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DCE-MRI直方图定量参数联合DWI在乳腺癌早期诊断中的应用价值
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作者 刘文霞 贡琦 +3 位作者 刘利 吴丽萍 郑岚 张茂红 《中国CT和MRI杂志》 2025年第1期106-108,共3页
目的探讨MRI动态增强扫描(DCE-MRI)直方图定量参数联合扩散加权成像(DWI)在乳腺癌早期诊断中的应用价值。方法回顾性收集2017年9月至2021年9月期间在本院进行手术治疗的120例女性乳腺病变患者,依据术后病理结果分为良性组(n=78)与恶性组... 目的探讨MRI动态增强扫描(DCE-MRI)直方图定量参数联合扩散加权成像(DWI)在乳腺癌早期诊断中的应用价值。方法回顾性收集2017年9月至2021年9月期间在本院进行手术治疗的120例女性乳腺病变患者,依据术后病理结果分为良性组(n=78)与恶性组(n=42),两组均在手术前进行DCEMRI及DWI检查,依据软件得出DCE-MRI直方图定量参数及ADC值,比较DCE-MRI直方图定量参数及ADC的组间差异,绘制ROC曲线,分析直方图定量参数与DWI联合用于早期诊断乳腺癌的价值。结果相较于良性组,恶性组的K^(trans)中位数、平均值、第90%位数,K_(ep)第90%位数、V_(p)中位数、平均值、第50%位数均高,ADC值低于良性组,差异有统计学意义(P<0.05);绘制ROC曲线图,结果显示,DCEMRI直方图定量参数联合DWI对乳腺癌早期诊断的AUC=0.969>0.7,诊断效能较好,最佳敏感度、特异度为90.50%、96.20%。结论DCE-MRI直方图定量参数联合DWI在乳腺癌早期诊断中具有较高的临床应用价值。 展开更多
关键词 mri动态增强扫描 直方图 扩散加权成像 乳腺癌 早期诊断
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Hybrid Dextran-gadolinium Nano-suitcases as High-relaxivity MRI Contrast Agents 被引量:2
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作者 Hao Wang Ting-Ting Dai +4 位作者 Bo-Lun Lu Sheng-Li Li Qing Lu Vincent Mukwaya Hong-Jing Dou 《Chinese Journal of Polymer Science》 SCIE CAS CSCD 2018年第3期391-398,共8页
Dextran-poly(glycidyl methacrylate) (Dex-PGMA) nano-suitcases were synthesized efficiently via a graft copolymerization induced self-assembly (GISA) approach. On this basis, the Dex-PGMA nano-suitcases were modi... Dextran-poly(glycidyl methacrylate) (Dex-PGMA) nano-suitcases were synthesized efficiently via a graft copolymerization induced self-assembly (GISA) approach. On this basis, the Dex-PGMA nano-suitcases were modified with hydrazide, and the attachment of multiple chelated Gd(III) ions to the interior of the nano-suitcases affords nanoscale MRI contrast agents with high relaxivity values. The highly fenestrated dextran shell of the nano-suitcases assures water exchange which readily occurs between the surrounding environment and the Gd(III) ions encapsulated within the hybrid nano-suitcases. The complexation between the hydrophilic hydrazide interior of the nano-suitcases and Gd(III) ions results in an impressive Gd payload at 22.6 wt% in the hybrid nano-suitcases. The longitudinal relaxivity (rl) of the hybrid nano-suitcases is reported as 44.4 L/(mmol-s), which is 9-14 folds of that of commercial Gd-DTPA agents. In vivo MRI studies demonstrate that the hybrid nano-suitcases accumulated in the lymph node of the rat due to their nanoscale dimensions and displayed strong signals in vivo. The results indicated that the hybrid nano-suitcases provide a promising platform for the diagnosis of lymph node related diseases. 展开更多
关键词 Crosslinked polymer nanoparticles Gadolinium(llI) mri contrast agents Lymph node imaging
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Synthesis and in vitro Evaluation of Manganese(Ⅱ)-porphyrin Modified with Chitosan Oligosaccharides as Potential MRI Contrast Agents 被引量:1
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作者 LIU Yun HUANG Yan +3 位作者 BOAMAH Peter Osei ZHANG Qi LIU Yuanyuan HUA Mingqing 《Chemical Research in Chinese Universities》 SCIE CAS CSCD 2014年第4期549-555,共7页
