刘怀军,贺丹,王勇,黄渤源,池琛,颜立群,汪国石,冯平勇.fMRI评价NGF基因治疗对犬脑出血血肿灶周神经功能修复的影响[J].中国医学影像技术,2004,20(11):1663~1666
fMRI评价NGF基因治疗对犬脑出血血肿灶周神经功能修复的影响
fMRI evaluation of NGF gene therapy on neural functional recovery in the region of perihematoma after intracerebral hemorrhage
投稿时间:2004-07-10  
DOI:
中文关键词:  脑内出血  功能磁共振成像  基因治疗  NGF
英文关键词:Intracerebral hemorrhage  Functional magnetic resonance imaging  Gene therapy  NGF
基金项目:本研究为河北省自然基金资助项目(C2004000590)。
作者单位E-mail
刘怀军 河北医科大学第二医院放射科,河北 石家庄 050000 Danhe@126.com 
贺丹 河北医科大学第二医院放射科,河北 石家庄 050000  
王勇 河北医科大学第二医院放射科,河北 石家庄 050000  
黄渤源 河北医科大学第二医院放射科,河北 石家庄 050000  
池琛 河北医科大学第二医院放射科,河北 石家庄 050000  
颜立群 河北医科大学第二医院放射科,河北 石家庄 050000  
汪国石 河北医科大学第二医院放射科,河北 石家庄 050000  
冯平勇 河北医科大学第二医院放射科,河北 石家庄 050000  
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中文摘要:
      目的 探讨fMRI在评价神经生长因子(NGF)基因治疗犬脑出血疗效中的价值。方法 健康家犬24只,随机分为3组:NGF组(n=12),脑出血组(n=8)和对照组(n=4)。在脑出血后1天、3天、10天、28天四个时间点进行MR扫描、Purdy评分和透射电镜观察。结果 NGF组1~3天时血肿、水肿体积与脑出血组比较无显著性差异(P>0.05),血肿灶周ADC、rCBF与脑出血组比较有显著性差异(P<0.05)。10~28天血肿、水肿体积和血肿灶周ADC、rCBF均显著好于脑出血组(P<0.05),且fMRI动态演变与临床神经功能转归和病理结果相一致。结论 fMRI能客观、有效地定性和定量评价NGF基因治疗脑出血的疗效。
英文摘要:
      Objective To study the applied value of using fMRI to evaluate the therapeutic effect of NGF gene on neural functional recovery in the region of perihematoma after experimental intracerebral hemorrhage (ICH). Methods Twenty-four healthy dogs were divided into three groups randomly: NGF group (n=12), ICH group (n=8) and control group (n=4). The examinations of Purdy score, MR scanning and TEM were carried out at 1, 3, 10, 28 day after ICH. Results Compared with ICH group, the volume of hematoma and edema in NGF group had no significant difference (P>0.05), whereas ADC and rCBF in NGF group had significant difference at 1-3 day (P<0.05). At 10-28 day, the volume of hematoma and edema, ADC and rCBF in NGF group were obviously better than that in ICH group (P<0.05). The dynamic changes of MR were correlated with the changes of clinic neural function and pathological result. Conclusion fMRI was an objective and effective method to evaluate quantitatively and qualitatively the results of gene therapy.
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