Hori H, Itoh Y, Aihara M, Ayakawa Y, Miyata N
Department of Radiology, Aichi Medical University.
Nihon Igaku Hoshasen Gakkai Zasshi. 1993 Jul 25;53(7):847-55.
Changes in the phosphate metabolism of transplanted squamous cell carcinoma VII (SCC VII) tumor were studied after irradiation using in vivo 31P-magnetic resonance spectroscopy (MRS). The results were as follows. 1) Phosphocreatine (PCr), gamma-,alpha- and beta-ATP, inorganic phosphate (Pi), phosphomonoester (PME) and phosphodiester (PDE) were detected in 31P-MR spectroscopy of SCC VII solid tumor. 2) 31P-MRS parameters, including PCr, beta-ATP, PCr/Pi, beta-ATP, beta-ATP/Pi and pH, increased after irradiation, then decreased with tumor regrowth. 3) Pi, PME and PDE decreased transiently after irradiation, and thereafter increased gradually. 4) PCr/Pi showed the most remarkable increase (p < 0.05) of all parameters following irradiation. Therefore, it may be employed as a therapeutic index in radiation therapy. Because PCr/Pi decreased again after irradiation prior to regrowth of tumor, it may be used to predict tumor regrowth. From these results, it was suggested that 31P-MRS was useful for monitoring the effects of radiation therapy, and regrowth after irradiation.
利用体内31P磁共振波谱(MRS)研究了移植性鳞状细胞癌VII(SCC VII)肿瘤放疗后的磷酸盐代谢变化。结果如下:1)在SCC VII实体瘤的31P-MR波谱中检测到磷酸肌酸(PCr)、γ-、α-和β-ATP、无机磷酸盐(Pi)、磷酸单酯(PME)和磷酸二酯(PDE)。2)包括PCr、β-ATP、PCr/Pi、β-ATP、β-ATP/Pi和pH在内的31P-MRS参数在放疗后升高,然后随着肿瘤再生而降低。3)Pi、PME和PDE在放疗后短暂降低,此后逐渐升高。4)PCr/Pi在放疗后所有参数中升高最为显著(p<0.05)。因此,它可作为放射治疗的治疗指标。由于PCr/Pi在放疗后肿瘤再生前再次降低,它可用于预测肿瘤再生。从这些结果表明,31P-MRS可用于监测放射治疗的效果以及放疗后的再生情况。