Mn-TCPP-CSn(n=6,1 1,20) as a type of potential magnetic resonance imaging(MRI) contrast agents were synthesized via manganese(Ⅱ) meso-tetra(4-carboxyphenyl) porphyrin(Mn-TCPP) modified with chitosan oligosa... Mn-TCPP-CSn(n=6,1 1,20) as a type of potential magnetic resonance imaging(MRI) contrast agents were synthesized via manganese(Ⅱ) meso-tetra(4-carboxyphenyl) porphyrin(Mn-TCPP) modified with chitosan oligosaccharides(CSn).Experimental data of infared(IR),UV-Vis,MS,inductively coupled plasma-atomic emission spectrometer(ICP-AES) and size exclusion chromatography evidenced the formation of Mn-TCPP-CSn-The stability results show that Mn-TCPP-CSn in aqueous solution was stable enough to prevent Mn(Ⅱ) ions from leaking.The magnetic properties in vitro indicate that Mn-TCPP-CS20 possesses higher longitudinal relaxivity(r1=10.38 L·mmol^-1·s^-1) in aqueous solution than unmodified porphyrin Mn-TCPPNa4[manganese(Ⅱ) meso-tetra(4-carboxyphenyl) porphyrin,tetrasodium salt](r1=5.10 L·mmol^-1·s^-1) and the commercial contrast agent Gd-DTPA(r1=4.05 L·mmol^-1·s^-1).The preliminary T1-weighted flash image studies in vitro show that the contrast and the imaging signal of Mn-TCPP-CSn were superior to those of Mn-TCPPNa4 and Gd-DTPA under the same conditions.The 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide(MTT) assay shows that Mn-TCPP-CSn has a good biocompatibility.In addition,the thermodynamical parameters(ΔH〈0,ΔS〈0,ΔG〈0) of Mn-TCPP-CSn bound to bovine serum albumin(BSA) show that Mn-TCPP-CSn could bind to BSA spontaneously,where the binding complex was stabilized mainly by van der Waals interactions and hydrogen bonds.These results suggest that Mn-TCPP-CSn have the advantage of becoming a potential MRI contrast agent. 展开更多
关键词 mri contrast agent PORPHYRIN Chitosan oligosaccharide RELAXIVITY T1-Weighted flash image
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A novel nitroreductase-enhanced MRI contrast agent and its potential application in bacterial imaging 被引量:1
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作者 Yun Liu Leilei Zhang +2 位作者 Marc Nazare Qingqiang Yao Hai-Yu Hu 《Acta Pharmaceutica Sinica B》 SCIE CAS CSCD 2018年第3期401-408,共8页
Nitroreductases(NTRs) are known to be able to metabolize nitro-substituted compounds in the presence of reduced nicotinamide adenine dinucleotide(NADH) as an electron donor. NTRs are present in a wide range of bacteri... Nitroreductases(NTRs) are known to be able to metabolize nitro-substituted compounds in the presence of reduced nicotinamide adenine dinucleotide(NADH) as an electron donor. NTRs are present in a wide range of bacterial genera and, to a lesser extent, in eukaryotes hypoxic tumour cells and tumorous tissues, which makes it an appropriate biomarker for an imaging target to detect the hypoxic status of cancer cells and potential bacterial infections. To evaluate the specific activation level of NTR, great efforts have been devoted to the development of fluorescent probes to detect NTR activities using fluorogenic methods to probe its behaviour in a cellular context; however, NTR-responsive MRI contrast agents are still by far underexplored. In this study, para-nitrobenzyl substituted T_1-weighted magnetic resonance imaging(MRI)contrast agent Gd-DOTA-PNB(probe 1) has been designed and explored for the possible detection of NTR.Our experimental results show that probe 1 could serve as an MRI-enhanced contrast agent for monitoring NTR activity. The in vitro response and mechanism of the NTR catalysed reduction of probe 1 have been investigated through LC–MS and MRI. Para-nitrobenzyl substituted probe 1 was catalytically reduced by NTR to the intermediate para-aminobenzyl substituted probe which then underwent a rearrangement elimination reaction to Gd-DOTA, generating the enhanced T1-weighted MR imaging. Further, LC–MS and MRI studies of living Escherichia coli have confirmed the NTR activity detection ability of probe 1 at a cellular level. This method may potentially be used for the diagnosis of bacterial infections. 展开更多
