MR image time-intensity relations in spleen and kidney: a comparative study of GdDTPA, albumin-(GdDTPA), and Gd2O3 colloid.

P F Daly, J B Zimmerman, J A Cannillo, G L Wolf
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Abstract

Magnetic resonance images were performed using a gradient recalled echo sequence with acquisition of images every 30 s in anesthetized rats before and after intravenous bolus injections of 100 microns/kg GdDTPA, 60 microns/kg albumin-(GdDTPA), and 60 microns/kg Gd2O3 colloid. All three agents caused significant enhancement of the renal cortex, and even greater enhancement of the spleen. GdDTPA showed an early peak at 11 s followed by a wash-out as blood concentrations fell, whereas albumin-(GdDTPA) and Gd2O3 showed sustained tissue enhancement. The enhancement in each organ was equivalent for albumin-(GdDTPA) and Gd2O3 which stay intravascular; but 30% less for GdDTPA which enters the interstitial space. In addition GdDTPA showed an initial enhancement of the renal medulla but then a subsequent loss of signal, whereas albumin-(GdDTPA) resulted in a greater enhancement of the medulla as compared to the cortex. We conclude that time-intensity studies of local tissue response to MR indicators reflect tissue physiological parameters such as perfusion, blood volume, and concentrating ability in a semiquantitative manner.

脾脏和肾脏的MR图像时间-强度关系:GdDTPA,白蛋白-(GdDTPA)和Gd2O3胶体的比较研究。
在麻醉大鼠静脉注射100微米/千克GdDTPA、60微米/千克白蛋白-(GdDTPA)和60微米/千克Gd2O3胶体前后,采用梯度回忆回声序列进行磁共振成像,每30秒采集一次图像。这三种药物均引起肾皮质的显著增强,脾脏的增强程度更大。GdDTPA在11 s出现早期峰值,随后随着血药浓度的下降而消失,而白蛋白-(GdDTPA)和Gd2O3则表现出持续的组织增强。停留在血管内的白蛋白-(GdDTPA)和Gd2O3对各器官的增强作用相当;而进入间隙的GdDTPA则少30%。此外,GdDTPA对肾髓质表现出最初的增强,但随后信号丢失,而白蛋白-(GdDTPA)对髓质的增强比皮质更大。我们得出结论,局部组织对MR指标反应的时间强度研究以半定量的方式反映了组织生理参数,如灌注、血容量和浓缩能力。
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