Recent Progress in Superparamagnetic Iron Oxide Nanoparticles

Superparamagnetic iron oxide nanoparticles(SPIONs)have immeasurable potentials in many fields such as nanobiotechnology and biomedical engineering because of their superparamagnetic properties and small particle size.This review introduces the methods for SPIONs synthesis,including co-precipitation,thermal decomposition,microemulsion and hydrothermal reaction,and surface modification of SPIONs with organometallic and inorganic metals,surface modification for targeted drug delivery,and the use of SPIONs as a contrast agent.In addition,this article also provides an overview of recent progress in SPIONs for the treatment of glioma,lung cancer and breast cancer.

Preparation of Superparamagnetic Dextran-coated Iron Oxide Nanoparticles used as a Novel Gene Carrier into Human Bladder Cancer Cells'

Objective: Application of magnetic nanoparticles as gene carrier in gene therapy has developed quickly. This study was designed to investigate the preparation of superparamagnetic dextran-coated iron oxide nanoparticles (SDION) and the feasibility of SDION used as a novel gene carrier for plasmid DNA in vitro. Methods: SDION were prepared by chemical coprecipitation and separated by gel filtration on Sephacryl S-300HR, characterized by TEM, laser scattering system and Vibrating Sample Magnetometer Signal Processor. The green fluorescent protein (pGFP-C2) plasmid DNA was used as target gene. SDION-pGFP-C2 conjugate compounds were produced by means of oxidoreduction reaction. The connection ratio of SDION and pGFP-C2 DNA was analyzed and evaluated by agarose electrophoresis and the concentration of pGFP-C2 in supernatant was measured. Using liposome as control, the transfection efficiency of SDION and liposome was respectively evaluated under fluorescence microscope in vitro. Results: The diameter of SDION ranges from 3 nm to 8 nm, the effective diameter was 59.2 nm and the saturation magnetization was 0.23 emu/g. After SDION were reasonably oxidized, SDION could connect with pGFP-C2 to a high degree. The transfection efficiency of SDION as gene carrier was higher than that of liposome. Conclusion: The successes in connecting SDION with pGFP-C2 plasmid by means of oxidoreduction reaction and in transferring pGFP-C2 gene into human bladder cancer BIU-87 cells in vitro provided the experimental evidence for the feasibility of SDION used as a novel gene carrier.

Biodistribution and Toxicity Assessment of Superparamagnetic Iron Oxide Nanoparticles In Vitro and In Vivo

Biodistribution and toxicity assessment are critical for safe clinical use of newly developed medicines.Superparamagnetic iron oxide nanoparticles (SPION)are effective carriers for targeted drug delivery.This study aimed to examine the toxicity and biodistribution of SPION coated with polyethylenimine (PEI)(SPION-PEI)designed for small interfering RNA (siRNA) delivery both in vitro and in vivo.SPION-PEI/siRNA complexes were prepared at different weight ratios.Cytotoxic effects of SPION-PEI/siRNA on HSC-T6 cell viability were determined by using 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT).Rats were divided into three groups:a control group,a normal-saline group and a SPION-PEI/siRNA group.After a single intravenous injection,in vivo nanoparticle biodistribution and accumulation were evaluated by Prussian blue staining in the heart,liver,spleen,lung and kidney 8 h,24 h,and 7 days after the injection.Their distribution was histologically studied at the three time points by measuring ironpositive areas (μm2)in organ sections stained with Prussian blue.The same organs were analyzed by H&E staining for any possible histopathological changes.Furthermore,biochemical indexes such as alanine amino transaminase (ALT),aspartate transaminase (AST),blood urea nitrogen (BUN)and creatinine (CREA)were also assessed at all experimental time points.Electrophoresis exhibited that the SPION-PEI could retard siRNA altogether at weight ratios above 4.MTT assay showed that SPION-PEI loaded with siRNA had low cytotoxicity.In vivo study revealed that the liver and spleen were the major sites of SPION-PEI/siRNA deposition.The iron content was significantly increased in the liver and spleen,peaking 24 h after intravenous injection and then declining gradually.No evidence was found of irreversible histopathological damage to any of the organs tested.These results suggested that most SPION-PEI/siRNA complexes were distributed in the liver and spleen,which might be the target organs of SPION-PEI/siRNA complexes.SPION- PEI/siRNA may serve as in vivo carrier for biomedical medicines.

