中文English
ISSN 1001-5256 (Print)
ISSN 2097-3497 (Online)
CN 22-1108/R
Volume 32 Issue 1
Jan.  2016
Turn off MathJax
Article Contents

Diffusion-weighted magnetic resonance imaging for evaluation of micro-angiogenesis in residual tumor after treatment with percutaneous ethanol injection in a rabbit VX2 liver tumor model

DOI: 10.3969/j.issn.1001-5256.2016.01.018
Research funding:

 

  • Received Date: 2015-08-24
  • Published Date: 2016-01-20
  • Objective To investigate the application of diffusion- weighted magnetic resonance imaging( DW- MRI) for the evaluation of the therapeutic effect of percutaneous ethanol injection( PEI) and its effect on micro- angiogenesis in residual tumor in a rabbit VX2 liver tumor model. Methods A total of 26 rabbits with VX2 liver tumor were randomly divided into experimental group and control group,with13 rabbits in each group. CT- guided PEI was performed for the experimental group,and no treatment was performed for the control group.DW- MRI was performed at 1 week after operation. Apparent diffusion coefficient( ADC) ADCtotalin the active tumor areas and necrosis areas were compared within the experimental group,ADCperfand microvascular density( MVD) count in the active tumor areas were compared between the two groups,and the correlation between ADCperfand MVD count was analyzed. The Shapiro- Wilk test was applied for normality analysis,the Wilcoxon rank sum test was applied for comparison of continuous data between the two groups,and the correlation between ADCperfand MVD count was analyzed by the Pearson correlation coefficient. Results In the experimental group,ADCtotalshowed a significant difference between the necrosis areas and the active tumor areas( [1. 674( 1. 340- 2. 571) ] × 10- 3mm2/ s vs [1. 296( 1. 120-1. 972) ]× 10- 3mm2/ s; Z = 2. 052,P = 0. 040). ADCperfand MDV count in the active tumor areas showed no significant differences between the experimental group and the control group [0. 568( 0. 381- 1. 873) ]× 10- 3mm2/ s vs [0. 947( 0. 518- 1. 476) ]× 10- 3mm2/ s,Z =0. 487,P = 0. 626; 23. 641 ± 6. 138 vs 23. 487 ± 3. 466; Z =- 0. 128,P = 0. 898). In both groups,ADCperfin the active tumor areas was positively correlated with MDV count( r = 0. 583 and 0. 593,P = 0. 037 and 0. 033). Conclusion DW- MRI can accurately assess the therapeutic effect of PEI and reflect the condition of micro- angiogenesis in a rabbit VX2 liver tumor model. At 1 week after PEI,PEI has no obvious effect on micro- angiogenesis in residual tumor.

     

