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应用药物代谢动力学模型评价前列腺不同组织的MRI增强作用

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目的 研究分析应用药物代谢动力学模型评价正常前列腺周围带、前列腺增生以及前列腺癌的MRI增强作用特点.方法 选取丽水市中心医院2015年2月~2016年8月收治的80例已经过相关病理检验确诊为前列腺癌患者作为本次研究过程中的研究对象,使用1.5 T超导磁共振成像仪,序列针为FMPSPGR对患者的前列腺进行增强扫描操作,层间为2毫米,层厚为7毫米,进行连续扫描,次数为35次,经过肘静脉置留导管,按照0.1 mmol/kg剂量在扫描开始时快速注射Gd-DTPA.得到扫描数据后,将检查数据传送扫工作站,利用两室药物代谢动力学模型对患者扫描结果进行分析,计算ROI,得出患者正常前列腺周围带、前列腺增生以及前列腺癌的最大增强指数、造影剂的分布指数、造影剂交换率、造影剂吸收幅度情况.结果 经过一系列的计算分析可得,前列腺癌的最大增强指数、造影剂的分布指数、造影剂交换率、造影剂吸收幅度指标最高.前列腺增生最大增强指数、造影剂的分布指数、造影剂交换率、造影剂吸收幅度指标显著低于前列腺癌,差异具有统计学意义(P<0.05).正常前列腺周围带相关指标显著低于前列腺癌以及前列腺增生,差异具有统计学意义(P<0.05).结论 应用药物代谢动力学模型评价前列腺不同组织的MRI增强作用能够对患者前列腺非肿瘤以及肿瘤组织的血液供应特点进行更加准确的描述和区分,在一定程度上提高临床治疗中鉴别和诊断前列腺的准确率,具有临床进一步推广和应用的意义.
Evaluation of MRI enhancement in different tissues of prostate using pharmacokinetic model
Objective To study the effect of MRI on the enhancement of normal prostate, benign prostatic hyperplasia and prostate cancer by pharmacokinetic model. Methods A total of 80 patients with prostate cancer diagnosed by pathological examination in Lishui Central Hospital from February 2015 to August 2016 were selected as the subjects in this study. 1.5T superconducting magnetic resonance imaging was used, the serial needle was FMPSPGR for enhanced scan of the prostate of the patient, interlayer was 2 mm and the thickness was 7 mm, continuous scanning was performed 35 times, after the elbow vein indwelling catheter, the Gd-DTPA was injected rapidly at the beginning of the scan according to the 0.1 mmol/kg dose. By scanning data, inspection data transfer and workstation for patients with scanning results were analyzed using two room pharmacokinetic model calculation of ROI, the patients of normal prostate peripheral zone, benign prostatic hyperplasia and prostate cancer index, maximum enhancement of contrast agent distribution index, exchange rate, contrast absorption amplitude. Results After a series of calculation and analysis, the maximum enhancement index of prostate cancer, the distribution index of contrast agent, the contrast agent exchange rate and the contrast agent absorption index of prostate cancer were the highest. The maximum enhancement index, contrast agent distribution index, contrast agent exchange rate and contrast agent absorption index were significantly lower than those of prostate cancer, The difference was statistically significant (P<0.05). The indexes of normal prostate were significantly lower than those of benign prostatic hyperplasia (BPH) and prostate cancer (P<0.05). Conclusion The application of drug evaluation pharmacokinetic model of prostate MRI in different tissues to enhancing effect on patients with prostate tumor and non tumor tissue blood supply characteristics more accurately describe and differentiate, to improve the accuracy of identification and diagnosis of prostate in clinical treatment in a certain extent, with further clinical promotion and application significance.

pharmacokinetics modeldifferent tissues of prostateMRI enhancementclinical diagnosis

肖扬锐、李炳荣、刘建平

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丽水市中心医院 影像科,浙江 丽水 323000

药物代谢动力学模型 前列腺不同组织 MRI增强作用 临床诊断

2017

中国生化药物杂志
南京生物化学制药研究所,全国生化制药情报中心站,中国生化制药工业协会,中国药品生物制品检定所

中国生化药物杂志

ISSN:1005-1678
年,卷(期):2017.37(8)
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