关键词 NITROREDUCTASE mri contrast agent Smart imaging probes Bacterial imaging Bacterial infection
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基于多模态MRI定量分析诊断宫颈癌宫旁浸润的研究 被引量:1
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作者 牛俊巧 王佳 +3 位作者 刘焱 曲源 张建亮 李辉 《中国CT和MRI杂志》 2024年第5期137-139,共3页
目的探讨多模态MRI定量分析诊断宫颈癌宫旁浸润的价值。方法回顾性分析2019年1月~2021年12月新疆维吾尔自治区人民医院收治的86例宫颈癌患者临床资料,根据病理结果分为宫旁浸润组31例与非宫旁浸润组55例。所有患者均接受MRI常规平扫及... 目的探讨多模态MRI定量分析诊断宫颈癌宫旁浸润的价值。方法回顾性分析2019年1月~2021年12月新疆维吾尔自治区人民医院收治的86例宫颈癌患者临床资料,根据病理结果分为宫旁浸润组31例与非宫旁浸润组55例。所有患者均接受MRI常规平扫及扩散加权成像(DWI)扫描、动态对比增强磁共振成像(DCE-MRI)扫描,获得感兴趣区表观弥散系数(ADC)值和对比剂容积转换常量(K^(trans))、速率常数(K_(ep))、血管外细胞间隙容积分数(V_(e))值等多模态MRI定量参数。比较宫旁浸润组和非宫旁浸润组临床特征、ADC值和DCE-MRI定量参数;Pearson相关性分析宫颈癌宫旁浸润患者ADC值和K^(trans)、K_(ep)、V_(e)的关系;受试者工作特征曲线(ROC)分析ADC值和K^(trans)、K_(ep)、V_(e)对宫颈癌宫旁浸润的诊断效能。结果宫旁浸润组与非宫旁浸润组肿瘤直径和病理分级的分布差异比较,差异有统计学意义(P<0.05);宫旁浸润组K^(trans)、K_(ep)和V_(e)均明显高于非宫旁浸润组(P<0.05);Pearson相关性显示,宫颈癌宫旁浸润患者ADC值与V_(e)值呈明显的正相关(P<0.05);ROC显示,K^(trans)、K_(ep)、V_(e)值诊断宫颈癌宫旁浸润的曲线下面积(AUC)分别为0.876、0.821和0.864(P<0.05)。结论多模态MRI定量参数对宫颈癌宫旁浸润具有较好的诊断价值,可为宫颈癌宫旁浸润的影像诊断提供量化参考。 展开更多
关键词 多模态mri 扩散加权成像 动态对比增强磁共振成像 表观弥散系数 宫颈癌 宫旁浸润
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动态增强MRI定量参数及肿瘤标记物对乳腺癌新辅助化疗疗效的评估价值分析 被引量:2
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作者 马瑞 王彦辉 +3 位作者 杜敏 齐先龙 张琳 王唯伟 《中国医学装备》 2024年第1期73-77,共5页
目的:探索动态增强磁共振成像(DCE-MRI)定量参数及肿瘤标记物对乳腺癌新辅助化疗疗效的评估价值。方法:选取2019年5月至2022年5月在济宁市第一人民医院接受新辅助化疗联合手术干预的75例乳腺癌患者,根据实体瘤疗效评价标准(RECIST)将其... 目的:探索动态增强磁共振成像(DCE-MRI)定量参数及肿瘤标记物对乳腺癌新辅助化疗疗效的评估价值。方法:选取2019年5月至2022年5月在济宁市第一人民医院接受新辅助化疗联合手术干预的75例乳腺癌患者,根据实体瘤疗效评价标准(RECIST)将其分为有效组(54例)和无效组(21例),比较化疗前和化疗后两组患者DCE-MRI定量参数血管外细胞外间隙容积比(V_(e))、速率常数(K_(ep))及容积转换常数(K^(trans))指标与肿瘤标志物癌胚抗原(CEA)、糖类抗原(CA125)及糖类抗原15-3(CA15-3)水平,采用受试者工作特征(ROC)曲线分析各项诊断方式预测效能。结果:化疗后,有效组患者DCEMRI定量参数Ve、K_(ep)及K^(trans)与无效组比较,差异有统计学意义(t=7.237、51.695、16.879,P<0.05)。有效组患者肿瘤标志物CEA、CA125及CA15-3与无效组比较,差异有统计学意义(t=44.201、6.736、6.885,P<0.05)。V_(e)、K_(ep)、K^(trans)、CEA、CA125及CA15-3的6项指标联合预测乳腺癌新辅助化疗疗效ROC曲线下面积(AUC)值为0.979,显著高于各项指标单独检测的AUC值,差异有统计学意义(Z=2.993、2.679、2.510、2.731、3.215、3.071,P<0.05)。结论:肿瘤标记物联合DCE-MRI定量参数可更好预测乳腺癌新辅助化疗疗效情况,间接评估预后。 展开更多
关键词 动态增强磁共振成像(DCE-mri) 肿瘤标记物 化疗 乳腺癌
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增强能谱乳腺X线摄影与MRI评估乳腺癌新辅助化疗后残留病灶大小的价值
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作者 朱晓琳 王辉 +1 位作者 康琦 刘志勇 《当代医学》 2024年第19期161-164,共4页
目的比较增强能谱乳腺X线摄影(contrast-enhanced spectral mammography,CESM)与MRI评估乳腺癌新辅助化疗(neoadjuvant chemotherapy,NAC)后残留病灶大小的应用价值。方法选取2019年3月至2021年12月于青岛大学附属泰安市中心医院经病理... 目的比较增强能谱乳腺X线摄影(contrast-enhanced spectral mammography,CESM)与MRI评估乳腺癌新辅助化疗(neoadjuvant chemotherapy,NAC)后残留病灶大小的应用价值。方法选取2019年3月至2021年12月于青岛大学附属泰安市中心医院经病理确诊为乳腺癌且接受NAC的31例患者作为研究对象。所有患者在NAC前后均进行CESM和MRI检查,分别测量NAC后残留病灶的大小,并与病理检查结果进行比较。分析两种检查方法测量肿瘤大小的相关性,与病理检查结果的一致性及两者的灵敏度、特异度、准确度、阳性预测值、阴性预测值。结果CESM与MRI都倾向于低估NAC后残留病灶的大小,其中CESM平均低估6.2 mm,MRI平均低估2.9 mm。NAC前后CESM与MRI测量的肿瘤大小呈正相关性(r>0,P<0.05)。CESM与病理学检查结果的一致性为0.665,MRI为0.815。CESM、MRI评估完全缓解的灵敏度、特异度、阳性预测值、阴性预测值比较差异无统计学意义。结论在评估NAC后肿瘤残留病灶大小方面,CESM的检查性能与MRI相当,可作为一种替代方法。 展开更多