Toxicity of superparamagnetic iron oxide nanoparticles: Research strategies and implications for nanomedicine

Superparamagnetic iron oxide nanoparticles （SPIONs） are one of the most versatile and safe nanoparticles in a wide variety of biomedical applications. In the past decades, considerable efforts have been made to investigate the potential adverse biological effects and safety issues associated with SPIONs, which is essential for the development of next-generation SPIONs and for continued progress in translational research. In this mini review, we summarize recent developments in toxicity studies on SPIONs, focusing on the relationship between the physicochemical properties of SPIONs and their induced toxic biological responses for a better toxicological understanding of SPIONs.

Magnetic labeling of primary murine monocytes using very small superparamagnetic iron oxide nanoparticles

Due to their very small size,nanoparticles can interact with all cells in the central nervous system.One of the most promising nanoparticle subgroups are very small superparamagnetic iron oxide nanoparticles(VSOP)that are citrate coated for electrostatic stabilization.To determine their influence on murine blood-derived monocytes,which easily enter the injured central nervous system,we applied VSOP and carboxydextran-coated superparamagnetic iron oxide nanoparticles(Resovist).We assessed their impact on the viability,cytokine,and chemokine secretion,as well as iron uptake of murine blood-derived monocytes.We found that(1)the monocytes accumulated VSOP and Resovist,(2)this uptake seemed to be nanoparticle-and time-dependent,(3)the decrease of monocytes viability was treatment-related,(4)VSOP and Resovist incubation did not alter cytokine homeostasis,and(5)overall a 6-hour treatment with 0.75 mM VSOP-R1 was probably sufficient to effectively label monocytes for future experiments.Since homeostasis is not altered,it is safe to label blood-derived monocles with VSOP.VSOP labeled monocytes can be used to study injured central nervous system sites further,for example with drug-carrying VSOP.

Superparamagnetic iron oxide nanoparticles: promote neuronal regenerative capacity?

Currently,we know that neuronal outgrowth during development and regeneration requires a complex interaction of intra-and extracellular molecules such as growth factors,neurotransmitters and extracellular matrix proteins（O’Donnell et al.,2009）.Furthermore,the discovery of a broad spectrum of growth-promoting cues has led to novel concepts for thera-peutic strategies.

Fluorescence detection of Europiumdoped very small superparamagnetic iron oxide nanoparticles in murine hippocampal slice cultures

In the late 1980s,superparamagnetic iron oxide nanoparticles（SPIO）moved into focus as contrast agents in magnetic resonance imaging（MRI）,due to their strong relaxivity and resulting higher resolution of images.At the time,no one anticipated their high potential in basic research or for medical diagnostic andtreatment. Since then, SPIO have been evaluated notonly as spe- cific markers for MRI, but also for cell labeling and tracking （Li et al., 2013）.

Self-assembled superparamagnetic nanoparticles as MRI contrast agents — A review

Recent progress of the preparation and applications of superparamagnetic iron oxide（SPIO） clusters as magnetic resonance imaging（MRI） probes is reviewed with regard to their applications in labeling and tracking cells in vivo, in diagnosis of cardiovascular diseases and tumors, and in drug delivery systems. Magnetic nanoparticles（NPs）, especially SPIO nanoparticles, have long been used as MRI contrast agents and as an advantageous nanoplatform for drug delivery,taking advantage of their unique magnetic properties and ability to function at the molecular and cellular levels. Due to advances in nanotechnology, various means to control SPIO NPs＇ size, composition, magnetization and relaxivity have been developed, as well as ways to usefully modify their surface. Recently, self-assembly of SPIO NP clusters in particulate carriers — such as polymeric micelles, vesicles, liposomes, and layer-by-layer（Lb L） capsules — have been widely studied for application as ultrasensitive MRI probes, owing to their remarkably high spin–spin（T2） relaxivity and convenience for further functionalization.

