CHOOSING A TECHNOLOGY
 
 
ASSESSMENT OF TUMOR BURDEN

Traditional anti-cancer studies
Assessment of anti-cancer activity by caliper measurements of subcutaneous tumors remains the most often requested method for cancer drug evaluation at MIR Preclinical Services. These studies involve injecting an animal with a subcutaneous tumor and monitoring tumor progression in groups treated with compound versus that of control groups. However, this method is not applicable to most orthotopic or transgenic systems that are becoming increasingly popular. In addition, this method does not yield information about blood flow, vascularity, angiogenesis, tumor metabolism, edema and other factors that can be ascertained with non-invasive imaging.

 

T2 weighted MRI

ADVANTAGES LIMITATIONS
  • Rapid and relatively inexpensive. Does not require a contrast agent for image

  • Difficult to distinguish between edema and tumor tissue in certain orthotopic tumors

 

T1 weighted MRI

ADVANTAGES LIMITATIONS
  • Can be used with gadolinium based contrast agents to obtain increased contrast between different tissue types. For example, delineation of tumor and normal tissue or edema

  • Generally requires contrast agent injection which increases preparation times and adds complexity

 

Use of T1 and T2 weighted MRIs

ADVANTAGES LIMITATIONS
  • Can distinguish and quantify tumor and edema volume

  • Requires two separate images and contrast agent injection

 
Bioluminescence
ADVANTAGES LIMITATIONS
  • Detection and growth determination of orthotopic tumors and metastases possible

  • Assessment of viable fraction for characterization of cytostatic treatment effectiveness

  • High throughput imaging of multiple mice simultaneously in less than a minute

  • A luciferase expressing tumor cell line is required

  • Requires systemic luciferin injection

 
Fluorescence
ADVANTAGES LIMITATIONS
  • Tumor cell lines expressing a fluorescent label enable imaging of orthotopic tumors and metastases

  • Multiple fluorescent tags of differing inherent wavelengths may be used to assess tumor burden and other functional endpoints in a single study

  • High throughput imaging of multiple mice simultaneously in less than a minute
    Requires no substrate injection

  • High background fluorescence presents quantitation challenges

  • Requires a fluorescent labeled tumor cell line

 

Assessment of tumor burden in bone- µCT

ADVANTAGES

LIMITATIONS

  • Detection of bone metastases

  • Requires the use of a continuous intravenous contrast agent injection

 
ASSESSMENT OF METASTATIC BURDEN
µCT
ADVANTAGES LIMITATIONS
  • Detection and growth of bone metastases and osteolysis

  • Detection and growth of lung metastases

  • Absolute quantification of bone metastases burden may not be possible as CT allows visualization of osteolysis, but not actual tumor volume

  • Imaging of lung metastatic burden may require gating, which adds complexity and increases acquisition time

 

MRI

ADVANTAGES LIMITATIONS
  • Well suited toward detection and growth characterization of liver metastases due to natural T2 contrast between normal liver and tumor

  • Motion can degrade image slices in the vicinity of the heart and lungs

 

Bioluminescence

ADVANTAGES LIMITATIONS
  • Luciferase expressing tumor cell lines enable imaging of metastastic burden at multiple sites in the body simultaneously

  • High throughput imaging of multiple mice simultaneously in about a minute

  • Low resolution can make separation of metastases in close proximity difficult or impossible

  • The limitation of two dimensional resolution can make it difficult to characterize the exact tissue site of a tumor

  • Requires a luciferase expressing tumor cell line

  • Requires systemic injection of luciferin to activate light emission from the metastases

 

 

Fluorescence

ADVANTAGES LIMITATIONS
  • Tumor cell lines expressing a fluorescent label enable imaging of metastastic burden at multiple sites in the body simultaneously

  • Multiple fluorescent tags of differing inherent wavelengths may be used to assess tumor burden and other functional endpoints in a single study

  • High throughput imaging of multiple mice simultaneously in less than a minute

  • Requires no substrate injection

  • High background florescence may make it difficult to resolve metastases in certain sites

  • Low resolution can make separation of metastases in close proximity difficult or impossible

  • The limitation of two dimensional resolution can make it difficult to characterize the exact tissue site of a tumor

