Perfusion MR imaging of extracranial tumor angiogenesis.

作者: Anwar R. Padhani , Andy Dzik-Jurasz

DOI: 10.1097/00002142-200402000-00005

关键词: LesionVascularityMagnetic resonance imagingDynamic contrast-enhanced MRIBiomedical engineeringBlood volumeBlood flowMedicineMicrovesselPerfusion

摘要: Dynamic contrast-enhanced MRI (DCE-MRI) using small molecular weight gadolinium chelates enables noninvasive imaging characterization of tissue vascularity. Depending on the technique used, data reflecting perfusion (blood flow, blood volume, mean transit time), microvessel permeability surface area product, and extracellular leakage space can be obtained. Insights into these physiological processes obtained from inspection kinetic enhancement curves or by application complex compartmental modeling techniques. Combining morphologic features increase accuracy clinical diagnoses. Potential applications include screening for malignant disease, lesion characterization, monitoring response to treatment, assessment residual disease. Newer prognostication, pharmacodynamic assessments antivascular anticancer drugs, predicting efficacy treatment. For dynamic enter widespread practice, it will necessary develop standardized approaches measurement robust analysis approaches.

参考文章(130)
David J. Chaplin, Michael R. L. Stratford, Borivoj Vojnovic, Rosalind J. Locke, Gillian M. Tozer, Francesca Lee, Susan M. Galbraith, Effects of combretastatin A4 phosphate on endothelial cell morphology in vitro and relationship to tumour vascular targeting activity in vivo. Anticancer Research. ,vol. 21, pp. 93- 102 ,(2001)
H. F. Dvorak, J. A. Nagy, D. Feng, L. F. Brown, A. M. Dvorak, Vascular permeability factor/vascular endothelial growth factor and the significance of microvascular hyperpermeability in angiogenesis. Current Topics in Microbiology and Immunology. ,vol. 237, pp. 97- 132 ,(1999) , 10.1007/978-3-642-59953-8_6
M. Kriege, C. T. M. Brekelmans, C. Boetes, E. J. T. Rutgers, J. C. Oosterwijk, R. A. E. M. Tollenaar, R. A. Manoliu, R. Holland, H. J. de Koning, J. G. M. Klijn, MRI screening for breast cancer in women with familial or genetic predisposition: design of the Dutch National Study (MRISC). Familial Cancer. ,vol. 1, pp. 163- 168 ,(2001) , 10.1023/A:1021135809870
Werner Judmaier, Dietmar Öfner, Gunnar Brix, Jürgen Griebel, Alfons Kreczy, Christian Kremser, Peter Lukas, Alexander F. DeVries, Thomas Gneiting, Karl-Peter Pfeiffer, Tumor Microcirculation Evaluated by Dynamic Magnetic Resonance Imaging Predicts Therapy Outcome for Primary Rectal Carcinoma Cancer Research. ,vol. 61, pp. 2513- 2516 ,(2001)
Geoffrey JM Parker, Isabelle Baustert, Steven F Tanner, Martin O Leach, None, Improving image quality and T1 measurements using saturation recovery turboFLASH with an approximate K-space normalisation filter Magnetic Resonance Imaging. ,vol. 18, pp. 157- 167 ,(2000) , 10.1016/S0730-725X(99)00124-1
H. B. W. Larsson, M. Stubgaard, J. L. Frederiksen, M. Jensen, O. Henriksen, O. B. Paulson, Quantitation of blood-brain barrier defect by magnetic resonance imaging and gadolinium-DTPA in patients with multiple sclerosis and brain tumors Magnetic Resonance in Medicine. ,vol. 16, pp. 117- 131 ,(1990) , 10.1002/MRM.1910160111
Robert C. Brasch, King C.P. Li, Janet E. Husband, Mary T. Keogan, Michal Neeman, Anwar R. Padhani, David Shames, Karl Turetschek, In vivo monitoring of tumor angiogenesis with MR imaging Academic Radiology. ,vol. 7, pp. 812- 823 ,(2000) , 10.1016/S1076-6332(00)80630-3
Rahel A. Huch Böni, Jörg A. Boner, Urs M. Lötolf, Felix Trinkler, Dietegen M. Pestalozzi, Gabriel P. Krestin, Contrast-enhanced endorectal coil MRI in local staging of prostate carcinoma. Journal of Computer Assisted Tomography. ,vol. 19, pp. 232- 237 ,(1995) , 10.1097/00004728-199503000-00013
Larry W. Oberley, Anil K. Sood, John M. Buatti, Nina A. Mayr, William T.C. Yuh, Jeffrey C. Arnholt, James C. Ehrhardt, Joel I. Sorosky, Vincent A. Magnotta, Kevin S. Berbaum, Weining Zhen, Arnold C. Paulino, Pixel analysis of MR perfusion imaging in predicting radiation therapy outcome in cervical cancer. Journal of Magnetic Resonance Imaging. ,vol. 12, pp. 1027- 1033 ,(2000) , 10.1002/1522-2586(200012)12:6<1027::AID-JMRI31>3.0.CO;2-5