Magnetic nanoparticles conjugated with “RPE cell-MCP-1 antibody-VEGF antibody” compounds for the targeted therapy of age-related macular degeneration: a hypothesis

Age-related macular degeneration（AMD） is the leading cause of vision loss in the elderly throughout the world. Treatment of AMD utilizing retinal pigment epithelium（RPE） transplantation represents a promising therapy. However, simplex RPE transplantation can only replace the diseased RPE cells, but has no abilities to stop the development of AMD. It has been indicated that oxidization triggers the development of AMD by inducing the dysfunction and degeneration of RPE cells, which results in the upregulation of local monocyte chemotactic protein-1（MCP-1） expression. MCP-1 induces macrophage recruiment which triggers local inflammation. As a result, the expression of vascular endothelial growth factor（VEGF） is upregulated by MCP-1mediated inflammation and results in the formation of choroidal neovascularization（CNV）. We accordingly propose a targeted therapy of AMD by subretinal transplanting the compound of RPE cell, MCP-1 antibody, and VEGF antibody and using a magnetic system to guide RPE cell compounds conjugated with superparamagnetic iron oxide nanoparticles（SPIONs）. Furthermore, SPION-labelled RPE cells can be tracked and detected in vivo by non-invasive magnetic resonance imaging（MRI）. This novel RPE cell transplantation methodology seems very promising to provide a new therapeutic approach for the treatment of AMD.

Superparamagnetic iron oxide nanoparticle targeting of adipose tissue-derived stem cells in diabetes-associated erectile dysfunction

Erectile dysfunction （ED） is a major complication of diabetes, and many diabetic men with ED are refractory to common ED therapies. Adipose tissue-derived stem cells （ADSCs） have been shown to improve erectile function in diabetic animal models. However, inadequate cell homing to damaged sites has limited their efficacy. Therefore, we explored the effect of ADSCs labeled with superparamagnetic iron oxide nanoparticles （SPIONs） on improving the erectile function of streptozotocin-induced diabetic rats with an external magnetic field. We found that SPIONs effectively incorporated into ADSCs and did not exert any negative effects on stem cell properties. Magnetic targeting of ADSCs contributed to long-term cell retention in the corpus cavernosum and improved the erectile function of diabetic rats compared with ADSC injection alone. In addition, the paracrine effect of ADSCs appeared to play the major role in functional and structural recovery. Accordingly, magnetic field-guided ADSC therapy is an effective approach for diabetes-associated ED therapy.

Synthesis and application of superparamagnetic iron oxide nanoparticles in targeted therapy and imaging of cancer

Superparamagnetic iron oxide(SPIO)nanoparticles have become a popular strategy of cancer treatment and molecular imaging because of their versatile properties and biocompatibility.A variety of studies have shown the exciting potential of functionalized SPIO nanoparticles,such as surface-coated,targeted ligandconjugated,and/or drug-loaded SPIO nanoparticles,as powerful tools for targeted imaging and therapy.Moreover,the applications of SPIO nanoparticles that integrate diagnosis and therapy in SPIO nanoparticles facilitate the monitoring of therapeutic efficacy during treatment.In the present review,we primarily concentrate on the recent advancements in the field of SPIO nanoparticles in terms of synthesis,targeted therapy,and cancer imaging.

超顺磁性氧化铁(SPIO)与多聚赖氨酸(PLL)纳米粒的制备、结构验证及其空间结构表征

目的 探讨葡聚糖修饰的超顺磁性氧化铁（super-paramagnetic iron oxide,SPIO）与多聚赖氨酸（polylysine,PLL）纳米粒的制备及其结构验证和空间结构表征。方法 在共沉淀法制备葡聚糖修饰的SPIO基础上,加入PLL制备出一种新的SPIO-PLL纳米粒,利用粒度电位分析仪、透射电镜（transmission electron microscopy,TEM）对SPIO-PLL的粒径、电位、形貌学进行检测;高效液相凝胶色谱法（gel permeation chromatography,GPC）、红外光谱（fourier transform infrared spectroscopy,FTIR）及核磁共振氢谱法（1HNMR）对SPIOPLL连接成功与否进行验证;高精度的原子力显微镜（atomic force microscope,AFM）对SPIO-PLL的结构、形态及连接状态进行空间结构表征。结果 粒度电位分析和TEM结果显示SPIO-PLL的平均粒径为7.37 nm,平均电位为13.6 mV;GPC、FTIR及1HNMR结果显示SPIO及PLL之间已经成功连接;高精度AFM清楚显示出SPIO与PLL之间以亚胺键形式稳定相连。 结论 成功制备出一种性质稳定、粒径较小的新型SPIO-PLL纳米粒,这将对随后的肿瘤特异性探针制备奠定一定的基础。