  • loading
  • [1]AGNELLO F,SALVAGGIO G,CABIBBO G,et al.Imaging appearance of treated hepatocellular carcinoma[J].World J Hepatol,2013,5(8):417-424.
    [2]ZHU XM,WU F,ZHANG YW.Clinical application of functional imaging in estimating the efficacy of interventional treatment of hepatocellular carcinoma[J].Contemp Medicine,2010,16(29):621-623.(in Chinese)朱晓明,吴非,张跃伟.肝癌介入治疗疗效的功能影像学评估[J].当代医学,2010,16(29):621-623.
    [3]LIN JW,LIN CC,CHEN WT,et al.Combining radiofrequency ablation and ethanol injection may achieve comparable long-term outcomes in larger hepatocellular carcinoma(3.1-4 cm)and in high-risk locations[J].Kaohsiung J Med Sci,2014,30(8):396-401.
    [4]QIAN T,CHEN MZ,GAO F,et al.Comparison of two methods used in establishing VX-2 liver tumor model in rabbits and their imaging evaluation[J].J Intervent Radiol,2014,23(1):58-61.(in Chinese)钱亭,陈茂振,高峰,等.两种方法建立兔VX2肝癌模型的比较及影像学评估[J].介入放射学杂志,2014,23(1):58-61.
    [5]LI B,CHEN H,WU MC,et al.Ultrasound-guided liver biopsy and intratumor injection of anhydrous alcohol in treatment of liver cancer:a clinical analysis of 188 cases[J].Chin J Pract Surg,1996,16(2):84-85.(in Chinese)李波,陈汉,吴孟超,等.超声引导肝脏穿刺瘤内注射无水酒精治疗肝癌(附188例临床分析)[J].中国实用外科杂志,1996,16(2):84-85.
    [6]WANG H,LI J,CHEN F,et al.Morphological,functional and metabolic imaging biomarkers:assessment of vascular-disrupting effect on rodent liver tumours[J].Eur Radiol,2010,20(8):2013-2026.
    [7]WEIDNER N.Current pathologic methods for measuring intratumoral microvessel density within breast carcinoma and other solid tumors[J].Breast Cancer Res Treat,1995,36(2):169-180.
    [8]YUAN YH,XIAO EH,WANG KY,et al.Study on the dynamic characteristics and pathological mechanism of magnatic resonance diffusion weighted imaging after chemoembolizaiton in rabbit liver VX-2 tumor model[J].J Chin Physician,2012,14(9):1165-1170.(in Chinese)袁友红,肖恩华,王柯懿,等.兔肝VX-2瘤化疗栓塞前后磁共振扩散成像的动态特征及病理机制[J].中国医师杂志,2012,14(9):1165-1170.
    [9]CHANDARANA H,TAOULI B.Diffusion and perfusion imaging of the liver[J].Eur J Radiol,2010,76(3):348-358.
    [10]SUH YJ,KIM MJ,CHOI JY,et al.Preoperative prediction of the microvascular invasion of hepatocellular carcinoma with diffusionweighted imaging[J].Liver Transpl,2012,18(10):1171-1178.
    [11]NAKANISHI M,CHUMA M,HIGE S,et al.Relationship between diffusion-weighted magnetic resonance imaging and histological tumor grading of hepatocellular carcinoma[J].Ann Surg Oncol,2012,19(4):1302-1309.
    [12]THOENY HC,de KEYZER F,VANDECAVEYE V,et al.Effect of vascular targeting agent in rat tumor model:dynamic contrast-enhanced versus diffusion-weighted MR imaging[J].Radiology,2005,237(2):492-499.
    [13]LAN WS,HU DY,LI Z,et al.Diffusion weighted imaging for evaluation of therapeutic efficiency of percutaneous ethanol injection of rabbit soft tissue VX2 tumor[J].Radiol Pract,2013,28(8):825-828.(in Chinese)兰为顺,胡道予,李震,等.DWI评价无水乙醇注射治疗兔软组织VX2肿瘤疗效[J].放射学实践,2013,28(8):825-828.
    [14]KAMEL IR,LIAPI E,REYES DK,et al.Unresectable hepatocellular carcinoma:serial early vascular and cellular changes after transarterial chemoembolization as detected with MR imaging[J].Radiology,2009,250(2):466-473.
    [15]LIU YB,LIANG CH,WANG QS,et al.3.0 T MR diffusion weighted imaging in the evaluation of radio-frequency ablation of the liver VX2 tumors[J].Chin J Radiol,2010,44(12):1324-1328.(in Chinese)刘于宝,梁长虹,王秋实,等.3.0 T MR扩散加权成像评价兔肝VX2瘤射频消融治疗的实验研究[J].中华放射学杂志,2010,44(12):1324-1328.
    [16]SHAO H,NI Y,ZHANG J,et al.Dynamic contrast-enhanced and diffusion-weighted magnetic resonance imaging noninvasive evaluation of vascular disrupting treatment on rabbit liver tumors[J].PLo S One,2013,8(12):e82649.
    [17]FOLKMAN J.Role of angiogenesis in tumor growth and metastasis[J].Semin Oncol,2002,29(6 Suppl 16):15-18.
    [18]IAGARU A,GAMBHIR SS.Imaging tumor angiogenesis:the road to clinical utility[J].AJR Am J Roentgenol,2013,201(2):w183-w191.
    [19]QIAN T,CHEN M,GAO F,et al.Diffusion-weighted magnetic resonance imaging to evaluate microvascular density after transarterial embolization ablation in a rabbit VX2 liver tumor model[J].Magn Reson Imaging,2014,32(8):1052-1057.
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Article Metrics

    Article views (2290) PDF downloads(437) Cited by()
    Proportional views
    Related

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return