T1
and T2 weighted MRI provides image
contrast which can be used for visualizing anatomy and
distinguishing tissues and organs. T2 weighting
generally provides sufficient contrast to highlight
tumors, however, it provides very little distinction
between localized edema and solid tumor. T1
weighting is usually used in the presence of a contrast
agent, which will tend to accumulate in tumors due to
their generally leaky and chaotic vasculature. The T2
weighted image following orthotopic glioma growth, shown
below to the left, demonstrates the utility of preclinical
MRI. From the image data, we can determine log cell
kill and other tumor growth parameters after treatment
by calculating the pre- and post-treatment tumor doubling
time (Td). B.D. Ross, et.al. Proc. Natl. Acad. Sci.
USA 95: 7012-7017 (1998).
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FOLLOWING
GROWTH AND THERAPY OF INTRACRANIAL 9L TUMORS |
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Traditional
non-imaging methods have relied on animal survival,
CFE (colony-forming efficiency assays of cells disaggregated
from solid tumors) and excised tumor weights in
determination of cell kill/efficacy in orthotopic
models of glioma. This study showed that MRI-determined
log kill may be more accurate. In addition, fewer
animals are needed because animals do not have to
be sacrificed at each time point.
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MONITORING JOINT INFLAMMATION IN A RAT MODEL OF ARTHRITIS |
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Preclinical MRI in the rat streptococcal cell wall (SCW) model of rheumatoid arthritis (RA) during the acute phase of the disease. Four contiguous slices are shown through approximately the same anatomical region for a control ankle and an arthritic ankle.
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| CONTRAST
ENHANCED IMAGING |
The
use of various intravenous contrast agents provides
additional image contrast over pure T1-
or T2 weighting. This additional contrast
may assist in distinguishing cancerous lesions from
normal tissues and highlights differences in the
vasculature of normal tissue and tumors. MIR Preclinical
Services has extensive experience utilizing all
types of commercially available MRI contrast agents
as well as experimental contrast agents for preclinical
MRI.
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| QUANTIFICATION
OF EDEMA |
Comparison
of contrast enhanced T1
and T2 weighted preclinical MRI images
allows delineation of tumor and edema. This can
be used to measure changes in each over time.
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Example
Slice 1 |
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T2-weighted shows
both tumor and edema |
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T1-weighted
gadolinium contrast shows tumor only |
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| DIFFUSION
MRI |
In
preclinical oncology assessments, diffusion MRI
is a reliable surrogate marker for therapeutic
efficacy and directly translatable to clinical
trials. The diffusion of water, as assessed by
quantitative diffusion MRI, is highly sensitive
to tissue structure at the cellular and subcellular
level. Studies of human and animal tumors have
demonstrated strong diffusion differences between
solid tumors relative to necrotic and cystic regions.
This consistent observation provides the rationale
for using diffusion as a monitor of cellular changes
following anti-cancer therapies. [TL Chenevert,
et al., Clinical Cancer Research, vol.3, 1457-1466
(1997)].
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| DIFFUSION
HYPOTHESIS |
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Diffusion
MRI measures a parameter called the apparent
diffusion coefficient (ADC), which is a sensitive
measure of changes in tumor cellularity.
In
the normal brain, where cellularity hinders
the diffusion of water, the ADC is relatively
lower than that in CSF, where water is less
restrictive and the ADC is close to that of
free water. In an intact tumor, high cellularity
restricts extracellular space and cell membranes
act as boundaries which restrict water diffusion.
An effective therapy causes tumor cellularity
to decrease and cell membranes are compromised.
Increased extracellular space leads to an increase
in water diffusion and an increase in ADC.
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Diffusion
MRI provides an isotropic functional diffusion
map (FDM), in which each image pixel represents
the spacially localized ADC.
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Segmentation
and analysis of the FDMs reveal ADC changes
due to drug induced changes in tumor cellularity.
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Preclinical
MRI imaging assessment of therapy response
is translatable to the clinical setting.
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APPLICATION
OF DIFFUSION MRI TO CANCER THERAPY |
Application
of diffusion MRI to efficacy determination in
a rat 9L glioma model
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At each time point following
treatment at day zero, we acquire an ADC map.
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Treatment efficacy is determined by a right-shift
in the ADC histogram.
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In treated animals an increase in ADC was
observed before a reduction in tumor volume
was detectable.
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ADC for control animals does not change.
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Chenevert,
Stegman, Taylor, Robertson, Greenberg, Rehemtulla,
Ross, J. Natl. Cancer Inst. 90: 2029-2036 (2000)
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| DYNAMIC
CONTRAST-ENHANCED (DCE) MRI |
DCE
preclinical MRI is a clinically proven method
for the quantification of the effect of anti-angiogenic
or vascular targeted therapies. DCE utilizes the
imaging of gadolinium uptake into the interstitial
space for the quantification of vascular permeability,
vascular surface area and blood flow. This quantitative
technology can be applied to both clinical and
preclinical studies. To the right is a color overlay
showing the permeability of tissues based on the
uptake of contrast agent. Below are 2 figures
that quantify permeability/blood flow of contrast
agent for a particular region of interest (ROI)
within the tumor. |
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| ARTERIAL
SPIN LABELING (ASL) MRI |

Color
Overlay of Blood Flow
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This
figure shows the growth of 9L tumor cells implanted
into the brain of a rat. VEGF (vascular endothelial
growth factor) was over-expressed in one group
of tumors. The figure shows a corresponding transition
from blue to red, indicating increased blood flow
within the tumor.
This
is a non-invasive method that does not use contrast
agents, but is merely a manipulation of the proton
spin of water molecules within the vasculature. |
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