Gilberto S Almeida1, Rafal Panek1,2, Albert Hallsworth3, Hannah Webber3, Efthymia Papaevangelou1, Jessica KR Boult1, Yann Jamin1, Louis Chesler3, and Simon P Robinson1
1Radiotherapy and Imaging, The Institute of Cancer Research, London, United Kingdom, 2The Institute of Cancer Research/ Royal Marsden NHS Foundation Trust, London, United Kingdom, 3Cancer Therapeutics and Clinical Studies, The Institute of Cancer Research, London, United Kingdom
Synopsis
The use of clinical
MRI scanners to conduct preclinical research facilitates a more direct or
matched comparison with clinical studies. The increased use of orthotopic and transgenic
mouse tumour models in cancer research demands non-invasive methods to accurately
assess their progression and treatment response in vivo. The purpose of this study was to evaluate the utility and sensitivity
of anatomical and functional MRI data/biomarkers acquired from transgenic mouse
models of neuroblastoma using a non-bespoke asymmetric high resolution RF coil
on a clinical 3T scanner.Introduction
The use of clinical MRI scanners to conduct preclinical
research facilitates a more direct or matched comparison with clinical studies,
and provides evidence supporting clinical relevance of functional MRI
data/biomarkers (1). Most clinical scanners operate between
1.5 and 3T, and thus have lower SNR than preclinical systems, with reduced
image quality if conventional clinical imaging coils are used. One approach for
increasing SNR is to use small, dedicated receiver coils designed to fit
closely to the object of interest, giving a better coupling between the object
and coil, an increase in signal and consequently improved image quality.
Orthotopically propagated xenografts and transgenic
mouse models of cancer, which more closely emulate clinical disease, are increasingly
being used in preclinical research. Such models demand non-invasive methods to longitudinally
and accurately assess the progression and in
vivo treatment response of tumours that typically arise within deep-seated
anatomical locations (2).
The purpose of this study was to evaluate the utility
and sensitivity of anatomical and functional MRI parameters acquired from
transgenic mouse models of neuroblastoma using a non-bespoke asymmetric high
resolution RF coil on a clinical 3T scanner, and to cross-reference to previously
published multiparametric data, with a particular focus on native T1
and R2*, acquired from the same transgenic models of neuroblastoma
on a dedicated preclinical 7T system (3, 4).
Methods
Tumours spontaneously
arising within genetically modified mouse models of high-risk neuroblastoma,
including Th-
ALKF1174L/Th-
MYCN amplified tumours harbouring the
ALKF1174L mutation (5), and Th-
MYCN amplified tumours (6), were imaged on
a Philips 3T Achieva scanner using a dedicated asymmetric high resolution
3-channel/3-animal RF coil (“Mouse Hotel”, Philips), enabling simultaneous data
acquisition from up to three mice. The acquisition parameters used to quantify
tumour volume and native T
1 and R
2* are shown in Table 1.
Transgenic mice were imaged at both 3 and 7T within 24 hours for comparison of tumour
volume determination. To assess treatment response, transgenic mice were imaged
at 3T prior to and 24 hours post-treatment with either saline or 25mg/kg
cyclophosphamide (CPM). Tumour volume was determined using OsiriX, and T
1
and R
2* quantified using in-house software (7, 8). Statistical
significance was identified using Student’s 2-tailed t-tests with a 5% level of
significance.
Results
Figure 1 shows T
2-weighted
images of three mice acquired simultaneously at 3T. No significant difference
was found between volumetric measurements acquired at 3T and 7T (819±153mm
3
@ 3T versus 889±191mm
3 @ 7T; p=0.26) and were significantly
correlated (R
2=0.96; p<0.0001) (Figure 2). There was no
significant difference in native T
1 between the Th-
ALKF1174L/Th-
MYCN and the Th-
MYCN mice (1.15±0.12s and 1.1±0.07s; p=0.58). However, R
2*
was significantly slower in tumours in the Th-
ALKF1174L/Th-
MYCN
mice when compared to the Th-
MYCN
cohort (27.7±3s
-1 and 49.7±4s
-1; p=0.0007) (Figure 3). Treatment
with CPM elicited a significant (p=0.0015) decrease in tumour burden, measured
at 3T, after 24 hours. This was associated with a significant decrease in native T
1 (p=0.0085). There was no significant
change in R
2* 24 hours after treatment (Figure 4).
Discussion
Use of the asymmetric high resolution
3-channel/3-animal RF coil on a clinical 3T platform yielded good quality T2-weighted
images of up to three mice simultaneously, with sufficient resolution to
accurately define and quantify the volume of neuroblastomas arising within the
abdomen of transgenic mice. Furthermore this approach could also be used for
whole mouse body imaging for the detection of distant metastasis.
The coil arrangement also has sufficient sensitivity
to acquire and quantify native tumour T1 and R2* in the
transgenic mice. The significantly
slower R2* associated with the ALKF1174L
mutated neuroblastomas is wholly consistent with their impaired functional vascular
phenotype relative to that in the Th-MYCN
mice, previously established using intrinsic susceptibility MRI at 7T (3). Similarly,
the significant reduction in native tumour T1 following successful
treatment with CPM, the current standard of care for children with
neuroblastoma, is in agreement with similar intervention data acquired at 7T
(4).
There are several methodological/logistic
limitations of pursuing animal work on a clinical system in this way. Reliable
and repeatable shimming over a small volume of interest poses a challenge.
Furthermore, significant effort has to be made to minimise risk of
cross-contamination, and the limited access to clinical scanners during normal
hospital operating hours should be recognised.
Conclusion
Anatomical and multiparametric
imaging data acquired on a clinical 3T system with the asymmetric high
resolution 3-channel/3-animal RF coil can be reliably used for preclinical studies
utilising more complex orthotopic and transgenic mouse models of cancer. Simultaneous
data acquisition in up to three animals can significantly reduce overall
scanning times, and enhance throughput for imaging-embedded preclinical trials
of novel therapeutics.
Acknowledgements
Supported
by Cancer Research UK (grant #C1060/A10334), EPSRC (grant #EP/H046526/1), The
Wellcome Trust (grant #091763Z/10/Z) and Children with Cancer UK.References
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