SUPERPARAMAGNETIC IRON-OXIDE - CLINICAL TIME-RESPONSE STUDY

被引:25
作者
GANDON, Y
HEAUTOT, JF
BRUNET, F
GUYADER, D
DEUGNIER, Y
CARSIN, M
机构
[1] Département d'Imagerie Médicale Hôpital Pontchaillou, Rennes
[2] Service de Médecine Interne et Hépatologie, Hôpital Pontchaillou, Rennes
关键词
MAGNETIC RESONANCE IMAGING; RETICULOENDOTHELIAL SYSTEM; CONTRAST MEDIUM; TIME RESPONSE STUDY; MRI;
D O I
10.1016/0720-048X(91)90072-4
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
Superparamagnetic iron oxide (AMI 25) is a promising new contrast agent for imaging the reticuloendothelial-system. Iron oxide crystals possess a large magnetic susceptibility and enhance proton relaxation rates, especially transverse relaxation (T2). In order to guide the clinical utilization of this contrast media we analyzed 4 patients with malignant lesions of the liver before and after slow intravenous administration (20-mu-mol Fe/kg) of AMI 25. We performed two magnetic resonance (MR) sequences at different times using a 0.35 T magnet. MR signal-to-noise ratio (SNR) of the reticuloendothelial system (particularly the liver SNR) decrease promptly. The maximum decrease in SNR (67-72% for the liver, 46-65% for the spleen, 23-41% for the bone marrow) is observed 3 h after injection (P < 0.01). However, except the peak of contrast enhancement in T1-weighted sequences of splenic tissue, the curve describes a plateau within 30 min and 6 h, allowing a delay between injection and imaging. T2-weighted sequences give a greater contrast-to-noise ratio (CNR) by adding the spontaneous tumor contrast to the effect yielded by AMI 25. These results suggest that images must be acquired between 1 and 6 h after intravenous administration of superparamagnetic iron oxide.
引用
收藏
页码:195 / 200
页数:6
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