关键词 乳腺癌 新辅助化疗 增强能谱乳腺X线摄影 mri
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CT和MRI动态增强扫描诊断和评估原发性肝癌患者微血管浸润价值研究 被引量:4
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作者 丁建华 张波 邓国莉 《实用肝脏病杂志》 CAS 2024年第1期109-112,共4页
目的研究使用电子计算机断层扫描(CT)和磁共振(MRI)动态增强扫描诊断和评估原发性肝癌(PLC)患者微血管浸润(MVI)的价值。方法2020年1月~2023年1月我院收治的PLC患者50例,术前均接受腹部CT和MRI检查,记录肿瘤边缘模糊征象、瘤内新月征、... 目的研究使用电子计算机断层扫描(CT)和磁共振(MRI)动态增强扫描诊断和评估原发性肝癌(PLC)患者微血管浸润(MVI)的价值。方法2020年1月~2023年1月我院收治的PLC患者50例,术前均接受腹部CT和MRI检查,记录肿瘤边缘模糊征象、瘤内新月征、静脉浸润的双预测因子(TTPVI)、门静脉癌栓(PVTT)和表观弥散系数(ADC)。行肝叶切除术治疗,取术后组织行病理学检查诊断MVI。结果经术后组织病理学检查,诊断肝细胞癌(HCC)32例和胆管细胞癌18例,存在MVI者29例,无MVI者21例;CT检查MVI患者肿瘤边缘模糊、局部外凸结节、包膜不完整、多结节融合、瘤内新月征、TTPVI和PVTT等影像学征象占比分别为82.8%、17.2%、31.0%、17.2%、13.8%、65.5%和17.2%,显著高于无MVI患者(分别为14.3%、4.8%、4.8%、4.8%、0.0%、9.5%和0.0%,P<0.05);MRI检查MVI患者肿瘤边缘模糊、局部结节、包膜不完整、多结节融合、瘤内新月征、TTPVI和PVTT等影像学征象占比为89.7%、24.1%、37.9%、27.6%、13.8%、72.4%和24.1%,显著高于无MVI患者(分别为23.8%、9.5%、9.5%、9.5%、0.0%、14.3%和0.0%,P<0.05);经Logistic回归分析显示,CT和MRI检查发现病灶边缘模糊、TTPVI和PVTT是PLC患者发生MVI的独立影响因素(P<0.05)。结论CT和MRI动态增强扫描可通过特殊征象判断PLC患者MVI的存在,可帮助临床医生做出合理的诊治策略。 展开更多
关键词 原发性肝癌 微血管浸润 影像学检查 诊断
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1.5T磁共振动态对比增强(DCE-MRI)技术联合表观弥散系数(ADC)值对乳腺肿块样强化病变良恶性的鉴别诊断价值
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作者 龙敏 王跃斌 《延边大学医学学报》 CAS 2024年第3期289-292,共4页
目的:分析1.5T磁共振动态对比增强(DCE-MRI)技术联合表观弥散系数(ADC)值对乳腺肿块样强化病变良恶性的鉴别诊断价值。方法:选取2021年10月至2024年4月在三明市第二医院治疗的163例乳腺肿块样强化病变患者的临床资料进行回顾性分析。选... 目的:分析1.5T磁共振动态对比增强(DCE-MRI)技术联合表观弥散系数(ADC)值对乳腺肿块样强化病变良恶性的鉴别诊断价值。方法:选取2021年10月至2024年4月在三明市第二医院治疗的163例乳腺肿块样强化病变患者的临床资料进行回顾性分析。选取的患者均接受1.5T DCE-MRI检查。根据强化方式、时间-信号强度(TIC)曲线、病灶形态、病灶边界,计算ADC值。以病理诊断结果为金标准,以1.5T DCE-MRI诊断结果为对照1组,以ADC诊断结果为对照2组,以联合诊断结果为观察组。对比三种诊断方式在乳腺肿块样强化病良恶性鉴别诊断中的应用价值。结果:以病理诊断结果为金标准,对比对照1组与对照2组的各项诊断效能指标,差异无统计学意义(P>0.05)。观察组的各项诊断效能指标均明显优于对照1组以及对照2组,差异具有统计学意义(P<0.05)。结论:在乳腺肿块样强化病变良恶性的鉴别诊断中,应用1.5T DCE-MRI联合ADC值具有更高的诊断效能,临床应用价值显著。 展开更多
关键词 乳腺肿块样强化病变 1.5T磁共振动态对比增强技术 表观弥散系数值
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基于多模态MRI成像特征的综合评分在前列腺癌诊断中的价值
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作者 季微 严佳 +4 位作者 顾峰 陆健美 贲亮亮 王静 王小乐 《世界复合医学(中英文)》 2024年第7期134-138,共5页
目的探讨基于多模态MRI成像(multimodal MRI,mp-MRI)特征的综合评分在前列腺癌诊断中的应用价值。方法选取2022年3月—2023年12月南通市第二人民医院收治的95例疑似前列腺癌患者为研究对象,均行3.0 T磁共振T2加权成像(T2 weighted imagi... 目的探讨基于多模态MRI成像(multimodal MRI,mp-MRI)特征的综合评分在前列腺癌诊断中的应用价值。方法选取2022年3月—2023年12月南通市第二人民医院收治的95例疑似前列腺癌患者为研究对象,均行3.0 T磁共振T2加权成像(T2 weighted imaging,T2WI)、弥散加权成像(diffusion weighted imaging,DWI)、动态对比增强(dynamic contrast-enhanced,DCE)检查,并进行综合评分,以病理结果为金标准,计算各参数单独及mp-MRI对前列腺癌诊断的灵敏度、特异度、准确度、阴性预测值和阳性预测值,对比各参数的诊断效能。结果95例疑似患者中,病理检出59例前列腺癌,36例为良性病变。T2WI诊断前列腺癌54例,非前列腺癌41例;DWI诊断前列腺癌57例,非前列腺癌38例;DCE-MRI诊断前列腺癌60例,非前列腺癌35例;mp-MRI诊断前列腺癌60例,非前列腺癌35例。mp-MRI诊断前列腺癌的灵敏度为94.92%(56/59)、准确度为92.63%(88/95)、阴性预测值为91.43%(32/35),均明显高于T2WI的74.58%(44/59)、73.68%(70/95)、63.41%(26/41),DWI的81.36%(48/59)、78.95%(75/95)、71.05%(27/38),DCE-MRI的79.66%(47/59)、73.68%(70/95)、65.71%(23/35),差异有统计学意义(χ^(2)=9.298、14.121、8.832,P均<0.05)。而4种检查方式的特异度、阳性预测值比较,差异无统计学意义(P均>0.05)。结论联合运用T2WI、DWI及DCE-MRI成像开展的多模态MRI综合评分能提高前列腺癌的诊断效能。 展开更多
关键词 前列腺癌 多模态mri 弥散加权成像 动态对比增强mri成像
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Volume-related Efficiency of Gadolinium Polyoxometalates as MRI Contrast Agents
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作者 KONG Da-liang WEI Bo ZHOU Sheng-yan YANG Hai-shan JIANG Yang 《Chemical Research in Chinese Universities》 SCIE CAS CSCD 2013年第6期1055-1058,共4页
