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纸质出版:2010
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张辉,邹利光,逄鑫,张松,廖翠薇.大鼠乳腺癌CT灌注成像与肿瘤病理分级和微血管密度相关性研究[J].陆军军医大学学报(原第三军医大学学报),2010,32(11):1131-1135.
Zhang Hui,Zou Liguang,Pang Xin,Zhang Song,Liao Cuiwei.Correlation of CT perfusion imaging of rat breast cancer with tumor pathological grade and microvascular density[J].J Amry Med Univ (J Third Mil Med Univ),2010,32(11):1131-1135.
张辉,邹利光,逄鑫,张松,廖翠薇.大鼠乳腺癌CT灌注成像与肿瘤病理分级和微血管密度相关性研究[J].陆军军医大学学报(原第三军医大学学报),2010,32(11):1131-1135. DOI:
Zhang Hui,Zou Liguang,Pang Xin,Zhang Song,Liao Cuiwei.Correlation of CT perfusion imaging of rat breast cancer with tumor pathological grade and microvascular density[J].J Amry Med Univ (J Third Mil Med Univ),2010,32(11):1131-1135. DOI:
目的 研究诱发性大鼠乳腺癌CT灌注成像(CT perfusion imaging,CTPI)与肿瘤病理分级、微血管密度(microvascular vessel density,MVD)的相关性,探讨CTPI对乳腺癌的诊断价值。 方法 Wistar雌性大鼠35只,7,12-二甲基苯蒽(7, 12-dimethyl-1, 2-benzanthracene,DMBA)灌胃诱发乳腺肿瘤。乳腺CT平扫和CTPI检查,经工作站后处理得到CTPI参数血流量(blood flow,BF)、血容量(blood volume,BV)、平均通过时间(mean transit time,MTT)、毛细血管通透性(permeability surface,PS),并计算时间密度曲线(time density curve,TDC)。处死大鼠后取乳腺肿瘤组织进行HE染色和Ⅷ因子相关抗原免疫组化染色,观察乳腺肿瘤病理类型和MVD。 结果 30只大鼠成功诱发乳腺肿瘤,其中乳腺增生性疾病8只,乳腺癌22只。乳腺癌组与乳腺增生性疾病组的BF、BV分别为(151.72±93.43)vs(42.96±32.42) ml/(min·100 g);(9.55±7.88)vs(2.17±1.36) ml/100 g,乳腺癌显著高于乳腺增生性疾病(P0.05)。乳腺癌中分化组和低分化组的BF、BV分别为(115.30±15.46)vs(256.52±132.19)ml/(min·100 g);(9.76±9.00)vs(10.34±4.56) ml/100 g,BF、BV在不同分化程度肿瘤之间有显著差异(P0.05)。乳腺癌MTT为(2.43±1.64)s,显著低于乳腺增生性疾病(P0.05),但在不同分化程度肿瘤之间无显著差异(P0.05)。BF、BV、PS与MVD的相关性随组织分化程度的降低呈升高趋势,其相关系数分别为0.701、0.441和0.521,两者之间均呈显著正相关(P0.05)。 结论 大鼠诱发性乳腺癌是CT灌注成像研究适合的模型,CT灌注成像有助于判断乳腺病变的良恶性、反映肿瘤组织分化程度,并与肿瘤微血管密度密切相关。
Objective To study the correlation of CT perfusion imaging (CTPI) of induced rat breast cancer with tumor pathological grade and microvascular density (MVD),and the diagnostic value of CTPI for breast cancer. Methods Breast cancer was induced in 35 Wister male rats with intragastric 7,12-dimethyl-1,2-benzanthracene (DMBA) treatment. Routine breast CT scanning and CTPI were performed. After processed at a workstation
CTPI parameters were obtained including blood flow (BF),blood volume (BV),mean transit time (MTT),permeability surface (PS),and time density curve (TDC). The rats were sacrificed and breast tumor tisue samples were collected. Breast tumor tisue samples were stained with HE and factor Ⅷ-related antigen immunohistochemistry to observe the pathological type and MVD of tumor. Results Breast tumor was successfully induced in 30 rats (including 8 with breast hyperplasia and 22 with breast cancer). The BF and BV were higher in rats with breast cancer than in those with breast hyperplasia [151.72±93.43 vs 42.96±32.42 ml/(min·100 g)
9.55±7.88 vs 2.17±1.36 ml/100 g
P0.05] . The BF and BV were lower in patients with moderatelelydifferentiated breast cancer than in those with poorlydifferentiated breast cancer [115.30±15.46 vs 256.52±132.19 ml/(min·100 g)
9.76±9.00 vs 10.34±4.56 ml/(min·100 g)
P0.05] . The MTT was significantly shorter in rats with breast cancer than in those with breast hyperplasia (P0.05)
but showed no significant difference in tumor differentiation (P0.05). The positive correlation of MVD with BF
BV and PS was increased with the decreased tumor differentiation with a correlation coefficient of 0.701
0.441 and 0.521
respectively (P0.05). Conclusion Induced breast cancer in rats is a suitable model for CT perfusion study. CTPI can help to distinguish between benign and malignant breast diseases and show tumor differentiation,and is closely associated with MVD of tumor.
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