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APT在脑梗死影像诊断中的研究进展

张 福兰, 王 红, 郝 璐, 马 景旭
新疆医科大学第二附属医院医学影像中心 乌鲁木齐 830000

摘要


目的:脑梗死已经成为我国居民死亡的第一位病因[1],该病不仅起病急,而且致死率、致残率高,近年来脑卒中新发病例逐年升高,且病因多变复杂,除自身因素外,还与生活方式、生态环境等有关。Moran等2010年也有研究发现[2],我国的脑梗死患者近年来逐年增多,20年后脑梗死患者发病患病率升高二分之一。对于脑梗死患者来说,治疗关键把握时间窗,对不同发病时期的患者采取不同的治疗方式,这种方式可以提高临床的治疗效果,且对患者后期恢复至关重要[3]。酰胺质子转移成像技术(APT)作为分子磁共振成像技术,通过对组织中的内源性蛋白质及酰胺质子产生图像来显像。APT成像技术是化学交换饱和转移(CEST)成像技术的一种,目前已应用于蛋白质含量和酸碱度的测定,且酰胺质子的交换速率对pH值依赖性很强。下文主要对APT成像技术原理及其在脑梗死影像诊断中的研究进展简要综述。

关键词


APT;脑梗死;影像诊断;应用进展;临床应用

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参考


[1]Ma Q, Li R, Wang L, et al. Temporal trend and attributable risk factors of stroke burden in China, 1990-2019: an analysis for the Global Burden.of.Disease.Study.2019.Lancet.Public.Health.2021;6(12):e897-e906. doi:10.1016/S2468-2667(21)00228-0[2]Moran A, Gu D, Zhao D, et al. Future cardiovascular disease in china: markov model and risk factor scenario projections from the coronary heart disease policy model-china. Circ Cardiovasc Qual Outcomes.2010;3(3):243-252.doi:10.1161/CIRCOUTCOMES.109.910711[3]王薇,蔡宾,刘广志.脑梗死急性期抗凝治疗研究进展[J].中华老年心脑血管病杂志.2022,(3):335-336. DOI:10.3969/j.issn.1009-0126.2022.03.030.Wang.Wei,CAI.n,LiuGuangzhi.Research.progress.of.anticoagulant.therapy.in.acute.stage.of.cerebral.infarction.[J].Chinese.Journal.of.CardioCerebrovascular.disease.for.the.Elderly.2022,(3):335-336.DOI:10.3969/j.issn.1009-0126.2022.03.030.[4]Wu Y, Zhou IY, Lu D, et al. pH-sensitive amide proton transfer effect dominates the magnetization transfer asymmetry contrast during acute ischemia-quantification of multipool contribution to in vivo CEST MRI. Magn Reson Med. 2018;79(3):1602-1608. doi:10.1002/mrm.26829[5]Dou W, Lin CE, Ding H, et al. Chemical exchange saturation transfer magnetic resonance imaging and its main and potential applications in pre-clinical and clinical studies. Quant Imaging Med Surg. 2019;9(10):1747-1766. doi:10.21037/qims.2019.10.03[6]Zhou J, Heo HY, Knutsson L, van Zijl PCM, Jiang S. APT-weighted MRI: Techniques, current neuro applications, and challenging issues. J Magn Reson Imaging. 2019;50(2):347-364. doi:10.1002/jmri.26645[7]刘晓燕,王宝剑,张娟,等.酰胺质子转移成像原理及其在脑胶质瘤中的研究进展[J].磁共振成像.2022,(2):127-129.DOI:10.12015/issn.1674-8034.2022.02.031.Liu Xiaoyan, Wang Baojian, Zhang Juan, et al. [J]. Journal of Magnetic.Resonance.Imaging,2022,(2):127-129.DOI:10.12015/issn.1674-8034.2022.02.031.[8]Zhou J, Payen JF, Wilson DA, Traystman RJ, van Zijl PC. Using the amide proton signals of intracellular proteins and peptides to detectpH effects in MRI. Nat Med. 2003;9(8):1085-1090. doi:10.1038/nm907[9]Kim H, Krishnamurthy LC, Sun PZ. Brain pH Imaging and its Applications.Neuroscience.2021;474:51-62.doi:10.1016/j.neuroscience.2021.01.026[10]吴仁华. 磁共振氨基质子转移成像技术原理和应用. 磁共振成像,2016, 7(4): 254-258. DOI:10.12015/issn.1674-8034.2016.04.00Wu Renhua,Principle and application of amino proton transfer imaging in magnetic resonance. Magnetic resonance Imaging, 2016, 7(4): 254-258. DOI:10.12015/issn.1674-8034.2016.04.00[11]Tietze A, Blicher J, Mikkelsen IK, et al. Assessment of ischemic penumbra in patients with hyperacute stroke using amide proton transfer (APT) chemical exchange saturation transfer (CEST) MRI. NMR Biomed. 2014;27(2):163-174. doi:10.1002/nbm.3048[12]Igarashi T, Kim H, Sun PZ. Detection of tissue pH with quantitative chemical exchange saturation transfer magnetic resonance imaging [published online ahead of print, 2022 Feb 10]. NMR Biomed. 