Two gadolinium polyoxometalates, KCs4[Gd(a-SiW11O39)].25HzO(POM-1) and K13[Gd(f12-SiWllO39)a]·27H2O(POM-2), have been evaluated as the candidates of potential magnetic resonance imaging Tl(longitudinal r... Two gadolinium polyoxometalates, KCs4[Gd(a-SiW11O39)].25HzO(POM-1) and K13[Gd(f12-SiWllO39)a]·27H2O(POM-2), have been evaluated as the candidates of potential magnetic resonance imaging Tl(longitudinal relaxation) contrast agents. Longitudinal relaxivities of POM-2 are much higher than those of POM-1 in pure water and protein solution, respectively. However, compared with POM-1, POM-2 interacts with protein more strongly through electrostatic interaction, which is comfirmed by the fluoresence quenching of human serum albumin(HSA) in solu- tions with different polyoxometalate concentrations. Meanwhile, POM-1 presentes much lower cytotoxicity in the cell viability tests. 展开更多
关键词 Magnetic resonance imaging(mri contrast agent POLYOXOMETALATE
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Modified DTPA, EDTA Ligands and Their Paramagnetic Metal Complexes as Contrast Agents for MRI
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作者 Zhuo Renxi Fu Gongcheng +2 位作者 Ouyang Ming Zhao Xia Lu Zhengrong 《Wuhan University Journal of Natural Sciences》 CAS 1996年第2期225-229,共5页
Six new aminocarboxylic ligands were synthesized by reactions of EDTA (ethylenediaminetetraacetic acid) dianhydride or DTPA (dlethylenetriaminepenta-acetic acid) dianhydride and ethyl ester of serine,threonine and tyr... Six new aminocarboxylic ligands were synthesized by reactions of EDTA (ethylenediaminetetraacetic acid) dianhydride or DTPA (dlethylenetriaminepenta-acetic acid) dianhydride and ethyl ester of serine,threonine and tyrosine. Their paramagnetic metal complexes were also synthesized.All ligands and paramagnetic metal complexes were characterized by IR spectra,IH NMR and elemental analyses.Relaxivity study showed that the metal complexes had higher relaxation effectiveness as compared to corresponding unmodified metal complexes. Imaging study of gadolinium complex of tyrosine ethyl ester modified DTPA in mice demonstrated that this metal complex could apparently increase the signal intensity of MR images. 展开更多
关键词 Magnetic resonance imaging (mri) contrast agent relaxivity derivative of amino acid
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Advances in Assessing Preoperative Liver Function with Gd-EOB-DTPA Dynamic Contrast Enhanced MRI
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作者 Juan Li Bing Wan Sibin Liu 《Yangtze Medicine》 2019年第1期32-42,共11页
Liver cancer is the common malignant tumor in China and current treatment is based on surgery. However, liver function of many liver cancer patients is impaired before surgery, so there’s a high possibility of occurr... Liver cancer is the common malignant tumor in China and current treatment is based on surgery. However, liver function of many liver cancer patients is impaired before surgery, so there’s a high possibility of occurrence of liver failure after the tumor resection. Therefore, it’s necessary to accurately evaluate liver function before surgery. Currently, clinical methods are mostly limited to assess the function of overall liver. But the application of hepatocyte-specific contrast agent—gadolinium ethoxybenzyl diethylenetriamine pentaacetic acid (Gd-EOB-DTPA) makes it possible to assess the function of local liver segment accurately. This paper reviewed the progress of using Gd-EOB-DTPA dynamic contrast enhanced magnetic resonance imaging (MRI) to assess liver function preoperatively, such as parameters selection for liver function assessment, clinical factors affecting Gd-EOB-DTPA enhanced MRI and so on. 展开更多
