利用氧增强电子顺磁共振成像(OE EPRI)评估肿瘤病理生理学对放疗反应的早期变化。

IF 3 4区 医学 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Molecular Imaging and Biology Pub Date : 2024-06-01 Epub Date: 2024-06-13 DOI:10.1007/s11307-024-01925-x
Tianzhe Li, Grace A Murley, Xiaofei Liang, Renee L Chin, Jorge de la Cerda, F William Schuler, Mark D Pagel
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引用次数: 0

摘要

目的:电子顺磁共振成像(EPRI)可对体内肿瘤模型中的氧分压(pO2)进行成像。我们试图开发氧气增强型(OE)电子顺磁共振成像(EPRI),测量呼吸 21%O2 (pO221%) 和 100%O2 (pO2100%) 气体时的肿瘤 pO2,以及呼吸气体之间 pO2 的差异(ΔpO2)。我们应用 OE EPRI 研究了两种胰腺癌肿瘤模型对放疗反应的早期肿瘤病理生理学变化:我们制定了一套方案,腹腔注射三苯甲基自由基造影剂 OX071,然后获取解剖磁共振图像以定位肿瘤。随后,我们利用 EPRI 测量的 OX071 的 T1 弛豫时间和 OX071 的 R1-pO2 校准,获得了两张 pO221% 和两张 pO2100% 图。我们研究了 4T1 体侧肿瘤模型,以评估 OE EPRI 的可重复性。然后,我们应用 OE EPRI 研究了接受 10 Gy 放射治疗的 COLO 357 和 Su.86.86 侧腹肿瘤模型:结果:呼吸 21%O2 或 100%O2 时,单个肿瘤的平均 pO2 在连续扫描之间的重复性为 ± 2.6 托,精确度为 9.6%。两种模型的肿瘤 pO221% 和 pO2100% 在放疗后都有所下降,但下降幅度不大或只有中等程度的下降,效应大小也不大。相比之下,ΔpO2 在放疗后出现了大幅、高度显著的下降,且效应大小较大。MANOVA和HF10缺氧分数的分析结果相似:结论:与其他成像方式相比,EPRI 可以非常精确地评估肿瘤 pO2。治疗前后 ΔpO2 的变化是衡量肿瘤病理生理学对放疗反应的早期变化的最佳参数。我们的研究将 OE EPRI 的 ΔpO2 确立为一个新参数,并确立了 OE EPRI 是一种有价值的分子成像新方法。
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Evaluations of an Early Change in Tumor Pathophysiology in Response to Radiotherapy with Oxygen Enhanced Electron Paramagnetic Resonance Imaging (OE EPRI).

Purpose: Electron Paramagnetic Resonance Imaging (EPRI) can image the partial pressure of oxygen (pO2) within in vivo tumor models. We sought to develop Oxygen Enhanced (OE) EPRI that measures tumor pO2 with breathing gases of 21% O2 (pO221%) and 100% O2 (pO2100%), and the differences in pO2 between breathing gases (ΔpO2). We applied OE EPRI to study the early change in tumor pathophysiology in response to radiotherapy in two tumor models of pancreatic cancer.

Procedures: We developed a protocol that intraperitoneally administered OX071, a trityl radical contrast agent, and then acquired anatomical MR images to localize the tumor. Subsequently, we acquired two pO221% and two pO2100% maps using the T1 relaxation time of OX071 measured with EPRI and a R1-pO2 calibration of OX071. We studied 4T1 flank tumor model to evaluate the repeatability of OE EPRI. We then applied OE EPRI to study COLO 357 and Su.86.86 flank tumor models treated with 10 Gy radiotherapy.

Results: The repeatability of mean pO2 for individual tumors was ± 2.6 Torr between successive scans when breathing 21% O2 or 100% O2, representing a precision of 9.6%. Tumor pO221% and pO2100% decreased after radiotherapy for both models, although the decreases were not significant or only moderately significant, and the effect sizes were modest. For comparison, ΔpO2 showed a large, highly significant decrease after radiotherapy, and the effect size was large. MANOVA and analyses of the HF10 hypoxia fraction provided similar results.

Conclusions: EPRI can evaluate tumor pO2 with outstanding precision relative to other imaging modalities. The change in ΔpO2 before vs. after treatment was the best parameter for measuring the early change in tumor pathophysiology in response to radiotherapy. Our studies have established ΔpO2 from OE EPRI as a new parameter, and have established that OE EPRI is a valuable new methodology for molecular imaging.

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来源期刊
CiteScore
6.90
自引率
3.20%
发文量
95
审稿时长
3 months
期刊介绍: Molecular Imaging and Biology (MIB) invites original contributions (research articles, review articles, commentaries, etc.) on the utilization of molecular imaging (i.e., nuclear imaging, optical imaging, autoradiography and pathology, MRI, MPI, ultrasound imaging, radiomics/genomics etc.) to investigate questions related to biology and health. The objective of MIB is to provide a forum to the discovery of molecular mechanisms of disease through the use of imaging techniques. We aim to investigate the biological nature of disease in patients and establish new molecular imaging diagnostic and therapy procedures. Some areas that are covered are: Preclinical and clinical imaging of macromolecular targets (e.g., genes, receptors, enzymes) involved in significant biological processes. The design, characterization, and study of new molecular imaging probes and contrast agents for the functional interrogation of macromolecular targets. Development and evaluation of imaging systems including instrumentation, image reconstruction algorithms, image analysis, and display. Development of molecular assay approaches leading to quantification of the biological information obtained in molecular imaging. Study of in vivo animal models of disease for the development of new molecular diagnostics and therapeutics. Extension of in vitro and in vivo discoveries using disease models, into well designed clinical research investigations. Clinical molecular imaging involving clinical investigations, clinical trials and medical management or cost-effectiveness studies.
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