  • Requires a fluorescent labeled tumor cell line

 
PHARMACODYNAMICS
BIOLUMINESCENCE
ADVANTAGES LIMITATIONS
  • A large variety of assay formats are in common use

  • Sensitive and quantitative measure of pharmacodynamics possible with simultaneous efficacy readout

  • Not clinically translatable

  • Readout can become uncoupled from therapeutic response by confounding molecular interactions

  • Requires luciferin injection

 

Fluorescence

ADVANTAGES LIMITATIONS
  • Readily accepted and easy to perform in multiple assay formats

  • Sensitive and quantitative

  • Multiple readouts possible by use of multiple fluorescence labels of differing inherent wavelength

  • May be translatable to the clinical setting

  • Poor spatial resolution

  • Can be uncoupled from therapeutic response

 

PET

ADVANTAGES LIMITATIONS
  • Can be both highly sensitive and highly specific

  • Requires specialized chemistry to generate the appropriate radiolabeled molecule

   

Traditional Biochemical and Histochemical Methods

ADVANTAGES LIMITATIONS
  • Techniques are widely available and inexpensive

  • Commonly used and accepted methods

  • Preclinical samples are readily available

  • Typically requires sacrifice of animal preclinically

  • Difficult to procure adequate clinical samples

 
BLOOD FLOW, VASCULARITY AND ANGIOGENESIS

DCE (Dynamic Contrast Enhanced) MRI

ADVANTAGES LIMITATIONS
  • A clinically validated technique for quantification of tumor blood flow, permeability and vascular surface area

  • Possible to obtain relatively high resolution

  • Requires an intravenously injected contrast agent, with accurate control over bolus injection rate, animal anesthesia level and body temperature

 
Susceptibility Contrast Enhanced MRI
ADVANTAGES LIMITATIONS
  • Enables quantitative readout of tumor and normal tissue blood volume

  • Requires injection of an iron-oxide contrast agent

 
Arterial Spin Labeling
ADVANTAGES LIMITATIONS
  • Does not require contrast agents for image

  • Provides absolute readout of blood flow

  • Not as sensitive as other methods that use contrast agents such as PET, DCE and CT

  • Requires a well defined and localized tumor arterial supply. i.e. currently suited for use in orthotopic brain tumors or subcutaneous tumors implanted on the extremities

  • Difficult to obtain full 3-dimensional characterization of the tumor

 

µCT

ADVANTAGES LIMITATIONS
  • Can obtain three-dimensional images of vascular structure at up to 50 micron resolution

  • Requires the use of a continuous intravenous contrast agent injection

 

µPET

ADVANTAGES LIMITATIONS
  • Sensitive to small changes in perfusion and blood flow

  • Requires the use of an injected radio labeled agent.

  • Relatively poor spatial resolution

 
ASSESSENT OF TUMOR NECROSIS AND APOPTOSIS
Diffusion MRI
ADVANTAGES LIMITATIONS
  • Diffusion MRI for ADC determination provides a sensitive measure of tumor apoptosis, necrosis and cell kill

  • High spatial resolution

  • Enables early indication of efficacy

  • Completely non-invasive

  • Clinically translatable and has been clinically validated (click here for related publication)

  • Can characterize differences in efficacy between highly efficacious agents

  • Can characterize differences in efficacy due to dose schedule or combination therapies

  • Is difficult to perform successfully in regions of the body with a lot of motion (eg. chest)

  • Requires acquisition of at least 3 images with differing diffusion gradient strengths to quantify apparent diffusion coefficient (ADC)

 
BIOLUMINESCENCE
ADVANTAGES LIMITATIONS
  • An MIR proprietary Caspase 3 assay enables direct characterization of tumor apoptosis (click here for related publication)

  • High throughput imaging of multiple mice simultaneously in less than a minute

  • Enables early indication of efficacy

  • Requires systemic luciferin injection

  • Low spatial resolution

  • Not clinically translatable

 
 
