AIM: To investigate the performance of Gadofluorine P-enhanced magnetic resonance imaging(MRI) on the diagnosis of diabetes in a streptozotocin(STZ)-induced diabetic rat model.METHODS: Fischer 344 rats were treated wi...AIM: To investigate the performance of Gadofluorine P-enhanced magnetic resonance imaging(MRI) on the diagnosis of diabetes in a streptozotocin(STZ)-induced diabetic rat model.METHODS: Fischer 344 rats were treated with STZ.Rats not treated with STZ served as controls. T1-weighted MRI was performed using a 3T scanner before and after the injection of Gd-DOTA or Gadofluorine P(6 diabetic rats, 5 controls). The normalized signal intensity(SI) and the enhancement ratio(ER) of the pancreas were measured at each time point, and the values were compared between the normal and diabetic rats using the Mann-Whitney test. In addition,the values were correlated with the mean islet number.Optimal cut-off values were calculated using a positive test based on receiver operating characteristics.Intrapancreatic Gd concentration after the injection of each contrast media was measured using laser ablation-inductively coupled plasma-mass spectrometry in a separate set of rats(4 diabetic rats, 4 controls for Gadofluorine P; 2, 2 for Gd-DOTA).RESULTS: The normalized SI and ER of the pancreas using Gd-DOTA were not significantly different between diabetic rats and controls. With Gadofluorine P, the values were significantly higher in the diabetic rats than in the control rats 30 min after injection(P < 0.05). The area under the receiver operating characteristic curve that differentiated diabetic rats from the control group was greater for Gadofluorine P than for Gd-DOTA(0.967 vs 0.667, P = 0.085). An increase in normalized SI 30 min after Gadofluorine P was correlated with a decrease in the mean number of islets(r 2 = 0.510, P = 0.014). Intra-pancreatic Gd was higher in rats with Gadofluorine P injection than Gd-DOTA injection(Gadofluorine P vs Gd-DOTA, 7.37 vs 0.00, P < 0.01). A significant difference in the concentration of intrapancreatic Gd was observed between the control and diabetic animals that were sacrificed 30 min after Gadofluorine P injection(control vs diabetic, 3.25 ng/g vs 10.55 ng/g, P < 0.05)CONCLUSION: In this STZ-induced diabetes rat model,Gadofluorine P-enhanced MRI of the pancreas showed high accuracy in the diagnosis of diabetes.展开更多
Abdominal obesity describes the accumulation of excessive fat in the abdomen. It is known that depending on its distribution, visceral obesity presents a greater danger to health than subcutaneous obesity. To properly...Abdominal obesity describes the accumulation of excessive fat in the abdomen. It is known that depending on its distribution, visceral obesity presents a greater danger to health than subcutaneous obesity. To properly prevent and treat visceral obesity, accurate evaluation methods are necessary, and hence quantitative VAT estimation is extremely important. CT scans are the most accurate method for estimating VAT, but it requires a great deal of time and effort, limiting its use in studying or evaluating obesity in patients. This paper proposed automatic measurement software that could quickly differentiate between and measure VAT and SAT. The method was verified using a total of 100 abdominal CT data values;this paper measured the SAT and VAT in the entire abdomen using the automatic measurement software. Additionally, through a comparative evaluation between the automated measurements and manual measurements such as BMI and waist circumference, clinical reliability and viability were validated and evaluated. Between automated measurements and manual measurements, the TAT (r = 0.995, p = 0.01), SAT (r = 0.987, p = 0.01) and VAT (r = 0.993, p = 0.01) showed high correlation. Using BMI as the main metric, the TAT for automated measurements (r = 0.674, p = 0.01) and the TAT for manual measurements (r = 0.703, p = 0.01) showed the strongest correlation. When using waist circumference, the VAT for automated measurements (r = 0.826, p = 0.01) and the VAT for manual measurements (r = 0.822, p = 0.01) showed the strongest correlation. With these results, the reliability and viability of the automatic measurement software were confirmed. The software is expected to help greatly in reducing the time and in providing objective data of VAT measurements from CT scans for clinical research.展开更多