关键词 LIVER Function GD-EOB-DTPA mri Dynamic contrast Enhancement
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超声造影联合MRI融合导航技术在评估肝细胞肝癌消融疗效中的临床价值
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作者 张琪 王坤 +4 位作者 曹佳颖 经翔 严昆 董怡 王文平 《临床超声医学杂志》 CSCD 2024年第2期100-104,共5页
目的探讨超声造影(CEUS)联合MRI融合导航技术在评估肝细胞肝癌(HCC)消融疗效中的临床应用价值。方法前瞻性选取2020年9月至2022年12月我院、天津市第三中心医院及北京大学附属肿瘤医院行消融治疗的HCC患者77例,随机分为CEUS组46例(46个... 目的探讨超声造影(CEUS)联合MRI融合导航技术在评估肝细胞肝癌(HCC)消融疗效中的临床应用价值。方法前瞻性选取2020年9月至2022年12月我院、天津市第三中心医院及北京大学附属肿瘤医院行消融治疗的HCC患者77例,随机分为CEUS组46例(46个病灶)和CEUS联合MRI导航组31例(31个病灶),分别于消融前1 d及消融后30 d行CEUS或CEUS联合MRI融合导航检查。以消融后30 d普美显增强MRI为标准,比较两组消融疗效情况。结果CEUS组46个病灶中,39个完全消融,其中32个病灶达到安全边界;CEUS联合MRI导航组31个病灶中,27个完全消融,且均达到安全边界,两组消融疗效比较差异无统计学意义(P=0.063)。CEUS组中,7个未完全消融,CEUS准确诊断5个;CEUS联合MRI导航组中,MRI诊断3个未消融完全,CEUS联合MRI导航技术诊断4个未消融完全。CEUS联合MRI导航融合成功率为100%。位于特殊位置(距离肝包膜、大血管旁、胆囊旁、膈肌<5 mm)的病灶中,CEUS组中79.3%(23/29)的病灶达到安全边界,CEUS联合MRI导航组中88.2%(15/17)的病灶达到安全边界,两组比较差异有统计学意义(P<0.001)。消融前二维超声呈等回声或边界不清晰的病灶中,CEUS组中80.0%(20/25)的病灶达到安全边界,CEUS联合MRI导航组中88.9%(16/18)病灶达到安全边界,两组比较差异有统计学意义(P<0.001)。结论CEUS联合MRI融合导航技术有助于准确判断HCC消融的安全边界,尤其对位于特殊位置的病灶及二维超声呈等回声或边界不清晰的病灶消融疗效更佳。 展开更多
关键词 超声检查 造影剂 mri 融合成像 肝细胞肝癌 消融治疗 安全边界
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乳腺非肿块样强化良恶性病变DCE-MRI表现及其诊断价值分析 被引量:1
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作者 周鑫 王珍 付雨菲 《中国CT和MRI杂志》 2024年第7期118-120,共3页
目的探讨乳腺非肿块样强化(NMLE)良恶性病变动态增强磁共振成像(DCE-MRI)表现及其诊断价值。方法选取2018年5月-2022年6月医院收治的乳腺NMLE病变患者90例,术前对所有患者行DCE-MRI,并观察其手术病理学检查结果,分析DCE-MRI对乳腺NMLE... 目的探讨乳腺非肿块样强化(NMLE)良恶性病变动态增强磁共振成像(DCE-MRI)表现及其诊断价值。方法选取2018年5月-2022年6月医院收治的乳腺NMLE病变患者90例,术前对所有患者行DCE-MRI,并观察其手术病理学检查结果,分析DCE-MRI对乳腺NMLE良恶性病变的诊断效能及乳腺NMLE良恶性病变的DCE-MRI表现。结果90例乳腺NMLE病变患者中确诊恶性病变64例,包括叶状肿瘤2例,浸润性微乳头状癌2例,粘液癌2例,浸润性导管癌49例,导管内癌(含半微浸润)9例;良性病变26例,包括乳腺增生性腺病11例,纤维腺瘤11例,上皮不典型增生4例;以手术病理学检查结果为“金标准”,DCE-MRI诊断乳腺NMLE良恶性病变的敏感度为93.85%、特异度为84.62%、准确度为92.22%、阳性预测值为95.31%及阴性预测值为88.00%;乳腺NMLE病变DCE-MRI表现为斑点样强化、弥漫分布多见于良性病变,簇状强化和节段分布多见于恶性病变(P<0.05);乳腺NMLE恶性病变组表观扩散系数(ADC)值低于乳腺NMLE良性病变组(P<0.05)。结论DCE-MRI对乳腺NMLE病变具有较高诊断价值,当乳腺NMLE病变DCE-MRI表现为斑点样强化或弥漫分布提示良性病变,簇状强化或节段分布提示恶性病变。 展开更多
关键词 乳腺非肿块强化 动态增强磁共振成像 良恶性 诊断
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Contrast Optimization for an Animal Model of Prostate Cancer MRI at 3T
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作者 Christopher Brian Abraham Boguslaw Tomanek Laura Curiel 《Journal of Modern Physics》 2016年第8期819-826,共8页
Purpose: To optimize contrast to noise ratio (CNR) in magnetic resonance imaging (MRI) of prostate cancer using at 3T. Methods: CNR was expressed as a difference in MR signals of two samples. Amulti-echo spin-echo (ME... Purpose: To optimize contrast to noise ratio (CNR) in magnetic resonance imaging (MRI) of prostate cancer using at 3T. Methods: CNR was expressed as a difference in MR signals of two samples. Amulti-echo spin-echo (MESE) pulse sequence was used. The theoretical value of the maximum CNR was obtained using the derivative of CNR with echo time (TE) as a variable. The T<sub>1</sub> relaxation time was ignored as repetition time (TR) was assumed to be very long (TR >> T<sub>1</sub>). The theoretical calculations