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[超顺磁性造影剂能否改善实验性胶质瘤的磁共振断层扫描图像?]

[Can superparamagnetic contrast media improve MRI-tomographic images of experimental gliomas?].

作者信息

Egelhof T, Delbeck N, Hartmann M, Roth S U, Elste V, Heiland S, Sartor K

机构信息

Abteilung Neuroradiologie, Universität Heidelberg.

出版信息

Radiologe. 1998 Nov;38(11):943-7. doi: 10.1007/s001170050446.

Abstract

PURPOSE

To investigate whether the margins of microscopic tumors can be delineated better with monocrystalline iron oxide nanoparticles (MION), a superparamagnetic contrast medium, than with Gd-DTPA by magnetic resonance imaging (MRI).

METHODS

MRI and histological examinations were conducted in 28 Wistar rats with sterotactically implanted gliomas (C6 gliomas). Of the 28 animals, 14 were examined after intravenous administration of MION [nine animals received 179 mmol Fe/kg body weight (dose 1), and five, 893 mmol Fe/kg (dose 2)]. The other 14 animals were examined first after i.v. administration of Gd-DTPA (0.2 mmol/kg) and then after i.v. administration of MION. The extent of the tumors as seen on MRI and at histological study were compared.

RESULTS

Iron particles were identified microscopically in tumor cells and in the tumoral interstitium. After administration of MION at dose 1, the contrast-enhanced area of tumor was 1.55-fold greater than the extent of tumor identified by histological study, at dose 2,2.15-fold. Compared with Gd-DTPA the area of contrast enhancement was greater by a factor of 1.38 with MION administration at dose 1 and by a factor of 1.91 at dose 2.

CONCLUSION

MION provides intra- and extracellular contrast enhancement. The area of the contrast-enhanced tumor is dose-dependently greater with MION than with Gd-DTPA and also greater than the extent of tumor seen at histological study.

摘要

目的

通过磁共振成像(MRI)研究超顺磁性造影剂单晶氧化铁纳米颗粒(MION)是否比钆喷酸葡胺(Gd-DTPA)能更好地勾勒出微小肿瘤的边缘。

方法

对28只经立体定向植入胶质瘤(C6胶质瘤)的Wistar大鼠进行MRI和组织学检查。28只动物中,14只在静脉注射MION后接受检查[9只动物接受179 mmol铁/千克体重(剂量1),5只接受893 mmol铁/千克(剂量2)]。另外14只动物先静脉注射Gd-DTPA(0.2 mmol/千克)后接受检查,然后静脉注射MION后再次接受检查。比较MRI和组织学研究中所见肿瘤的范围。

结果

在肿瘤细胞和肿瘤间质中显微镜下可识别出铁颗粒。注射剂量1的MION后,肿瘤的对比增强区域比组织学研究确定的肿瘤范围大1.55倍,注射剂量2时大2.15倍。与Gd-DTPA相比,注射剂量1的MION时对比增强面积大1.38倍,注射剂量2时大1.91倍。

结论

MION可提供细胞内和细胞外对比增强。与Gd-DTPA相比,MION使对比增强的肿瘤面积呈剂量依赖性增大,且也大于组织学研究中所见肿瘤的范围。

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