基金Supported by Innovative Research Institute for Cell Therapy,Ministry for Health,Welfare and Family Affairs(A062260)in South Korea
文摘AIM: To investigate the performance of Gadofluorine P-enhanced magnetic resonance imaging(MRI) on the diagnosis of diabetes in a streptozotocin(STZ)-induced diabetic rat model.METHODS: Fischer 344 rats were treated with STZ.Rats not treated with STZ served as controls. T1-weighted MRI was performed using a 3T scanner before and after the injection of Gd-DOTA or Gadofluorine P(6 diabetic rats, 5 controls). The normalized signal intensity(SI) and the enhancement ratio(ER) of the pancreas were measured at each time point, and the values were compared between the normal and diabetic rats using the Mann-Whitney test. In addition,the values were correlated with the mean islet number.Optimal cut-off values were calculated using a positive test based on receiver operating characteristics.Intrapancreatic Gd concentration after the injection of each contrast media was measured using laser ablation-inductively coupled plasma-mass spectrometry in a separate set of rats(4 diabetic rats, 4 controls for Gadofluorine P; 2, 2 for Gd-DOTA).RESULTS: The normalized SI and ER of the pancreas using Gd-DOTA were not significantly different between diabetic rats and controls. With Gadofluorine P, the values were significantly higher in the diabetic rats than in the control rats 30 min after injection(P < 0.05). The area under the receiver operating characteristic curve that differentiated diabetic rats from the control group was greater for Gadofluorine P than for Gd-DOTA(0.967 vs 0.667, P = 0.085). An increase in normalized SI 30 min after Gadofluorine P was correlated with a decrease in the mean number of islets(r 2 = 0.510, P = 0.014). Intra-pancreatic Gd was higher in rats with Gadofluorine P injection than Gd-DOTA injection(Gadofluorine P vs Gd-DOTA, 7.37 vs 0.00, P < 0.01). A significant difference in the concentration of intrapancreatic Gd was observed between the control and diabetic animals that were sacrificed 30 min after Gadofluorine P injection(control vs diabetic, 3.25 ng/g vs 10.55 ng/g, P < 0.05)CONCLUSION: In this STZ-induced diabetes rat model,Gadofluorine P-enhanced MRI of the pancreas showed high accuracy in the diagnosis of diabetes.
文摘Abdominal obesity describes the accumulation of excessive fat in the abdomen. It is known that depending on its distribution, visceral obesity presents a greater danger to health than subcutaneous obesity. To properly prevent and treat visceral obesity, accurate evaluation methods are necessary, and hence quantitative VAT estimation is extremely important. CT scans are the most accurate method for estimating VAT, but it requires a great deal of time and effort, limiting its use in studying or evaluating obesity in patients. This paper proposed automatic measurement software that could quickly differentiate between and measure VAT and SAT. The method was verified using a total of 100 abdominal CT data values;this paper measured the SAT and VAT in the entire abdomen using the automatic measurement software. Additionally, through a comparative evaluation between the automated measurements and manual measurements such as BMI and waist circumference, clinical reliability and viability were validated and evaluated. Between automated measurements and manual measurements, the TAT (r = 0.995, p = 0.01), SAT (r = 0.987, p = 0.01) and VAT (r = 0.993, p = 0.01) showed high correlation. Using BMI as the main metric, the TAT for automated measurements (r = 0.674, p = 0.01) and the TAT for manual measurements (r = 0.703, p = 0.01) showed the strongest correlation. When using waist circumference, the VAT for automated measurements (r = 0.826, p = 0.01) and the VAT for manual measurements (r = 0.822, p = 0.01) showed the strongest correlation. With these results, the reliability and viability of the automatic measurement software were confirmed. The software is expected to help greatly in reducing the time and in providing objective data of VAT measurements from CT scans for clinical research.