2022;e4711. doi:10.1002/nbm.4711[13]Sun PZ. Quasi-steady-state amide proton transfer (QUASS APT) MRI enhances pH-weighted imaging of acute stroke. Magn Reson Med. 2022;88(6):2633-2644. doi:10.1002/mrm.29408[14]Guo Y, Zhou IY, Chan ST, et al. pH-sensitive MRI demarcates graded tissue acidification during acute stroke - pH specificity enhancement with magnetization transfer and relaxation-normalized amide proton transfer (APT) MRI. Neuroimage. 2016;141:242-249. doi:10.1016/j.neuroimage.2016.07.025[15]蒋玉涵,刘杨颖秋,高冰冰,等.基于酰胺质子转移加权成像评估亚急性脑梗死患者梗死核心及半暗带的酸碱代谢变化[J].中华放射学杂志.2021,(5):500-506.DOI:10.3760/cma.j.cn112149-20200513-00682.[16]Jiang Yuhan, Liu Yangying Qiu, Gao Bingbing, et al. Evaluation of acid-base metabolism in infarct core and penumbra in patients with subacute cerebral infarction based on amido-proton transfer weighted imaging[J].Chinese.Journal.of.Radiology.2021,(5):500-506.DOI:10.3760/cma.j.cn112149-20200513-00682.[17]Cheng J, Doerr M, Hu R, et al. Refined Ischemic Penumbra Imaging with Tissue pH and Diffusion Kurtosis Magnetic Resonance Imaging.Transl.Stroke.Res.2021;12(5):742-753.doi:10.1007/s12975-020-00868-z[18]Sotoudeh, Houman et al. “Luxury perfusion: A paradoxical finding and pitfall of CT perfusion in subacute infarction of brain.”Radiology.case.reports.vol.14,16-9.1Oct.2018,doi:10.1016/j.radcr.2018.08.031[19]Xing, Changhong et al. “Pathophysiologic cascades in ischemic stroke.”International.journal.of.stroke:official.journal.of.the.International.Stroke.Societyvol.7,5(2012):378-85.doi:10.1111/j.1747-4949.2012.00839.x[20]张帅,李春媚,宋国栋,等.酰胺质子转移磁共振成像在缺血性脑梗死分期中的应用[J].山东医药.2016,(43):52-54.DOI:10.3969/j.issn.1002-266X.2016.43.016.Zhang Shuai, Li Chunmei, Song Guodong, et al. Application of amide-proton transfer magnetic resonance imaging in the staging of ischemic.cerebral.infarction[J].Shandong.Medical.Journal,2016,(43):52-54. DOI:10.3969/j.issn.1002-266X.2016.43.016.[21]魏平,李传亭.酰胺质子转移成像在脑疾病中的研究进展[J].医学影像学杂志.2020,(3):496-499.Wei P, Li C T. Amido-proton transfer imaging in brain diseases research progress [J]. Journal of Medical Imaging, 2020,(3):496-499.[22]Guodong Song 1, Chunmei Li 2, Xiaojie Luo et al. “Evolution of Cerebral Ischemia Assessed by Amide Proton Transfer-Weighted MRI.”Frontiers.in.neurology.vol.867.2Mar.2017,doi:10.3389/fneur.2017.00067[23]Lin G, Zhuang C, Shen Z, et al. APT Weighted MRI as an Effective Imaging Protocol to Predict Clinical Outcome After Acute Ischemic.Stroke.Front.Neurol.2018.Oct.23;9:901.doi:10.3389/fneur.2018.00901.[24]Yu L, Chen Y, Chen M, et al. Amide Proton Transfer MRI Signal as a Surrogate Biomarker of Ischemic Stroke Recovery in Patients With Supportive Treatment. Front Neurol. 2019 Feb 22;10:104. doi: 10.3389/fneur.2019.00104.[25]Park.JE,Jung.SC,Kim HS, et al. Amide proton transfer-weighted MRI can detect tissue acidosis and monitor recovery in a transient middle cerebral.artery.occlusion.model.compared.witha.permanent.occlusion.model.in.rats.Eur.Radiol.2019Aug;29(8):4096-4104.doi:10.1007/s00330-018-5964-3. Epub 2019 Jan 21.[26]Wang M, Hong X, Chang CF, et al. Simultaneous detection andseparation.of.hyperacute.intracerebral.hemorrhage.and.cerebralischemia using amide proton transfer MRI. Magnetic Resonance in Medicine, 2015, 2(19): 1608-1612.[27]欧阳烽,王博,陈晔,等.磁共振成像在预测急性缺血性脑卒中预后中的研究进展[J].