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实验性肝功能障碍:采用钆塞酸二钠增强磁共振成像进行评估

Experimental hepatic dysfunction: evaluation by MRI with Gd-EOB-DTPA.

作者信息

Kim T, Murakami T, Hasuike Y, Gotoh M, Kato N, Takahashi M, Miyazawa T, Narumi Y, Monden M, Nakamura H

机构信息

Department of Radiology, Osaka University Medical School, Japan.

出版信息

J Magn Reson Imaging. 1997 Jul-Aug;7(4):683-8. doi: 10.1002/jmri.1880070413.

Abstract

To investigate the potential of gadolinium (Gd)-ethoxybenzyl (EOB)-diethylenetriamine-pentaacetic acid (DTPA) for evaluating liver function, chemically induced hepatitis animal models were studied. The rats in group 1 underwent intraperitoneal administration of 2.0 ml/kg and those in group 2 underwent intraperitoneal administration of .5 ml/kg of 50% (V/V) carbon tetrachloride (CCl4) solution. The rats in group 3 served as controls. For rats of each group, the signal intensity of the liver was measured on T1-weighted spin-echo MR images acquired before and until 60 minutes after an intravenous injection of Gd-EOB-DTPA. The remaining rats in each group underwent indocyanine green test, serologic examination, or measurement of prothrombin time. Liver enhancement was compared with results of the other examinations. The degree of liver enhancement with Gd-EOB-DTPA was decreased and the washout of contrast was prolonged in the CCl4-administered groups. In this animal model, both hepatic dysfunction and liver enhancement were dose-dependent. MRI with Gd-EOB-DTPA has the potential to evaluate hepatic function.

摘要

为研究钆(Gd)-乙氧基苄基(EOB)-二乙烯三胺五乙酸(DTPA)评估肝功能的潜力,对化学诱导的肝炎动物模型进行了研究。第1组大鼠腹腔注射2.0 ml/kg,第2组大鼠腹腔注射0.5 ml/kg的50%(V/V)四氯化碳(CCl4)溶液。第3组大鼠作为对照。对于每组大鼠,在静脉注射Gd-EOB-DTPA之前及之后直至60分钟采集的T1加权自旋回波磁共振图像上测量肝脏的信号强度。每组其余大鼠进行吲哚菁绿试验、血清学检查或凝血酶原时间测定。将肝脏强化情况与其他检查结果进行比较。在给予CCl4的组中,Gd-EOB-DTPA引起的肝脏强化程度降低,对比剂洗脱时间延长。在该动物模型中,肝功能障碍和肝脏强化均呈剂量依赖性。使用Gd-EOB-DTPA的磁共振成像有评估肝功能的潜力。

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