目的探讨应用3.0 T磁共振动态增强(MRI-DCE)及扩散加权成像(DWI)诊断浸润性乳腺癌腋窝淋巴结(ALN)转移的价值。方法我院收治的143例早期浸润性乳腺癌患者,均接受MRI-DCE及DWI评估ALN转移情况,分析两者在ALN转移中诊断价值。结果以病理...目的探讨应用3.0 T磁共振动态增强(MRI-DCE)及扩散加权成像(DWI)诊断浸润性乳腺癌腋窝淋巴结(ALN)转移的价值。方法我院收治的143例早期浸润性乳腺癌患者,均接受MRI-DCE及DWI评估ALN转移情况,分析两者在ALN转移中诊断价值。结果以病理诊断为金标准,MRI-DCE联合DWI诊断ALN灵敏度、特异度、阳性预测值与阴性预测值分别为94.59%、96.23%、89.74%与98.08%;ALN转移与无ALN转移患者边界、早期强化模式、DWI信号、长径、短径、早期强化率、最大强化率、皮质厚度、表观扩散系数(ADC)值等MRI表现比较,差异有统计学意义(P<0.05);DWI高信号、短径及ADC值是ALN转移的影响因素(P<0.05);DWI信号、短径及ADC值诊断ALN转移曲线下面积(AUC)为0.619、0.745、0.734,各指标联合诊断ALN转移AUC值为0.835。结论3.0 T MR动态增强及扩散加权成像可以有效检出早期浸润性乳腺癌ALN转移,测定DWI信号、短径及ADC值联合有助于提高患者ALN转移诊断价值。展开更多
Background and Aims:Efficacy evaluations with preclini-cal magnetic resonance imaging(MRI)are uncommon,but MRI in the preclinical phase of drug development provides information that is useful for longitudinal monitori...Background and Aims:Efficacy evaluations with preclini-cal magnetic resonance imaging(MRI)are uncommon,but MRI in the preclinical phase of drug development provides information that is useful for longitudinal monitoring.The study aim was to monitor the protective effectiveness of silymarin with multiparameter MRI and biomarkers in a thioacetamide(TAA)-induced model of liver injury in rats.Correlation analysis was conducted to assess compare the monitoring of liver function by MRI and biomarkers.Meth-ods:TAA was injected three times a week for 8 weeks to generate a disease model(TAA group).In the TAA and sily-marin-treated(TAA-SY)groups,silymarin was administered three times weekly from week 4.MR images were acquired at 0,2,4,6,and 8 weeks in the control,TAA,and TAA-SY groups.Results:The area under the curve to maximum time(AUCtmax)and T_(2)*values of the TAA group decreased over the study period,but the serological markers of liver abnormality increased significantly more than those in the control group.In the TAA-SY group,MRI and serological biomarkers indicated attenuation of liver function as in the TAA group.However,pattern changes were observed from week 6 to comparable levels in the control group with si-lymarin treatment.Negative correlations between either AUCtmax or T_(2)*values and the serological biomarkers were observed.Conclusions:Silymarin had hepatoprotective effects on TAA-induced liver injury and demonstrated the usefulness of multiparametric MRI to evaluate efficacy in preclinical studies of liver drug development.展开更多
文摘目的探讨应用3.0 T磁共振动态增强(MRI-DCE)及扩散加权成像(DWI)诊断浸润性乳腺癌腋窝淋巴结(ALN)转移的价值。方法我院收治的143例早期浸润性乳腺癌患者,均接受MRI-DCE及DWI评估ALN转移情况,分析两者在ALN转移中诊断价值。结果以病理诊断为金标准,MRI-DCE联合DWI诊断ALN灵敏度、特异度、阳性预测值与阴性预测值分别为94.59%、96.23%、89.74%与98.08%;ALN转移与无ALN转移患者边界、早期强化模式、DWI信号、长径、短径、早期强化率、最大强化率、皮质厚度、表观扩散系数(ADC)值等MRI表现比较,差异有统计学意义(P<0.05);DWI高信号、短径及ADC值是ALN转移的影响因素(P<0.05);DWI信号、短径及ADC值诊断ALN转移曲线下面积(AUC)为0.619、0.745、0.734,各指标联合诊断ALN转移AUC值为0.835。结论3.0 T MR动态增强及扩散加权成像可以有效检出早期浸润性乳腺癌ALN转移,测定DWI信号、短径及ADC值联合有助于提高患者ALN转移诊断价值。
基金the Asan Institute of Life Sciences,Asan Medical Center,Republic of Korea(2020IL0026-1)the Basic Science Research Program through the National Research Foundation of Korea(NRF)funded by the Ministry of Science and ICT(2018R1A2B2007694)and the Ministry of Education(2020R1I1A1A01058302).
文摘Background and Aims:Efficacy evaluations with preclini-cal magnetic resonance imaging(MRI)are uncommon,but MRI in the preclinical phase of drug development provides information that is useful for longitudinal monitoring.The study aim was to monitor the protective effectiveness of silymarin with multiparameter MRI and biomarkers in a thioacetamide(TAA)-induced model of liver injury in rats.Correlation analysis was conducted to assess compare the monitoring of liver function by MRI and biomarkers.Meth-ods:TAA was injected three times a week for 8 weeks to generate a disease model(TAA group).In the TAA and sily-marin-treated(TAA-SY)groups,silymarin was administered three times weekly from week 4.MR images were acquired at 0,2,4,6,and 8 weeks in the control,TAA,and TAA-SY groups.Results:The area under the curve to maximum time(AUCtmax)and T_(2)*values of the TAA group decreased over the study period,but the serological markers of liver abnormality increased significantly more than those in the control group.In the TAA-SY group,MRI and serological biomarkers indicated attenuation of liver function as in the TAA group.However,pattern changes were observed from week 6 to comparable levels in the control group with si-lymarin treatment.Negative correlations between either AUCtmax or T_(2)*values and the serological biomarkers were observed.Conclusions:Silymarin had hepatoprotective effects on TAA-induced liver injury and demonstrated the usefulness of multiparametric MRI to evaluate efficacy in preclinical studies of liver drug development.
