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f-MSCT灌注成像评价兔乳腺VX2种植瘤放疗疗效的研究
作者:邱丽栓 刘洋洋  
单位:内蒙古自治区扎兰屯市医院CT室
关键词:乳腺癌 体层摄影技术 灌注成像 放射治疗 
分类号:
出版年·卷·期(页码):2011·30·第三期(469-473)
摘要:

【摘要】 目的 探讨f-MSCT灌注成像在兔乳腺VX2种植瘤放疗前后疗效监测中的应用价值。资料与方法 24只成功种植VX2癌株的日本大耳白兔,随机分为放射治疗组16只和对照组8只,分别于肿瘤种植后2周、放射治疗结束后1周(即肿瘤种植后5周)行CT灌注扫描,获得放疗前后肿瘤组织的血流量(BF)、血容量(BV)、表面通透性(PS)均值,统计学分析各参数之间的差异性。 结果 治疗前,放射治疗组与对照组灌注参数BF、BV、PS值组间比较差异无统计学意义(P>0.05);治疗后,放射治疗组与对照组灌注参数BF、BV、PS值组间比较差异有统计学意义(P﹤0.01);放射治疗组治疗后MSCT灌注参数BF、BV、PS值均较治疗组放疗前及非治疗组减小,差异有统计学意义(P﹤0.01)。结论 f-MSCT灌注成像能反映兔VX2种植瘤放疗前后血流动力学改变,可以用来在体、无创、准确地对肿瘤放疗的早期疗效进行评价和动态监测。

【Abstract】 Objective To investigate the application value of functional multislice CT perfusion imaging of VX2 tumor in rabbit by monitoring the radiotherapeutic effect before and after radiotherapy. Methods To select twenty-four Japan white rabbits which are implanted VX2 tumor successfully and divide them into two groups (sixteen per group) at random. To perform MSCT perfusion scan two weeks after implantation and one week after radiation therapy respectively. Then to obtain mean values of blood flow (BF), blood volume (BV), mean transit time (MTT) and permeability surface (PS) of VX2 tumors and to analyze the differences among them. Results There is no statistical significance compared parameters including BF、BV、PS of radiation treatment group to control group pre-radiation therapy(P>0.05). There is statistical significance compared parameters including BF、BV、PS of radiation treatment group to control group post-radiation therapy(P<0.01).Perfusion parameters including BF、BV、PS are decreased post-radiation therapy compared to control group or radiation treatment group pre-radiation therapy and there is significant differences between them(P<0.01). Conclusions MSCT perfusion imaging is able to reflect hemodynamic changes of VX2 implanted breast tumor, which can evaluate the early radiotherapy effect in malignant breast tumor invasively and accurately.

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