were confirmed with in vitro and in vivo experiments. For in vitro experiments we used samples with different T<sub>2</sub> values using various concentrations of super paramagnetic iron oxide (SPIO) and for in vivo experiments we used an animal model of prostate cancer. Results: CNR was maximized by selecting the optimum TE for a multi-echo spin-echo (MESE) pulse sequence based on theoretical predictions. MR images of prostate cancer at 3T were obtained and showed maximum CNR at the predicted TE. Conclusions: It was possible to maximize CNR of prostate tumour by selecting the optimal TE based on simple theoretical calculations. The proposed method can be applied to other pulse sequences and tissues. It can be applied to any MRI system at any magnetic field. However the method requires knowledge of T<sub>2</sub> relaxation times. 展开更多
关键词 mri Tissue contrast Prostate Cancer Spin Echo
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DCE-MRI在乳腺良性病变与乳腺癌诊断中的应用价值 被引量:1
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作者 李崇 杨勇 +3 位作者 徐成春 陈兴友 黎敏 任逢春 《保健医学研究与实践》 2024年第3期82-88,共7页
目的探讨磁共振成像动态增强扫描(DCE-MRI)在乳腺良性病变与乳腺癌诊断中的应用价值。方法选取2021年1月—2023年12月四川省西昌市人民医院收治的289例乳腺疾病患者作为本次研究对象。以术后病理检查结果为金标准,分析弥散加权成像(DWI)... 目的探讨磁共振成像动态增强扫描(DCE-MRI)在乳腺良性病变与乳腺癌诊断中的应用价值。方法选取2021年1月—2023年12月四川省西昌市人民医院收治的289例乳腺疾病患者作为本次研究对象。以术后病理检查结果为金标准,分析弥散加权成像(DWI)、DCE-MRI对乳腺良性病变与乳腺癌的诊断价值,并比较乳腺良性病变与乳腺癌患者表观扩散系数(ADC)值、DCE-MRI影像学表现。结果病理结果显示,289例乳腺疾病患者中乳腺良性病变212例,占73.36%,乳腺癌77例,占26.64%。乳腺良性病变组、乳腺癌组患者的ADC值、病灶边缘情况、病灶形状情况、时间-信号强度(TIC)类型、强化特征情况比较,差异均有统计学意义(P<0.05)。DWI诊断乳腺良性病变188例,乳腺癌101例,诊断准确率为72.66%;DCE-MRI诊断乳腺良性病变179例,乳腺癌110例,诊断准确率为66.44%;二者联合诊断乳腺良性病变203例,乳腺癌86例,诊断准确率为87.54%(P<0.05)。DWI、DCE-MRI及二者联合诊断乳腺良性病变与乳腺癌的曲线下面积(AUC)分别为0.871、0.806、0.911,特异度分别92.21%、89.61%、90.91%,灵敏度分别为85.85%、80.66%、92.45%。结论DWI、DCE-MRI在乳腺良性病变与乳腺癌的鉴别诊断中具有较高的临床价值,且二者联合可提高诊断准确率。 展开更多
关键词 mri动态增强扫描 弥散加权成像 乳腺良性病变 乳腺癌 诊断价值
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动态增强MRI时间-信号强度曲线与乳腺癌分子分型的关系分析
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作者 范伊哲 周彦汝 刘永天 《实用癌症杂志》 2024年第7期1129-1132,共4页
目的 探讨动态增强MRI时间-信号强度曲线与乳腺癌分子分型的关系。方法 选取乳腺癌患者110例,根据患者的雌激素受体、孕激素受体、人表皮生长因子受体-2的表达状态,将患者分为Luminal A型、Luminal B型、HER-2阳性型及三阴性。对4型患... 目的 探讨动态增强MRI时间-信号强度曲线与乳腺癌分子分型的关系。方法 选取乳腺癌患者110例,根据患者的雌激素受体、孕激素受体、人表皮生长因子受体-2的表达状态,将患者分为Luminal A型、Luminal B型、HER-2阳性型及三阴性。对4型患者进行动态增强MRI检测,分析不同亚型乳腺癌的容量转移常数(Ktrans)、速率常数(Kep)及时间-信号强度曲线(TIC)。结果 110例标本中,Luminal A型33例、占30.00%,Luminal B型30例,占27.27%,HER-2阳性型34例,占30.90%,三阴性型13例,占11.81%。Luminal A型和Luminal B型的Ktrans与Kep值差异无统计学意义,HER-2阳性型和三阴性型的Ktrans与Kep值差异无统计学意义(P>0.05),Luminal A型和Luminal B型的Ktrans、Kep水平低于HER-2阳性型和三阴性型(P<0.05)。Luminal A型中,有5例流入型TIC、20例平台型TIC、8例流出型TIC;Luminal B型中,有2例流入型TIC、10例平台型TIC、18例流出型TIC;HER-2阳性型中,有4例流入型TIC、11例平台型TIC、19例流出型TIC;三阴性型中,有4例流入型TIC、3例平台型TIC、6例流出型TIC。不同分子亚型乳腺癌DCE-MRI的时间-信号强度曲线差异有统计学意义(P<0.05)。结论 不同分子分型乳腺癌的DCE-MRI的血流动力学特点不同,可通过DCE-MRI的时间-信号强度曲线乳腺癌的分子分型进行初步预测。 展开更多
关键词 乳腺癌 动态增强mri 时间-信号强度曲线 分子分型
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DCE-MRI、DWI对卵巢囊腺肿瘤侵袭性的鉴别诊断效能
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作者 沈燕琴 李志 《中国计划生育学杂志》 2024年第10期2406-2410,共5页
