111 In 标记的博来霉素复合物用于鉴别裸鼠高级和低级别胶质瘤的实验研究
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(1.西南医科大学附属医院核医学科,核医学与分子影像四川省重点实验室,泸州 646000 ;2.四川大学原子核科学技术研究所,成都 610000)

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R-33

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111In-labeled bleomycin complex for SPECT in differentiation of high- and low-grade gliomas in nude mice
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(1.Department of Nuclear Medicine, The Affiliated Hospital, Southwest Medical University, Nuclear Medicine and Molecular Imaging Key Laboratory of Sichuan Province,No. 25, Taiping St., Luzhou 646000,China.2. Institute of Nuclear Science and Technology, Sichuan University, Chengdu 610000)

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    摘要:

    目的 本研究以111 In 标记的博来霉素复合物(111 In-BLMC)标记为单光子发射计算机断层成像术(single-photon emission computed tomography,SPECT)追踪剂,观察裸鼠高级别和低级别胶质瘤的差异?方法 建立裸鼠胶质瘤模型,在注射111In-BLMC 后10 min 进行SPECT 检查,研究了34 只裸鼠胶质瘤,包括22 只高级别和12只低级别肿瘤裸鼠,对早期相和延迟相显像分别作半定量分析,以得出111 In-BLMC 早期?延迟相摄取指数和滞留指数?结果 111In-BLMC 标记所有的SPECT 均为阳性,在高级别胶质瘤组中,早期和延迟相111 In-BLMC 摄取指数和滞留指数分别(3. 47±1. 66)和(5. 193±1. 49);在低级别胶质瘤组中,早期和延迟相111In-BLMC 摄取指数和滞留指数分别(1. 59±1. 68)和(2. 99±1. 36),且均具有统计学差异( P <0. 01)?当摄取指数< 1. 898 时,诊断低级别胶质瘤的敏感性为66. 67%,特异性为85. 71%( P <0. 01);当滞留指数< 3. 155 时,诊断低级别胶质瘤的敏感性为58. 33%,特异性为63. 66%( P <0. 01)?结论 111In-BLMC 标记的脑胶质瘤SPECT 可对术前肿瘤分级提供一定帮助,摄取指数和滞留指数可对肿瘤细胞的恶性程度作出比较准确的判断?

    Abstract:

    Objective In this study, the 111In-labeled bleomycin complex (111 In-BLMC) was used as a Single-Photon Emission Computed Tomography (SPECT)-tracking agent to differentiate the high-grade and low-grade gliomas innude mice. Methods Thirty-four nude mice with gliomas,induding 22 high-grade and 12 low-grade gliomas,were used inthis study.SPECT was performed 10 min after the injection of 111In-BLMC to the mice. Semi-quantitative analysis by imagingwas performed at the early and delayed phases. The 111In-BLMC early- and delayed-phase uptake indexes and retentionindexes were obtained. Results All SPECTs were positive for 111In-BLMC markers. In the high-grade glioma group, theearly- and delayed-phase 111In-BLMC uptake indexes and retention indexes were (3. 47± 1. 66) and (5. 193± 1. 49),respectively. In the low-grade glioma group, the mid-, early-, and delayed-phase 111In-BLMC uptake indexes and retentionindexes were (1. 59±1. 68) and (2. 99±1. 36), respectively, both differences were statistically significant ( P < 0. 01).When the intake index was < 1. 898, the sensitivity of diagnosis of low-grade glioma was 66. 67% and the specificity was85. 71% ( P < 0. 01); when the retention index was < 3. 155, the sensitivity of diagnosis of low-grade glioma was58. 33%,and the specificity was 63. 66% ( P < 0. 01). Conclusions 111In-BLMC-labeled glioma SPECT can provide somehelp for preoperative tumor grading. The uptake index and the retention index enable a relatively accurate judgment of the degree of malignancy of gliomas.

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王明霜,唐禹,陈跃,冯悦,赵岩,陈琳.111 In 标记的博来霉素复合物用于鉴别裸鼠高级和低级别胶质瘤的实验研究[J].中国比较医学杂志,2019,29(4):102~106.

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  • 收稿日期:2018-09-17
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  • 在线发布日期: 2019-05-10
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