Characteristics and pathological mechanism on magnetic resonance diffusion-weighted imaging after ch

来源 :世界胃肠病学杂志(英文版) | 被引量 : 0次 | 上传用户:tanya_33
下载到本地 , 更方便阅读
声明 : 本文档内容版权归属内容提供方 , 如果您对本文有版权争议 , 可与客服联系进行内容授权或下架
论文部分内容阅读
AIM: To investigate dynamic characteristics and pathological mechanism of signal in rabbit VX-2 tumor model on diffusion-weighted imaging (DWI) after chemoembolization.METHODS: Forty New Zealand rabbits were included in the study and forty-seven rabbit VX-2 tumor models were raised by implanting directly and intrahepatically after abdominal cavity opened. Forty VX-2 tumor models from them were divided into four groups. DWI was performed periodically and respectively for each group after chemoembolization. All VX-2 tumor samples of each group were studied by pathology. The distinction of VX-2tumors on DWI was assessed by their apparent diffusion coefficient (ADC) values. The statistical significance between different time groups, different area groups or different b-value groups was calculated by using SPSS12.0 software.RESULTS: Under b-value of 100 s/mm2, ADC values were lowest at 16 h after chemoembolization in area of VX-2 tumor periphery, central, and normal liver parenchyma around tumor, but ted to increase with further elongation of chemoembolization treatment. The distinction of ADC between different time groups was significant respectively (F = 7.325, P < 0.001; F = 2.496,P < 0.048; F = 6.856, P < 0.001). Cellular edema in the area of VX-2 tumor periphery or normal liver parenchyma around tumor, increased quickly in sixteen h after chemoembolization but, from the 16th h to the 48th h, cellular edema in the area of normal liver parenchyma around tumor decreased gradually and that in the area of VX-2 tumor periphery decreased lightly at, and then increased continually. After chemoembolization, Cellular necrosis in the area of VX-2 tumor periphery was more significantly high than that before chemoembolization. The areas of dead cells in VX-2 tumors manifested low signal and high ADC value, while the areas of viable cells manifested high signal and low ADC value.CONCLUSION: DWI is able to detect and differentiate tumor necrotic areas from viable cellular areas before and after chemoembolization. ADC of normal liver parenchyma and VX-2 tumor are influenced by intracellular edema, tissue cellular death and microcirculation disturbance after chemoembolization.
其他文献
目的探讨室管膜下区以及肿瘤中心距侧脑室壁边缘(TV)的最短距离与胶质母细胞瘤的预后关系。方法回顾性分析2006—2016年130例胶质母细胞瘤的数据资料,其中45例肿瘤累及室管膜下区。采用卡方检验和生存分析进行统计分析。结果卡方检验表明年龄、性别、肿瘤方位、肿瘤体积、术前癫痫、肿瘤切除程度在是否累及室管膜下区这两组中的分布差异无统计学意义(P>0.05),同样,年龄、性别、肿瘤方位、肿瘤体积、术前
期刊
1例82岁严重骨质疏松女性患者行右髋人工股骨头置换术后静脉滴注唑来膦酸5 mg。给药结束后约4 h患者出现寒战、乏力、肌痛、高热,约6 h出现恶心、呕吐,约14 h出现呼吸困难、抽搐、意识丧失、心动过速。实验室检查示二氧化碳结合力14 mmol/L,B型钠尿肽1 374 ng/L,凝血酶原时间20 s,活化部分凝血活酶时间37 s,ALT 269 U/L,AST 279 U/L,BUN 34.6
1例60岁女性结缔组织病患者服用环孢素(300 mg、1次/d)第2天出现咽部疼痛,第3天出现便血、腹胀、腹痛,第14天出现双目失明、短暂性双眼左上方凝视发作、轻微头痛和血压升高(150/90 mmHg,1 mmHg=0.133 KPa),实验室检查示环孢素血药浓度372.4 μg/L,头颅MRI示双侧额、顶、枕、颞叶对称性多发斑片状长T1、长T2信号影,液体衰减反转复原序列呈明显高信号影,提示血
1例20岁女性患者因静脉窦血栓长期规律服用华法林(3.75 mg/d),INR波动于1.50~1.90,头痛控制有效,无出血倾向。为进一步缓解症状联用活血化瘀中药汤剂,第4天患者发生鼻出血;第5天出现牙龈出血,INR为2.06。未停用中药汤剂,华法林减量至3.00 mg/d,患者未再发生出血。华法林减量第18天复查,INR为1.56,患者无不适。
目的回顾性分析来那度胺联合环磷酰胺、低剂量地塞米松(RCD方案)治疗多发性骨髓瘤的临床疗效及不良反应。方法45例多发性骨髓瘤患者按非随机同期对照法分为治疗组(25例)和对照组(20例),分别采用RCD方案和MPT方案治疗。比较两种方案的近期疗效及远期疗效,观察不良反应。结果治疗组和对照组总有效率、高质量缓解(CR+VGPR)率分别是84.0%(21/25)和65.0%(13/20)(P>0.05)
本刊讯今年9月18日,辽沈大地,月圆之夜.巧合的是当日为农历乙酉年八月十五中秋佳节,也是震惊中外的“九·一八”事变74周年的纪念日,举国上下纪念中国人民抗日战争暨世界反法
期刊
“春夏养阳,秋冬养阴”选自《素问·四气调神大论》,作为核心观点,它揭示了人只有顺应天地四时变化,与自然同步结合,采取最朴素的养生方式,才能保持健康不染疾病.对这句话也
2型糖尿病是临床上常见的一种疾病,长期的高血糖状态会导致机体各个脏器功能的损害,进而出现多种合并症状.脂肪肝则是指由各种因素引起的肝细胞内脂肪过度蓄积的病变,是一种
期刊