结果。

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