Spiller M, Kasoff S S, Lansen T A, Rifkinson-Mann S, Valsamis M P, Koenig S H, Tenner M S
Department of Neurosurgery, New York Medical College, Valhalla 10595.
J Neurooncol. 1994;21(2):113-25. doi: 10.1007/BF01052895.
The magnetic relaxation rate 1/T1 of tissue water protons was measured over a wide range of magnetic field strengths (NMRD profile) for 92 fresh surgical specimens of astrocytomas to search for correlations of 1/T1 with tumor histology, as determined by light microscopy, and to assess the diagnostic potential of NMRD profiles for grading astrocytomas. A third goal was to elucidate the molecular determinants of 1/T1. Each specimen was histologically graded and inspected for evidence of mineral deposits (Ca, Fe); its dry weight was determined and expressed in % of original wet weight. To minimize variability not directly related to tumor grade, this initial report is limited to NMRD profiles of 47 non-calcified, non-hemorrhagic, untreated astrocytomas. For these, the mean value of 1/T1 at very low magnetic field strengths was found to increase with increasing grade of malignancy; no clear correlation could be demonstrated at high fields where most imaging is done. The spread of 1/T1 for different grades of malignancy is large, however, and the overlap significant, even at the lowest field, so that astrocytomas can not be graded by NMRD profiles alone. Average 1/T1 and average dry weight increase with grade of malignancy; but the variability of 1/T1 among specimens of the same dry weight is large, indicating that at least one other cellular parameter, not variable in normal tissue, influences 1/T1 strongly. We hypothesize that this parameter reflects changes at the molecular level in size distribution, mobility, or intermolecular interaction of cytoplasmic proteins. Which specific changes are induced by malignant transformation in astrocytomas remains to be investigated.
对92例新鲜的星形细胞瘤手术标本,在很宽的磁场强度范围内测量了组织水质子的磁弛豫率1/T1(NMRD曲线),以寻找1/T1与通过光学显微镜确定的肿瘤组织学之间的相关性,并评估NMRD曲线对星形细胞瘤分级的诊断潜力。第三个目标是阐明1/T1的分子决定因素。对每个标本进行组织学分级,并检查是否有矿物质沉积(钙、铁)的证据;测定其干重,并以原始湿重的百分比表示。为了尽量减少与肿瘤分级无直接关系的变异性,本初步报告仅限于47例未钙化、未出血、未治疗的星形细胞瘤的NMRD曲线。对于这些标本,发现在非常低的磁场强度下1/T1的平均值随恶性程度的增加而增加;在大多数成像所使用的高磁场下,未发现明显的相关性。然而,不同恶性程度的1/T1分布范围很大,即使在最低磁场下重叠也很显著,因此不能仅通过NMRD曲线对星形细胞瘤进行分级。平均1/T1和平均干重随恶性程度增加而增加;但相同干重的标本之间1/T1的变异性很大,这表明至少有一个在正常组织中不变的其他细胞参数对1/T1有强烈影响。我们假设这个参数反映了细胞质蛋白在大小分布、流动性或分子间相互作用方面的分子水平变化。星形细胞瘤恶性转化引起的具体变化仍有待研究。