Magnetic Resonance Imaging of the Pancreas in a Transgenic Mouse Model of Pancreatic Carcinogenesis
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

[1] Miller FH, Keppke AL, Dalal K, Ly JN, Kamler VA, Sica GT, MRI of pancreatitis and its complications: part1, acute pancreatitis, AJR Am J Roentgenol. 2004, 183(6): 1637-44.

[2] Grimm J, Potthast A, Wunder A, Moore A., Magnetic resonance imaging of the pancreas and pancreatic tumors in a mouse orthotopic model of human cancer , Int J Cancer 2003, 106(5): 806-11.

Figures

Fig. 1: Wildtype mouse: Sample images containing pancreas (arrow). L Liver, S spleen, St stomach.

Fig. 2: KC mouse: T2- and T1-weighted images of a KC pancreas. Circle marks heterogenous presentation of the KC pancreas and its expansion into the contralateral side of the animal. Arrowhead indicates distinct small cystic masses or mucin-secreting lesions. MR images acquired with intestinal (middle) and i.v. (right) contrast-enhancement.



Proc. Intl. Soc. Mag. Reson. Med. 24 (2016)
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