Ketan B Ghaghada1, Saakshi Bhayana1, Igor Stupin1, Flavia Leao Barbosa1, Chandresh Patel1, Zbigniew Starosolski1, and Ananth Annapragada1
1Pediatric Radiology, Texas Children's Hospital, Houston, TX, United States
Synopsis
Heterogeneity
in tumor vasculature gives rise to variability in vascular permeability, one of
the consequences being non-uniform intra-tumoral uptake and distribution of nanoparticle-based
chemotherapeutics. An imaging agent that can assess tumor vascular
heterogeneity and monitor uptake and distribution of nanoparticles could be
useful for guiding and monitoring nanoparticle-based chemotherapy. In this
work, we demonstrate, in orthotopic mouse models of solid tumors, that a high
T1 relaxivity liposomal-gadolinium contrast agent (liposomal-Gd) enables MR
imaging of nanoparticle uptake and 3D intra-tumoral distribution at
clinically-relevant MR field strength.
Introduction
Nanoparticles
exhibit heterogeneous uptake and distribution in solid tumors. Non-invasive
imaging techniques that can monitor uptake and intra-tumoral distribution of
nanoparticles are of interest for personalized nano-medicine1. In this work, we
investigate a high T1 relaxivity liposomal-gadolinium contrast agent
(liposomal-Gd) for MR imaging of nanoparticle uptake and distribution in orthotopic
mouse models of solid tumors.Methods
In vivo studies were performed in two
orthotopic mouse models of pediatric neuroblastoma (NB)2. Human NB cell lines (NGP: a MYCN-amplified and SH-SY5Y: a MYCN non-amplified) were surgically
implanted beneath the renal capsule of nude mice. MR imaging was performed on a
small animal 1T permanent magnet. Tumor growth was monitored using T2-weighted
(T2w) fast-spin echo (FSE) imaging. Dynamic contrast-enhanced MRI was performed
using a T1-weighted gradient echo sequence (T1w-GRE). A high T1 relaxivity liposomal-Gd
contrast agent (0.1 mmol Gd/kg) was used as a surrogate for monitoring the
uptake and intratumoral distribution of nanoparticles3. Imaging was
performed pre-contrast and then at 1 hr, 24 hr and 48 hr post-contrast. Image analysis
was performed in pre-contrast and 48hr post-contrast images to assess spatial
variation in intratumoral signal intensity. Radial analysis of signal intensity
was performed to assess signal enhancement for core, intermediate and
peripheral region of the tumors. Animals were euthanized after completion of
imaging study and the tumors harvested for histological examination and fluorescence
microscopy analysis of intra-tumoral nanoparticle distribution.Results
Longitudinal
T2w-MRI enabled in vivo monitoring of
tumor development in the implanted kidney (Figure 1). As the tumors aged, a multi-lobular
growth was evident on T2w-FSE images. The long circulating property of
liposomal-Gd enabled dynamic interrogation of tumor vasculature (Figure 2). Early
phase imaging (1 hr post-contrast) enabled high-resolution visualization of
tumor vasculature since the liposomal-Gd is predominantly distributed in the
vascular compartment. Delayed-phase imaging (48 hr post-contrast) demonstrated
signal enhancement in the tumor due to extravasation and accumulation of
liposomes. The tumors exhibited high variability in the intra-tumoral signal
enhancement, suggesting a heterogeneous pattern of nanoparticle distribution in
the tumors. The signal enhancement was highest in the peripheral tumor region (268
± 144 a.u.), suggesting the presence of highly permeable blood vessels in the
expanding peripheral region. The intermediate region of the tumor core exhibited
moderate enhancement (177 ± 90 a.u.); the lowest signal enhancement was observed
in the core region (96 ± 56 a.u.) Fluorescence microscopy analysis of tumor
tissue demonstrated the well-known perivascular distribution of nanoparticles.Conclusions
A
high T1 relaxivity liposomal-Gd contrast agent enabled MR imaging of uptake and
intra-tumoral 3D distribution of nanoparticles in solid tumors at
clinically-relevant MR field strength. This methodology could allow for non-invasive
monitoring of tumor uptake of nano-chemotherapeutics.Acknowledgements
No acknowledgement found.References
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KB, Ravoori M, Gnanasabapathy D et al. New Dual Mode Gadolinium Nanoparticle
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