Peller M, Weissfloch L, Stehling M K, Weber J, Bruening R, Senekowitsch-Schmidtke R, Molls M, Reiser M
Department of Diagnostic Radiology, Klinikum Grosshadern, University of Munich, Germany.
Magn Reson Imaging. 1998 Sep;16(7):799-809. doi: 10.1016/s0730-725x(98)00076-9.
Breathing of 100% oxygen was used to challenge vascular autoregulation in 14 mice with either osteosarcomas (n = 6) or mammary carcinomas (n = 8). Reproducible and statistically significant signal intensity changes of -29 +/- 6% to +35 +/- 3% were observed on heavily T2*-weighted images in the tumors during the oxygen challenge. No significant changes were observed in muscle. For the mammary carcinomas a higher percentage of tumor voxels showed significant signal-intensity decrease (31 +/- 8%) compared to the percentage of voxels showing a signal-intensity increase (22 +/- 3%). In contrast, for the osteosarcomas, a higher percentage of tumor voxels showed signal-intensity increase (52 +/- 9%) compared to the percentage of voxels showing signal-intensity decrease (27 +/- 9%). The regional distribution of these signal intensity changes did not correlate with the signal pattern on T1-, T2-,and T2*-weighted and Gd-DTPA enhanced images acquired without breathing 100% oxygen. Most likely, the signal intensity changes represented the inability of the tumor's neovascularization for autoregulation during the oxygen challenge, particularly in hypoxic regions. Although further investigation is needed, the findings that malignant tumor tissue showed signal intensity changes, whereas normal muscle tissue did not, suggests that this technique may prove useful in distinguishing benign from malignant tissue.
对14只患有骨肉瘤(n = 6)或乳腺癌(n = 8)的小鼠采用吸入100%氧气的方法来挑战血管自动调节功能。在氧气激发试验期间,在重度T2加权图像上观察到肿瘤内信号强度出现了可重复且具有统计学意义的变化,变化范围为-29±6%至+35±3%。肌肉中未观察到明显变化。对于乳腺癌,显示信号强度降低的肿瘤体素百分比(31±8%)高于显示信号强度增加的体素百分比(22±3%)。相比之下,对于骨肉瘤,显示信号强度增加的肿瘤体素百分比(52±9%)高于显示信号强度降低的体素百分比(27±9%)。这些信号强度变化的区域分布与在未吸入100%氧气情况下采集的T1加权、T2加权、T2加权和钆喷酸葡胺增强图像上的信号模式无关。很可能,信号强度变化代表了在氧气激发试验期间肿瘤新生血管无法进行自动调节,尤其是在缺氧区域。尽管还需要进一步研究,但恶性肿瘤组织显示出信号强度变化而正常肌肉组织未出现这种变化这一发现表明,该技术可能有助于区分良性组织和恶性组织。