MRI tracking of human Wharton’s jelly stem cells seeded onto acellular dermal matrix labeled with superparamagnetic iron oxide nanoparticles in burn wounds

Background:In vivo cell tracking after transplantation in regenerative medicine remains an unmet challenge and limits current understanding of the wound healing mechanism through cell-based therapies.This study investigated tracking of human Wharton’s jelly stem cells(hWJSCs)seeded onto an acellular dermal matrix(ADM)and labeled with superparamagnetic iron oxide nanoparti-cles(SPIONs)by magnetic resonance imaging(MRI)in burn injury.Method:The hWJSCs were characterized and assessed for growth kinetics.A total of 30 rats were enrolled in three equal groups.Group 1 underwent scald burn injury left without treatment,the group 2 was treated by an ADM that was prepared from cosmetic surgery skin samples and the group 3 received hWJSCs labeled with SPIONs seeded onto an ADM.Tensile strength was evaluated before and after interventions,real time PCR assessed apoptosis,and Prussian blue staining,scanning electron microscopy(SEM)and MRI were used for the tracking of labeled cells.Results:The hWJSCs exhibited mesenchymal stem cell properties.Population doubling time was 40.1 hours.SPIONs did not show any toxic effect.The hWJSCs seeded onto an ADM decreased Bax and increased Bcl-2 gene expression.Internalization of SPIONs within hWJSCs was confirmed by Prussian blue staining,SEM and MRI until day 21.There was a significant difference between the Young’s moduli of normal skin and the group receiving hWJSCs seeded onto an ADM.Histological observations and SEM imaging confirmed that MRI is an accurate method to track SPION-labeled hWJSCs in vivo.Conclusions:This study showed that SPION labeling coupled with MRI can be used to further understand the fate of stem cells after transplantation in a burn model.

不同MR扫描序列对脑内移植SPIO标记神经干细胞大鼠的成像对比研究

目的比较3种不同MR扫描序列对脑内移植的超顺磁性氧化铁(SPIO)示踪标记神经干细胞显示作用的优劣,找出最佳扫描方案。方法将SPIO标记的神经干细胞移植到大鼠脑内,制备动物移植模型。行MR扫描,扫描序列包括SE T2WI (TR 6 000 ms,TE 100 ms)、FSE T2WI (TR 2 200 ms,TE 90 ms)和GRE T2*WI (TR 500 ms,TE 30 ms),分析3种扫描序列在SPIO标记神经干细胞移植大鼠脑的显像特征,并进行病理学检查对照分析。结果3种扫描序列均示靶点(标)信号强度较靶点(未)有不同程度的下降,而且靶点(标)的信号强度衰减率(PSIL)在GRE T2*WI明显高于其他序列,SE T2WI、FSE T2WI中靶点(标)之间PSIL没有显著性差异;3种扫描序列中靶点(未)的信号与正常脑组织信号没有显著性差别。结论SPIO标记的神经干细胞移植到大鼠脑内后,3种MRI扫描序列显像中以GRE T2*WI最为敏感。

超顺磁性氧化铁纳米粒子SPION-dopa-PEG-DOTA/RGD的^(64)Cu标记、纯化及生物分布

对64 Cu标记超顺磁性氧化铁纳米粒子SPION-dopa-PEG-DOTA/RGD的标记及纯化条件进行探索,并根据其在小鼠体内的生物分布研究结果,揭示其主要的代谢方式。通过对标记过程中配体浓度、温度、时间等条件的改变,探究64 Cu标记SPION-dopa-PEG-DOTA/RGD的最优条件;并采用二乙基三胺五乙酸(DTPA)螯合标记混合物中游离的64 Cu,经PD-10柱纯化后得到放化纯较高的标记物;采用快速薄层层析法测定标记物的标记率和放化纯;分别测定了标记物的体外稳定性和脂水分配系数;将64 Cu标记的氧化铁纳米粒子经尾静脉注射到正常鼠的体内,分别于注射后不同时间点取各脏器,称重、测定放射性计数率,计算每克组织的百分注射剂量率(%ID/g)。经条件优化后得到的64 Cu-SPION-dopa-PEG-DOTA/RGD的标记率为63%,PD-10柱纯化后放化纯大于95%,水溶性良好,且放化纯在标记后12h内在磷酸盐缓冲液和人血清白蛋白中表现出了较高的稳定性;动物体内生物分布实验显示,该标记物在小鼠体内主要经肝脏代谢,肾脏排泄,血液中放射性清除较快。该标记物可用于后续的PET/MRI双模态显像的研究。