磁共振成像.2022,(7):147-151.DOI:10.12015/issn.1674-8034.2022.07.029.Ouyangfeng, Wang Bo, Chen Ye, et al. Research progress of magnetic resonance imaging in predicting prognosis of acute ischemic stroke[J].Magnetic.Resonance.Imaging,2022,(7):147-151.DOI:10.12015/issn.1674-8034.2022.07.029.[28]Ma X, Bai Y, Lin Y, et al. Amide proton transfer magnetic resonance imaging in detecting intracranial hemorrhage at different stages: a comparative study with susceptibility weighted imaging. Sci Rep. 2017;7:45696. Published 2017 Apr 4. doi:10.1038/srep45696[29]Su C, Liu C, Zhao L, et al. Amide Proton Transfer Imaging Allows Detection of Glioma Grades and Tumor Proliferation: Comparison with Ki-67 Expression and Proton MR Spectroscopy Imaging. AJNR Am J Neuroradiol. 2017;38(9):1702-1709. doi:10.3174/ajnr.A5301[30]Joo B, Han K, Choi YS, et al . Amide proton transfer imaging for differentiation of benign and atypical meningiomas. European Radiology,2018,28(1):331-339.[31]Huang J, Lai JHC, Tse KH, et al. Deep neural network based CEST and AREX processing: Application in imaging a model of Alzheimer's disease at 3 T. Magn Reson Med. 2022;87(3):1529-1545. doi:10.1002/mrm.29044[32]Orzy ł owska A, Oakden W. Saturation Transfer MRI for Detection of Metabolic and Microstructural Impairments Underlying Neurodegeneration in Alzheimer's Disease. Brain Sci. 2021;12(1):53. Published 2021 Dec 30. doi:10.3390/brainsci12010053[33]Li C, Peng S, Wang R, et al. Chemical exchange saturation transfer MR imaging of Parkinson's disease at 3 Tesla. Eur Radiol. 2014;24(10):2631-2639. doi:10.1007/s00330-014-3241-7.[34]Zhou J, Zaiss M, Knutsson L, et al. Review and consensus recommendations on clinical APT-weighted imaging approaches at 3T: Application to brain tumors. Magn Reson Med. 2022;88(2):546-574. doi:10.1002/mrm.29241[35]Cember ATJ, Nanga RPR, Reddy R. Glutamate-weighted CEST (gluCEST) imaging for mapping neurometabolism: An update on the state of the art and emerging findings from in vivo applications [published online ahead of print, 2022 May 31]. NMR Biomed. 2022;e4780. doi:10.1002/nbm.4780[36]郭子玄,朱西琪.酰胺质子转移成像应用的研究进展[J].医学影像学杂志.2021,(10):1789-1792.Guo Zixuan, Zhu Xiqi. Advances in the application of amide proton transfer imaging [J]. Journal of Medical Imaging, 2021,(10):1789-1792[37]Wu Y, Li H, Pei C , et al. Discrimination between progressive penumbra and benign oligemia of the diffusion-perfusion mismatch region by amide proton transfer-weighted imaging. Magn Reson Imaging. 2023 Jun;99:123-129. doi: 10.1016/j.mri.2023.02.006. Epub 2023 Feb 21. PMID: 36822450.[38]Heo HY, Tee YK, Harston G , et al. Amide proton transfer imaging in stroke [published online ahead of print, 2022 Mar 23]. NMR Biomed. 2022;e4734. doi:10.1002/nbm.4734[39]Wang.HJ,Cai.Q,Huang.YP,etal.Amide Proton Transfer-weighted MRI in Predicting Histologic Grade of Bladder Cancer [publishedcorrection appears in Radiology. 2022 Oct;305(1):E59]. Radiology. 2022;305(1):127-134. doi:10.1148/radiol.211804[40]Guo Z, Qin X, Mu R, et al. Amide Proton Transfer Could Provide More Accurate Lesion Characterization in the Transition Zone of the Prostate.J.Magn.Reson.Imaging.2022;56(5):1311-1319.doi:10.1002/jmri.28204[41]ZhaoZ,ZhangX,ZhangX,etal.Amide.Proton.Transfer-Weighted.Imaging.Detects.Hippocampal.Proteostasis.Disturbance Induced by Sleep Deprivation at 7.0 T MRI. ACS Chem Neurosci. 2022;13(24):3597-3607. doi:10.1021/acschemneuro.2c00494




DOI: http://dx.doi.org/10.12361/2661-3603-05-13-134112

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