首页|低强度超声和不同辐照时间组合激励微泡空化对裸鼠肾癌移植瘤血流灌注的影响

低强度超声和不同辐照时间组合激励微泡空化对裸鼠肾癌移植瘤血流灌注的影响

扫码查看
目的 探讨不同辐照时长下低强度超声激励微泡空化对裸鼠肾癌移植瘤血流灌注的影响.方法 选用雄性BALB/c裸鼠 30 只,于腋下建立 786-O人肾透明细胞癌肿瘤模型,根据空化治疗时间(T)随机分为 3 组,分别为 A组(T=20 min)、B 组(T=10 min)、C 组(T=5 min),每组 10 只.于治疗前和治疗后即刻、4 h、6 h分别进行造影检查(CEUS)及微血流显像(MFI);组织学染色检测空化治疗结束后肿瘤微血管状态.结果 与治疗前相比,A 组治疗后即刻肿瘤内血流灌注增加,PI、AUC 的值分别增长 7.4%(P<0.05)、10.6%(P<0.05);治疗后 4 h、6 h肿瘤血流灌注比治疗后即刻显著降低(均 P<0.05).B组结果显示,与治疗前相比,治疗后即刻、治疗后 4 h与治疗后 6 h的PI数值分别增长了 8.1%、15.1%和 3.1%,且相应的 AUC数值增长率为 18.7%、31.2%和 9.3%.方差分析结果显示各组PI、AUC值存在显著差异(均P<0.01),且组间两两比较 PI、AUC 差异均有统计学意义(均P<0.01);C组结果显示,治疗后即刻、治疗后 4 h、6 h肿瘤内血流灌注与治疗前比较均降低.肿瘤内血流灌注PI、AUC 值均显著减小,与治疗前相比差异有统计学意义(均 P<0.05).MFI显像各组视觉评分差异分析结果与造影分析结论一致.病理图显示:B组可见较明显的血管扩张,而 C组可见管腔受压变窄、出血,微血管密度减低(P<0.01).结论 低强度超声激励微泡空化治疗时间影响肿瘤血流灌注,在本研究中治疗时间为 10 min时产生的血流增强效应最优.
Effects of low intensity ultrasound combined irradiation time to stimulate microbubble cavitation on renal carcinoma perfusion in nude mice
Objective To explore the effect of low-intensity ultrasound-induced microbubble cavitation on blood perfusion of renal carci-noma in nude mice under different irradiation durations.Methods Thirty male BALB/c nude mice were selected to establish a 786-O tumor model in the armpit.They were randomly divided into 3 groups according to the cavitation treatment time(T),namely group A(T=20 min)and group B(T=10 min),group C(T=5 min),10 animals in each group.Contrast imaging(CEUS)and microflow imaging(MFI)were performed pre-treatment and immediately,4 h,and 6 h after treatment;histological staining was performed to de-tect the microvascular status of the tumor after treatment.Results Compared with before treatment,the intratumoral blood perfusion in Group A increased immediately after treatment,and the PI and AUC values increased by 7.4%(P<0.05)and 10.6%(P<0.05)re-spectively;Tumor blood perfusion was significantly lower at 4 h and 6 h comparing to immediately after treatment(all P<0.05).The results of Group B showed that compared with pre-treatment,the PI values immediately,4 hours and 6 hours after treatment increased by 8.1%,15.1%and 3.1%respectively,and the corresponding AUC value growth rates were 18.7%and 31.2%.and 9.3%.The results of analysis of variance showed that there were significant differences in the PI and AUC values of each group(both P<0.01),and the differences in PI and AUC between the groups were statistically significant(both P<0.01);the results of group C showed that immediately after treatment,the blood perfusion in the tumor decreased 4 h and 6 h after treatment compared with pre-treatment.The intratumoral blood perfusion PI and AUC values were significantly reduced,and the differences were statistically significant compared with those before treatment(both P<0.05).The results of the difference analysis of visual scores among each group under MFI ima-ging were consistent with the conclusions of the contrast analysis.The pathological pictures showed that obvious blood vessel dilation was seen in group B,while in group C,the lumen was narrowed due to pressure,hemorrhage,and the density of microvessels was re-duced(P<0.01).Conclusion The treatment time of low-intensity ultrasound-excited microbubble cavitation affects tumor blood perfu-sion.In this study,the blood flow enhancement effect was optimal when the treatment time was 10 minutes.

ultrasoundmicrobubble786-O renal clear cell carcinomamicroflow imagingvascular tissue

王娟、罗婷婷、姚雷、马玉林、张帆、王文刚、王岳恒、剧红娟

展开 >

河北医科大学第二医院腹部超声科,河北 石家庄 050000

陆军军医大学第二附属医院超声科,重庆 400037

河北医科大学第二医院心脏超声科,河北 石家庄 050000

超声 微气泡 786-O人肾透明细胞癌 微血流成像 血管组织

河北省医学科学研究课题计划项目

20230468

2024

石河子大学学报(自然科学版)
石河子大学

石河子大学学报(自然科学版)

CSTPCD北大核心
影响因子:0.662
ISSN:1007-7383
年,卷(期):2024.42(4)
  • 2