VEGF-C靶向USPIO分子探针的构建及其对肝癌细胞HepG2分子成像的初步研究

目的以VEGF-C为靶向分子,选择USPIO作为载体,制备成具有特异性的靶向分子探针VEGF-C-USPIO,探讨其理化性质及体外成像特征。方法选用化学偶联法将载体USPIO与VEGF-C抗体连接,合成VEGF-C-USPIO靶向分子探针。用MTT法检测该探针对肝癌细胞株Hep G2细胞活性的影响;普鲁士蓝染色法检测细胞磁性标记情况,并对经过标记的细胞进行体外磁共振成像,观察其对磁共振信号强度的影响。结果成功合成了分子靶向探针VEGF-C-USPIO,MTT实验结果显示,不同浓度的靶向探针与Hep G2细胞作用不同时间,其对于细胞生长抑制率影响不大(P>0. 05);细胞普鲁士蓝染色结果显示,经标记了靶向探针VEGF-C-USPIO的细胞,其胞膜及胞浆含铁颗粒沉积较多,而未经过探针标记的对照组细胞胞膜及胞浆含铁颗粒沉积极少;细胞体外磁共振成像结果显示,经靶向探针标记的细胞,T2WI信号强度较未标记探针的对照组细胞降低,且随着探针剂量增加,信号强度逐渐降低(P <0. 05)。结论所合成的分子靶向探针VEGF-C-USPIO细胞毒性较小,其能够主动与肝癌细胞特异性结合,并通过磁共振信号强度的变化实现特异性成像。

磁响应水凝胶在骨组织工程中的作用与优势

背景:磁响应水凝胶在骨组织工程中具有极大的优势,有利于微创、高效地促进成骨。目的:阐述磁响应水凝胶在骨组织工程领域的应用进展。方法:检索PubMed、Web of Science、万方和中国知网数据库检索相关文献,英文检索词为“Magnetic Hydrogels,Magnetic Nanoparticles,Superparamagnetic Nanoparticles,Fe3O4,SPIONs,Magnetic Fields,Bone Regeneration,Bone Repair,Bone Tissue Engineering”;中文检索词为“磁性水凝胶、磁性纳米粒子、超顺磁性氧化铁纳米粒、磁场、氧化铁纳米粒、骨再生、骨重建、骨修复、骨组织工程”,根据纳入与排除标准对所有文章进行初筛后,最终纳入60篇文章进行综述。结果与结论:①近年来由于磁性纳米粒子的出现,大量的磁响应支架材料被开发出来,其中,含有氧化铁纳米粒子和超顺磁性氧化铁纳米粒子的磁响应水凝胶力学性能突出、生物相容性良好,能够快速响应外部磁场,为种子细胞提供成骨所需的磁机械信号。②磁响应水凝胶可以作为载体精准调控生长因子的释放时机。③基于磁响应水凝胶的三维微环境培养平台下,磁响应水凝胶与细胞之间的界面磁力能够激活细胞表面敏感受体、增强细胞活性、促进新生骨质与宿主骨的整合。④可注射磁响应水凝胶能够应用于骨肿瘤的磁热疗以及生物成像领域。⑤目前,磁响应水凝胶有望模拟出天然骨组织中观察到的各向异性分层结构,然而关于磁响应水凝胶的研究大多集中于体外研究,与体内的局部微环境作用机制仍然不充分。⑥因此,目前基于磁性纳米粒子已经成功地应用于磁共振成像的示踪,未来有望在磁性纳米粒子的性能上优化,构建具有合适降解性能、机械性能和血管功能化的能够实时监测体内变化的磁响应水凝胶。

适配子PBCA-USPIO纳米微粒的制备研究

目的研究适配子PBCA-USPIO纳米微粒体制备工艺。方法以聚氰基丙烯酸正丁酯作为载体,通过乳化聚合法制备PBCA-USPIO,并通过正交试验和单因素实验设计对制备工艺进行优化。用生物素亲和素法将适配子连接到PBCA-USPIO纳米微粒上。MTT法检测细胞毒性。结果优化后的制备工艺所获得的PBCA-USPIO纳米微粒体大小均匀、形态规则、无黏连,平均粒径为260 nm。适配子PBCA-USPIO的细胞毒性低于USPIO。结论该优化方法切实可行,能有效提升PBCA-USPIO纳米微粒体的制备质量。

