Michael Breckwoldt1, Julia Bode2, Felix Kurz1, Angelika Hoffmann1, Martin Ott2, Katrin Deumelandt2, Gergely Solecki2, Sara Chiblak2, Amir Abdollahi2, Frank Winkler2, Michael Platten2, Sabine Heiland1, Martin Bendszus1, and Björn Tews2
1Neuroradiology, University of Heidelberg, Heidelberg, Germany, 2German Cancer Research Center, Heidelberg, Germany
Synopsis
Gliomas are malignant
brain tumors that depend on neoangiogenesis. Novel imaging methods are required
to assess vascularization status, treatment effects and disease progression. We
developed a combined MR and optical vascularization “tool kit” to study
neoangiogenesis in mouse glioma models. We use T2* post contrast imaging (iron
oxide nanoparticle or Gd-based) of vascular susceptibility signals and innovative
ultramicroscopy (UM) of cleared brains. T2* imaging identifies single arterioles
and venules in glioma development. Correlated UM of fluorescently labeled microvessels
shows typical features of pathological vessels (increased caliber, density and tortuousness). Thus, MR-UM facilitates
the preclinical search for more effective antiangiogenic agents.Purpose: Glioma are highly malignant brain tumors that
exhibit strong angiogenesis (Ref. 1,2). Hence neoangiogenesis has become a main
treatment target. This requires imaging methods to assess vascularization
status, treatment effects and disease progression. However until now mapping
tumor vascularization has been difficult. We have developed a combined magnetic
resonance and optical vascularization “tool kit” (MR-UM) to study
neoangiogenesis in mouse glioma models. We use in vivo magnetic resonance (MR) imaging and correlative
ultramicroscopy (UM, Ref.3) of ex vivo
cleared whole brains to track neovascularization at single vessel resolution.
Methods: 105 Gl-261 glioma cells were
implanted intracranially in black6 WT mice. Longitudinal in vivo magnetic resonance
imaging (experimental 9.4 Tesla) was performed pre and post contrast using high
resolution T2* sequences (80µm isotropic resolution). USPIO (CLIO-FITC) or
conventional Gd contrast agents (0.2 mmol/kg gadovist©) were used. Dynamic
contrast enhanced imaging was performed to evaluate permeability. Correlative
ultramicroscopy using selective plane illumination microscopy (SPIM) of ex vivo cleared whole brains (3DISCO,
Ref. 4) was performed to validate MR imaging. For optical detection of the
microvasculature lectin-FITC or lectin-texas red (0.12 mg/kg) that bind to
endothelial glyocoproteins were administered iv. VEGF inhibition (10mg/kg) was
done to assess treatment responses by MR-UM.
Results: T2* MR imaging allows the
identification of single sprouting vessels in glioma development and the
quantification of neovessels over time (weeks 2-4 post tumor implantation). First
tubular neovessels can be delineated two weeks after tumor inoculation. After
contrast administration single tubular hypointense neovessels run both in the
center and in the periphery of the developing glioma. Within one week and
following the angiogenic switch the entire tumor core is filled with
hypointense neovessels (~3.9 fold increase of neovessels from week 2 to 3). Using
a variety of innovative MR sequences morphological (T2*) and functional aspects
(vessel permeability, DCE) of angiogenesis are assessed. Vascular endothelial
growth factor (VEGF) inhibition leads to partial vascular normalization with
decreased permeability and vessel density (Fig. 1). Resolution of MRI is however
limited to the higher µm range. To further resolve the tumor microvasculature
we performed correlated UM of fluorescently labeled microvessels in 3DISCO
cleared whole brains. UM resolved typical features of abnormal tumor vessel
morphology such as increased caliber, density and tortuousness with a spatial resolution of ~5
µm (Fig. 1).
Conclusions: UM serves as a complimentary imaging
technique that in combination with dedicated MR sequences (MR-UM) allows for
precise mapping and high-resolution quantification of tumor neoangiogenesis and
treatment responses. Detection of vessel signals at high field can be performed
by Gd or USPIO contrast agents.
Acknowledgements
We are grateful for the kind gift of the murine VEGF inhibitor (Roche, pRED
Innovation Center, Penzberg) and of USPIOs (Ralph Weissleder, Massachusetts
General Hospital, Harvard Medical School).References
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