摘要
目的利用7.0T小动物磁共振行血氧水平依赖(BOLD)磁共振成像(MRI)技术评估急性马兜铃酸肾病(AAN)大鼠肾脏氧合水平变化。方法 AAN组大鼠(n=18)连续6 d腹腔注射马兜铃酸I型溶液,剂量为40 mg/(kg·d),随机选取6只大鼠于注药前及注药后2、4、6 d进行BOLD MRI扫描,测量大鼠肾脏皮髓质的R2~*值,于上述时间点分别处死3只大鼠行肾脏病理检查。对照组(n=6)连续6 d腹腔注射PEG400溶液,磁共振扫描方案同AAN组大鼠,于注药后第6天处死3只大鼠行肾脏病理检查。结果第4天及第6天AAN组皮质及髓质R2~*值较对照组均升高(P<0.05)。AAN组皮质R2~*值第4天(P<0.05)及第6天(P<0.01)较注药前上升;AAN组髓质R2~*值随时间呈逐渐升高趋势,第2天R2~*值较注药前无统计学差异,第4天R2~*值继续升高(P<0.01),第6天显著高于注药前(P<0.05)。对照组各个时间点皮质及髓质R2~*值较注药前均无统计学差异。结论 BOLD MRI能够无创评估急性AAN大鼠肾脏氧合水平变化,随着AAN大鼠肾脏损伤的进展,定量参数R2~*值升高提示肾脏氧合水平降低,尤其是髓质,从而为临床治疗决策提供重要信息。
Objective To evaluate the changes in renal oxygenation in rats with acute aristolochic acid nephropathy using blood oxygenation level-dependent(BOLD)magnetic resonance imaging(MRI)at 7.0 T.Methods Wistar rats were randomly divided into AAN group(n=18)and control group(n=6)for intraperitoneal injections of AAI at 40 mg/kg and PEG400,respectively,on a daily basis for 6 consecutive days.All the control rats and 6 rats from AAN group underwent BOLD MRI scan before and at2,4,and 6 days after the initial injection for measuring renal cortical and medullary R2~*values.At each of the 4 time points,3 rats in AAN group were sacrificed for histological evaluation;the control rats were examined at 6 days after the initial injection.Results The cortical and medullary R2~*values of the rats in AAN group on days 4 and 6 were significantly higher than those in the control group(P<0.05).In AAN group,the cortical R2~*values showed no obvious changes on day 2 as compared with the baseline values,but increased significantly on day 4(P<0.05)and day 6(P<0.01);the medullary R2~*values increased progressively and were significantly higher than the baseline values on day 4(P<0.01)and day 6(P<0.01).In the control group,no significant changes were detected in either cortical or medullary R2~*values throughout the experiment.Conclusion BOLD MRI allows non-invasive measurement of renal oxygenation levels in rats with AAN.The increase of renal cortical and medullary R2~*values,and particularly the latter,indicates a lowered renal oxygenation level,which provides potentially useful information for clinical decisions.
作者
杨桂香
梅颖洁
吕健
陶泉
冯衍秋
许乙凯
YANG Guixiang;MEI Yingjie;LüJian;TAO Quan;FENG Yanqiu;XU Yikai(Medical Imaging Center,Nanfang Hospital,Southern Medical University,Guangzhou 510515,China;School of Biomedical Engineering,Guangdong Provincial Key Laboratory of Medical Image Processing,Southern Medical University,Guangzhou 510515,China;Key Laboratory of Mental Health of the Ministry of Education,Southern Medical University,Guangzhou 510515,China)
出处
《南方医科大学学报》
CAS
CSCD
北大核心
2019年第5期528-532,共5页
Journal of Southern Medical University
基金
国家自然科学基金(81871334
81871349)~~
关键词
马兜铃酸
血氧水平依赖磁共振成像
R2~*值
aristolochic acid
blood oxygenation level-dependent magnetic resonance imaging
R2~*values