目的:分析动态对比增强成像(DCE-MRI)、弥散加权成像(DWI)对卵巢囊腺肿瘤侵袭性的鉴别诊断效能。方法:选取2021年9月-2023年12月本院就诊的卵巢囊腺肿瘤患者104例进行回顾性分析。依据病理诊断分为卵巢囊腺癌(OCAC)组、卵巢囊腺瘤(OCA)... 目的:分析动态对比增强成像(DCE-MRI)、弥散加权成像(DWI)对卵巢囊腺肿瘤侵袭性的鉴别诊断效能。方法:选取2021年9月-2023年12月本院就诊的卵巢囊腺肿瘤患者104例进行回顾性分析。依据病理诊断分为卵巢囊腺癌(OCAC)组、卵巢囊腺瘤(OCA)组。收集MRI资料[测量容量转移常数(Ktrans)、表观扩散系数(ADC)、噪声比(CNR)等],对照病理结果进行统计分析,受试者工作特征(ROC)曲线分析相关参数对卵巢囊腺肿瘤侵袭性的鉴别诊断价值。结果:104例卵巢囊腺肿瘤患者,病理诊断OCAC 14例、OCA 90例。OCAC组Ktrans值高于OCA组,CNR、ADC值低于OCA组(P<0.05)。ROC分析发现,Ktrans(AUC=0.973,95%CI 0.920~0.995,P<0.001)、CNR(AUC=0.854,95%CI 0.772~0.916,P<0.001)、ADC(AUC=0.793,95%CI 0.703~0.866,P<0.001)参数单独及联合检测(AUC=0.994,95%CI 0.955~1.000,P<0.001)对鉴别诊断OCAC均具有一定价值,联合检测鉴别诊断效能最高。结论:DCE-MRI与DWI在卵巢囊腺肿瘤侵袭性鉴别诊断中具有肯定价值,且Ktrans、CNR、ADC参数联合检测鉴别诊断效能最高。 展开更多
关键词 卵巢囊腺癌 卵巢囊腺瘤 核磁共振成像 动态对比增强成像 弥散加权成像 容量转移常数 噪声比 表观扩散系数 鉴别诊断
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Dynamic contrast-enhanced MRI versus ^(18)F-FDG PET/CT: Which is better in differentiation between malignant and benign solitary pulmonary nodules? 被引量:10
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作者 Feng Feng Fulin Qiang +6 位作者 Aijun Shen Donghui Shi Aiyan Fu Haiming Li Mingzhu Zhang Ganlin Xia Peng Cao 《Chinese Journal of Cancer Research》 SCIE CAS CSCD 2018年第1期21-30,共10页
Objective: To prospectively compare the discriminative capacity of dynamic contrast enhanced-magnetic resonance imaging(DCE-MRI) with that of^18F-fluorodeoxyglucose(^18F-FDG) positron emission tomography/computed... Objective: To prospectively compare the discriminative capacity of dynamic contrast enhanced-magnetic resonance imaging(DCE-MRI) with that of^18F-fluorodeoxyglucose(^18F-FDG) positron emission tomography/computed tomography(PET/CT) in the differentiation of malignant and benign solitary pulmonary nodules(SPNs).Methods: Forty-nine patients with SPNs were included in this prospective study. Thirty-two of the patients had malignant SPNs, while the other 17 had benign SPNs. All these patients underwent DCE-MRI and ^18F-FDG PET/CT examinations. The quantitative MRI pharmacokinetic parameters, including the trans-endothelial transfer constant(K^trans), redistribution rate constant(Kep), and fractional volume(Ve), were calculated using the Extended-Tofts Linear two-compartment model. The ^18F-FDG PET/CT parameter, maximum standardized uptake value(SUV(max)), was also measured. Spearman's correlations were calculated between the MRI pharmacokinetic parameters and the SUV(max) of each SPN. These parameters were statistically compared between the malignant and benign nodules. Receiver operating characteristic(ROC) analyses were used to compare the diagnostic capability between the DCE-MRI and ^18F-FDG PET/CT indexes.Results: Positive correlations were found between K^trans and SUV(max), and between K(ep) and SUV(max)(P〈0.05).There were significant differences between the malignant and benign nodules in terms of the K^trans, K(ep) and SUV(max) values(P〈0.05). The areas under the ROC curve(AUC) of K^trans) K(ep) and SUV(max) between the malignant and benign nodules were 0.909, 0.838 and 0.759, respectively. The sensitivity and specificity in differentiating malignant from benign SPNs were 90.6% and 82.4% for K^trans; 87.5% and 76.5% for K(ep); and 75.0% and 70.6%for SUV(max), respectively. The sensitivity and specificity of K^trans and K(ep) were higher than those of SUV(max), but there was no significant difference between them(P〉0.05).Conclusions: DCE-MRI can be used to differentiate between benign and malignant SPNs and has the advantage of being radiation free. 展开更多
关键词 Solitary pulmonary nodule dynamic contrast-enhanced magnetic resonance imaging(DCE-mri positron emission tomography/computed tomography(PET/CT)
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