QUANTIFICATION OF EDEMA

Use of T1 and T2 weighted MRIs

ADVANTAGES LIMITATIONS
  • Can distinguish and quantify tumor and edema volume

  • Requires two separate images and contrast agent injection

 
METABOLIC IMAGING

µPET

ADVANTAGES LIMITATIONS
  • Quantitative metabolic imaging of 18F- Fluorodeoxyglucose and other positron emitting compounds for tumor detection, assessment of metabolism, tissue perfusion, receptor binding and other applications

  • Well accepted translational modality

  • Relatively low spatial resolution, requires injection of radiolabeled material

  • Short lived isotopes may limit experimental design

 

Spectroscopic MRI

ADVANTAGES LIMITATIONS
  • Quantitative and spatially resolved assessment of a variety of metabolites, including ATP, Phosphocreatine, choline, N-acetyl-aspartate and lactate

  • Generally requires a compromise between spacial resolution and sensitivity

  • Generally low throughput

 
VISUALIZING MICRO-STRUCTURE

µCT

ADVANTAGES LIMITATIONS
  • High spatial resolution for anatomical imaging of ex-vivo tissue

  • In vivo assessment of soft tissue and skeletal microstructure

  • Acquisition of isotropic 3-dimensional data allows sophisticated data analysis such as 3D surface and volume rendering

  • For in vivo subjects, exposure to ionizing radiation can limit the frequency of repeated scans

  • Use of CT contrast agents may be necessary in order to obtain soft tissue image contrast

 

MRI

ADVANTAGES LIMITATIONS
  • Flexibility with choice of contrast (T1, T2, T2*, T1-rho, diffusion, etc.)

  • Completely non-invasive

  • Acquisition of 3-dimensional data allows sophisticated data analysis such as 3D surface and volume rendering

  • Typically lower resolution for in vivo imaging

  • Relatively long image times required for high resolution ex vivo imaging

 
PHENOTYPING OF TRANSGENIC ANIMALS

µCT

ADVANTAGES LIMITATIONS
  • High resolution three dimensional in-vivo anatomical imaging

  • Especially useful for skeletal imaging

  • assessment of body composition (eg. fat content)

  • Acquisition of 3-dimensional data allows sophisticated data analysis such as 3D surface and volume rendering

  • Exposure to ionizing radiation can limit the frequency of repeated scans

 

MRI

ADVANTAGES LIMITATIONS
  • High flexibility with choice of tissue contrast (T1, T2, T2*, T1-rho,
    diffusion etc.)

  • Completely non-invasive

  • Can be relatively high throughput, depending on the required readout (5 minutes per animal possible)

  • Acquisition of 3-dimensional data allows sophisticated data analysis such as 3D surface and volume rendering

  • Relatively long image times required for highest resolution 3-dimensional scanning

 
SMALL MOLECULE DETECTION/SPECTROSCOPIC IMAGING

MRI

ADVANTAGES LIMITATIONS
  • In vivo localized spectroscopy of 2D and 3D voxel arrays for chemical shift analysis (CSA) allows non-invasive quantification of small molecule tissue concentration

  • Relatively low throughput

  • Relatively low sensitivity, requires micro-molar concentrations

  • Can be difficult or impossible due to high background of the detected molecules

 

PET

ADVANTAGES LIMITATIONS
  • Can be both highly sensitive and highly specific

  • Requires specialized chemistry to generate the appropriate radiolabeled molecule

 
DRUG INDUCED CHANGES IN PHYSIOLOGY

MRI

 
ADVANTAGES LIMITATIONS
  • Flexibility with choice of contrast (T1, T2, T2*, T1-rho, diffusion, etc.)

  • Completely non-invasive

  • Physiological measures may not probe target modulation or molecular level events

   

Traditional Biochemical and Histological Methods

ADVANTAGES LIMITATIONS
  • MIR can prepare tissue samples from treated animals for analysis in client laboratories. Fixed tissues, frozen tumor slices, and snap frozen tumor powders are suitable for a variety of conventional analytical techniques including immunohistochemistry, western blots, and RNA expression profiling

  • MIR can apply the above techniques to your samples

  • Animals have to be sacrificed in order to obtain samples for analysis

  • For multiple time points within a study, large cohorts of animals have to be used because the procedure is invasive

     
       
 
800 Technology Drive• Ann Arbor, Michigan 48108
Phone : 734.821.1063 Fax:734.821.1066
   
updated:  4/7/08