Conny F. Waschkies1,2, Theresia F. Reding1, Gitta Maria Seleznik1, Udo Ungethuem1, and Rolf Graf1
1Division of Visceral and Transplantation Surgery, University Hospital Zurich, Zurich, Switzerland, 2Institute for Biomedical Engineering, ETH and University Zurich, Zurich, Switzerland
Synopsis
Few preclinical studies rely on MRI to monitor pancreatic tissue changes
in commensurate animal models, mostly due to inherently low conspicuity of the
rodent pancreas. Pancreatic inflammation is a risk factor for pancreatic ductal
adenocarcinoma development, and its initiation is linked to activating
mutations in KRAS oncogene, known as the KPC mouse model. In the present study we demonstrate the
potential of preclinical MRI to visualize the murine pancreas and its changes
associated with cellular transformations in this mouse model of pancreatic
carcinogenesis.Introduction
MRI has been appreciated in
the clinical assessment of various pancreatic diseases such as pancreatitis and
in the diagnosis of pancreatic cysts and tumors [1]. However, only few
preclinical studies rely on MRI to
assess and monitor pancreatic tissue changes in animal models [2], mostly due
to the inherently low conspicuity of the murine pancreas, it’s more amorphous
presentation and splayed out position within the retroperitoneum and abdominal
cavity. Pancreatic inflammation is a
risk factor for pancreatic ductal adenocarcinoma development in humans, and its
initiation is linked to activating mutations in KRAS oncogene
(p48+/Cre;Kras+/G12D, refered to as KC model here) with acinar cells undergoing
ductal reprogramming through premalignant pancreatic intraepithelial neoplastic
lesions, finally leading to tumor formation. Here we explore the potential of
preclinical in vivo MRI to visualize the murine pancreas and assess changes
associated with cellular transformations in this mouse model of pancreatic
carcinogenesis.
Methods
MR imaging was performed on a 4.7T/20 cm Bruker PharmaScan
unit equipped with transmit/receive a 40 mm bird-cage resonator. Motion-gated
T1-weighted FLASH sequences (TE/TR 5/410ms, FA 80°, NA 4, MTX 256x256) w/o fat
suppression and Magnetization Transfer prepulses (1.5 kHz offset, 0.4 kHz
bandwidth, 20, 40 and 60 uT pulse strength), and quantitative T2 images (MSME
sequence, PD and T2 weighted, TE/TR 15 resp. 75/426ms, NA 4) were acquired in
11 image slices at a spatial resolution of 117x117x700um3. Four wildtype and
two KC mice underwent two MRI examinations, without and with prior oral
contrast (10ml/kg paramagentic ion rich blueberry fruit juice administered by
oral gavage). During MRI mice were intubated, mechanically ventilated and
maintained under 1.8-2% isoflurane anesthesia in a 1:5 oxygen:air mixture.
Results and Discussion
High-resolution abdominal
images were obtained consistently from all animals. The pancreas was identified
and outlined anatomically by locating the head of the pancreas using the
posterior border of the stomach, spleen and kidney as anatomical landmarks and
tracing it through subsequent posterior slices (Fig. 1).
Contrast-enhancement with oral
contrast agent facilitated delineation of the pancreas by providing contrast to
surrounding intestinal structures. In the KC mice the pancreas was found to be
substantially enlarged and to extend laterally into the right side of the
animal (Fig. 2), confirmed by autopsy after the MRI examination. Furthermore,
KC pancreas presented as heterogenous in T2- and T1-weighted images, and such
heterogeneity in the pancreatic mass is consistent with histological findings
of acinar and ductal metaplasia in this animal model. Furthermore, conspicuous
globular foci of <200-700 um diameter were found in KC mice, suggestive of small
cystic masses or mucin-secreting lesions. However, quantitative analysis of MRI
tissue parameters such as T2, fat and macromolecular content were inconclusive
as yet, and need to be established with more animals.
Conclusion
Robust imaging methods have
been set up to visualize the murine pancreas on T1- and T2-weighted structural
images. Conspicuity of the pancreas from surrounding organs is critical, in
particular in the KC model, where the pancreas is pathologically enlarged and
hence needs to be tracked beyond typical anatomical landmarks suggesting the
use of target-specific contrast agents. Finally, more quantitative measures of
tissue transformation beyond anatomical presentation need yet to be established.
Acknowledgements
This project was funded by the Amelie Waring Foundation.References
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Wunder A, Moore A., Magnetic resonance imaging of the pancreas and pancreatic
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806-11.