超顺磁性氧化铁纳米颗粒标记靶向癌胚抗原的CAR-T细胞及体外磁共振成像研究

目的采用超顺磁性氧化铁纳米颗粒(superparamagnetic iron oxide nanoparticles,SPIONs)标记靶向癌胚抗原(carcinoembryonic antigen,CEA)的嵌合抗原受体T细胞(chimeric antigen receptor T cells,CAR-T细胞),并进行体外磁共振成像研究,为监测CEA CAR-T细胞的体内回输治疗提供依据。方法将ferumoxytol、肝素钠和硫酸鱼精蛋白分别以高(ferumoxytol 100μg/mL,肝素钠4 IU/mL,硫酸鱼精蛋白120μg/mL)、中(ferumoxytol 50μg/mL,肝素钠2 IU/mL,硫酸鱼精蛋白60μg/mL)、低(ferumoxytol 25μg/mL,肝素钠1 IU/mL,硫酸鱼精蛋白30μg/mL)剂量混合形成SPIONs复合物FHP(ferumoxytol/heparin/protamine),然后与CEA CAR-T细胞共孵育进行细胞标记。CCK-8、EdU和流式细胞术检测FHP对细胞的生物相容性,普鲁士蓝染色检测细胞对FHP的摄入情况,电感耦合等离子体-质谱法(inductively coupled plasma-mass spectrometry,ICP-MS)定量检测细胞中Fe含量,流式细胞术检测FHP标记的CEA CAR-T细胞对肿瘤细胞的杀伤作用,磁共振成像(magnetic resonance imaging,MRI)扫描FHP标记的CEA CAR-T细胞。结果高、中、低剂量的FHP对CEA CAR-T细胞的活力没有明显影响,CCK-8实验显示细胞活性均在100%以上;EdU实验显示各组细胞DNA复制活性均在94.3%以上。普鲁士蓝染色显示CEA CAR-T细胞可摄取FHP,且随FHP浓度的增加,摄取量增大。ICP-MS进一步检测显示胞内Fe含量为(440.23±189.36)ng/mL。肿瘤细胞杀伤实验表明FHP标记的CEA CAR-T细胞的杀伤肿瘤细胞能力良好。MRI扫描显示随着FHP浓度的增高,FHP标记的CEA CAR-T细胞T2WI信号呈明显降低趋势(P<0.01)。结论SPIONs复合物FHP具有良好的生物相容性并能够有效标记CEA CAR-T细胞,可作为CEA CAR-T细胞的磁标记物,为临床提供一种可行的MRI示踪方法。

注射途径对兔窝淋巴结SPIO增强MR成像的影响

目的探讨不同注射途径对新西兰大白兔腘窝淋巴结SPIO增强MR显影的影响。方法新西兰大白兔12只,雌雄不分,体重2-2.5kg。12只新西兰大白兔双侧后肢大腿肌肉内注射蛋黄乳清液,建立兔腘窝淋巴结反应增生模型;随机分为两组,一组经耳缘静脉注射含10μmolFe的SPIO,一组经后肢趾蹼间皮内注射含10μmolFe的SPIO;MR扫描,包括平扫及注射SPIO后12小时延迟增强扫描。分析两组注射途径MR图像特征,并对照病理检查。结果两组淋巴结大小无差别(p=0.936,>0.05)。平扫,各种淋巴结T1WI呈低信号或稍高信号;T2WI呈等信号或高信号;PDWI呈低或高信号;GRET2*WI呈等信号或高信号。增强扫描,第一组腘窝淋巴结在各序列信号表现与平扫无明显变化;第二组,T1WI表现为斑片状低信号或等信号;T2WI表现呈斑片状低信号;PDWI表现为斑片状低信号;GRET2*WI淋巴结信号几乎完全消失,部分出现过剂量伪影。计算各组淋巴结增强前后信噪比(SNR),运用重复测量方差分析,得P<0.01。结论兔腘窝淋巴结SPIO增强MRI检查最佳注射途径为趾蹼间皮内注射。