首都医科大学学报 ›› 2019, Vol. 40 ›› Issue (2): 195-200.doi: 10.3969/j.issn.1006-7795.2019.02.008

• 肿瘤的免疫治疗与代谢 • 上一篇    下一篇

同步辐射X线相衬成像对裸鼠胰腺癌的早期诊断

王佳1, 乐凯1, 郭懿樊1, 郭旭1, 张涛1, 任宇1, 王睿斌1, 许光中1, 郑海亮2, 冯树理2, 朱斌1   

  1. 1. 首都医科大学附属北京世纪坛医院普通外科及肿瘤外科, 北京 100038;
    2. 首都医科大学附属北京世纪坛医院医学工程处, 北京 100038
  • 收稿日期:2019-01-17 出版日期:2019-03-21 发布日期:2019-04-15
  • 通讯作者: 朱斌 E-mail:binbinzhu99@hotmail.com
  • 基金资助:
    北京市自然科学基金面上项目(1152003),北京市教育委员会科技计划一般项目(KM201710025025)。

Early diagnosis of pancreatic cancer in a nude mice model on synchrotron radiation X-ray phase contrast imaging

Wang Jia1, Le Kai1, Guo Yifan1, Guo Xu1, Zhang Tao1, Ren Yu1, Wang Ruibin1, Xu Guangzhong1, Zheng Hailiang2, Feng Shuli2, Zhu Bin1   

  1. 1. Department of General Surgery & Surgical Oncology, Beijing Shijitan Hospital, Capital Medical University, Beijing 100038, China;
    2. Department of Medical Engineering, Beijing Shijitan Hospital, Capital Medical University, Beijing 100038, China
  • Received:2019-01-17 Online:2019-03-21 Published:2019-04-15
  • Supported by:
    This study was supported by Natural Science Foundation of Beijing (1152003), General Items of Science and Technology Project of Beijing Municipal Education Commission (KM201710025025).

摘要: 目的 通过建立裸鼠胰腺癌模型,结合磁共振成像(magnetic resonance imaging,MRI),探讨同步辐射X线相衬成像技术对胰腺癌的早期诊断。方法 32只nu/nu雌鼠,采用数字表法随机分为A、B两组:A组(n=24)为人胰腺癌细胞PANC-1胰腺原位移植瘤组,即于胰腺被膜下注射108×2 μL单细胞悬浮液;B组(n=8)为空白对照组,即于胰腺被膜下注射2 μL 0.9%(质量浓度)氯化钠注射液。再根据术后1、2、3、4周处理时间的不同,将A、B两组分为4个亚组,即A1、A2、A3、A4(n=6)和B1、B2、B3、B4(n=2)。术后分别行MRI扫描、肿瘤标本相衬成像及病理学检查。结果 ①A组术后平均成瘤率73%(16/22),术后4周成瘤率最高,达到100%,成瘤率随观察时间的延长而升高,二者之间存在线性趋势关系(χ线性趋势2=4.718,P=0.030);病理组织学检查为胰腺低分化腺癌。②同步辐射X线相衬成像可显示直径为0.5 mm的胰腺原位肿瘤,早期(两周)的灵敏度和特异度达到100%,明显高于MRI扫描(P=0.029)。结论 PANC-1细胞原位移植是建立裸鼠胰腺癌模型的可靠方法;与MRI相比,同步辐射X线相衬成像能发现胰腺癌微小病变,有可能为胰腺癌的早期诊断提供了一种全新的技术手段。

关键词: 胰腺癌, 动物模型, 原位移植, 同步辐射X线相衬成像, 磁共振成像

Abstract: Objective To explore the diagnostic value of synchrotron radiation X-ray phase contrast imaging compared with magnetic resonance imaging (MRI) in early diagnosis of pancreatic cancer with an orthotopic xenograft nude mice model of pancreatic cancer. Methods Thirty-two female nude mice were divided into 2 groups of 4 subgroups randomly, subgroups were labeled A1, A2, A3, A4 (n=6) and B1, B2, B3, B4 (n=2) as the different intervals at 1, 2, 3, and 4 weeks postoperatively, respectively. 108 cells/mL×20μL PANC-1 cell suspension was injected into pancreatic capsula of group A but 20μL sterile saline was injected in the group B. MRI scans were performed at 1, 2, 3, and 4 weeks postoperatively and the specimens were excised from nude mice and fixed in 10% formalin immediately. Synchrotron radiation X-ray phase contrast imaging was performed followed by histopathological examination. Results ①Low grade adenocarcinoma was confirmed with pathology, and the average rate of tumorigenesis in group A was 73% (16/22), and the rate was the highest after 4 weeks, which was 100%. With the time passing, the rate of tumorigenesis increased with the linear trend test (χ2=4.718, P=0.030). ②The image of tumor with a diameter of 0.5 mm in pancreas was observed with synchrotron radiation phase contrast imaging. The sensitivity and specificity of the early (two weeks) reached 100%, significantly higher than that of magnetic resonance imaging (P=0.029). Conclusion PANC-1 cells injected into pancreatic capsula was a reliable method for establishment of pancreatic cancer model. Compared with MRI, synchrotron radiation contrast imaging could detect tiny lesions of pancreatic cancer, which may provide a new method for early diagnosis of pancreatic cancer.

Key words: pancreatic cancer, animal model, orthotopic transplantation, synchrotron radiation X-ray phase contrast imaging, magnetic resonance imaging

中图分类号: