Source:http://linkedlifedata.com/resource/pubmed/id/20113293
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
1
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pubmed:dateCreated |
2010-2-1
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pubmed:abstractText |
We used magnetic resonance imaging (MRI) to compare the effect of iron chelation on liver, spleen and bone marrow. We examined 21 beta-thalassemic patients undergoing deferoxamine (DFO) (9/21) or combined therapy [DFO and deferiprone (L1), 12/21] with two abdominal MRI studies using T1-w/Pd-w/T2*-wGRE and T1-wTSE sequences. Changes in serum ferritin (DF%), and liver, spleen and marrow to paraspinous muscles signal intensity ratios (SI) in T1-wTSE sequence were calculated as D%=[(2(nd)value-1(st) value)/1(st) value] x100%. Negative DF% and positive D(SI)% indicated reduction of iron. Although 17/21 (80.9%) patients demonstrated reduction in ferritin, only 8/21 (38%), 7/21 (33.3%) and 7/21 (33.3%) patients had decreased liver, spleen and marrow iron. Patients undergoing combined therapy showed significantly greater reduction (Student's t-test, p < 0.05) or less increase (t-test, p <0.05) in iron stores. Combined therapy is more effective than DFO for removing and preventing liver, spleen and bone marrow iron accumulation in beta-thalassemic patients. Magnetic resonance imaging is valuable for organ-specific monitoring of chelation therapy.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical |
http://linkedlifedata.com/resource/pubmed/chemical/Deferoxamine,
http://linkedlifedata.com/resource/pubmed/chemical/Ferritins,
http://linkedlifedata.com/resource/pubmed/chemical/Iron,
http://linkedlifedata.com/resource/pubmed/chemical/Pyridones,
http://linkedlifedata.com/resource/pubmed/chemical/deferiprone
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pubmed:status |
MEDLINE
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pubmed:issn |
1532-432X
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pubmed:author | |
pubmed:issnType |
Electronic
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pubmed:volume |
34
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
95-106
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pubmed:meshHeading |
pubmed-meshheading:20113293-Bone Marrow,
pubmed-meshheading:20113293-Chelation Therapy,
pubmed-meshheading:20113293-Deferoxamine,
pubmed-meshheading:20113293-Drug Therapy, Combination,
pubmed-meshheading:20113293-Female,
pubmed-meshheading:20113293-Ferritins,
pubmed-meshheading:20113293-Humans,
pubmed-meshheading:20113293-Iron,
pubmed-meshheading:20113293-Liver,
pubmed-meshheading:20113293-Magnetic Resonance Imaging,
pubmed-meshheading:20113293-Male,
pubmed-meshheading:20113293-Prospective Studies,
pubmed-meshheading:20113293-Pyridones,
pubmed-meshheading:20113293-Spleen,
pubmed-meshheading:20113293-beta-Thalassemia
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pubmed:year |
2010
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pubmed:articleTitle |
Deferoxamine versus combined therapy for chelating liver, spleen and bone marrow iron in beta-thalassemic patients: a quantitative magnetic resonance imaging study.
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pubmed:affiliation |
Department of Radiology, University of Crete, Heraklion, Greece. drakonaki@yahoo.gr
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pubmed:publicationType |
Journal Article,
Clinical Trial,
Comparative Study
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