Early detection of treatment response by diffusion-weighted 1H-NMR spectroscopy in a murine tumour in vivo.

Early detection of treatment response by diffusion-weighted 1H-NMR spectroscopy in a murine tumour in vivo.
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DOI:
10.1038/bjc.1996.11
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发表时间:
1996-01
影响因子:
8.8
通讯作者:
Evelhoch, JL
Evelhoch, JL
中科院分区:
医学1区
文献类型:
--
作者:
Zhao, M;Pipe, JG;Bonnett, J;Evelhoch, JL

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核磁共振非侵入性测量水的表观扩散系数(ADC),它对组织的生物物理特性很敏感。因为抗癌治疗会改变肿瘤的病理生理学,所以治疗可能会改变肿瘤的ADC值。为了验证这一假设,在南卡罗来纳州测量了ADC。在环磷酰胺治疗前和治疗后9天内接种小鼠RIF-1肿瘤。环磷酰胺治疗后,肿瘤的ADC值呈剂量依赖性、可逆性增加,这与治疗诱导的细胞死亡导致的间质水的增加是一致的。由于肿瘤水的ADC在肿瘤体积不变的情况下显著增加,因此它的测量可能为早期检测抗癌治疗的反应提供一种新的手段。如果在本研究中观察到的ADC值的变化在不同肿瘤类型的常用抗癌治疗中是明显的,并且具有治疗反应的特异性,该方法可以广泛适用于作为反应预测指标,因为磁共振成像可以用于测量人类肿瘤的ADC值。
Nuclear magnetic resonance (NMR) non-invasively measures the apparent diffusion coefficient (ADC) of water, which is sensitive to the biophysical characteristics of tissue. Because anti-cancer treatment alters tumour pathophysiology, tumour ADC may be altered by treatment. In order to test this hypothesis, ADC was measured in s.c. implanted murine RIF-1 tumours before and up to 9 days after treatment with cyclophosphamide. A dose-dependent, reversible increase in tumour ADC was observed after cyclophosphamide treatment, which is consistent with an increase in the fraction of interstitial water due to treatment-induced cell death. Because tumour water ADC is increased substantially at a time when there is no change in tumour volume for a dose which produces minimal cell kill, its measurement could provide a novel means for early detection of response to anti-cancer therapy. If the changes in ADC observed in the present study are evident for commonly used anti-cancer therapies in different tumour types and specific to a therapeutic response, the approach could be broadly applicable as a response predictor since magnetic resonance imaging can be used to measure ADC in human tumours.
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