Bruna Victorasso Jardim-Perassi1, Suning Huang1, William Dominguez-Viqueira1, Epifanio Ruiz1, Mikalai Budzevich1, Jan Poleszczuk2, Marilyn Bui3, Robert Gillies1, and Gary Martinez1
1Cancer Imaging and Metabolism, Moffitt Cancer Center, Tampa, FL, United States, 2Nalecz Institute of Biocybernetics and Biomedical Engineering, Warsaw, Poland, 3Pathology Anatomic, Moffitt Cancer Center, Tampa, FL, United States
Synopsis
Tumor heterogeneity, may give insight into natural selection through detection
of tumor sub-regions, referred as
imaging habitats. We used statistical clustering of multiple pixels based on
multiple MRI parameter maps to identify tumor habitats in pre-clinical models
of sarcoma and breast cancer using T2, T2*, ADC and three
model free parameter maps determined from dynamic contrast enhanced images.
MRI-derived habitat maps were determined by clustering multidimensional voxels
using a Gaussian mixture model. 3D-printed tumor molds were used to successfully co-register MR imaging slices with
their histological habitat-counterparts. Four
distinct tumor habitats were detected by MRI and biologically corroborated
by histology.
Introduction
Soft
tissue sarcomas are originated from mesenchymal tissues, showing subtypes with various cytogenetic profiles conferring treatment resistances1.
Breast cancer is the most common
among women and it shows distinct subtypes with prognostic
significance2. Solid
tumors are recognized by a microenvironment3 that provides selection
pressures, which drive natural selection, creating tumor sub-regions,
referred as “habitats”4,5. Thus, identifying tumor habitats in vivo may be a promising clinical
prognostic tool to assess therapeutic response; however, discerning the subtle
physiological and biophysical differences between regions is currently a
challenge. We used statistical clustering of multiple pixels based on multiple
MRI parameter maps to identify tumor habitats. A 3D-printed tumor mold was used
to co-register MR imaging slices with their histological counterparts.Methods
Patient-derived osteosarcoma was implanted in nude mice. For
breast cancer, a murine triple negative breast cancer cell line (4T1) was
implanted in MFP of Balb/c mice. Mice were imaged on a Biospec AV3HD 7-T
horizontal magnet (Bruker Biospin, Inc.) with nested 205/120/HDS gradient
insert and 310 mm bore, by using a 35 mm birdcage coil (Doty Scientific). Axial
T2-weighted images, T2* and T2 maps were obtained with TurboRARE sequence
(TR/TE=2000/70 ms, 11 slices, slice thickness of 1 mm, FOV=30 x 30 mm).
Diffusion-weighted images were acquired using b values 100, 500 and 750 s/mm
2
and TR/TE=700/15.7 ms. T1 weighted dynamic contrast enhanced (DCE) images were
acquired upon injection of 0.2 mmol/kg Gd-DTPA. MRI-derived habitat maps were
created by clustering multidimensional voxels, composed of six dimensional MRI
parameter maps, using Gaussian mixture model (GMM) and fit with an expectation
maximization algorithm in MATLAB. Tumors were segmented using T2-images and
exported as a 3D-surface to create a 3D-printed mold, which was oriented to
obtain 2-mm tissue slices aligned with the MRIs. Tumor slices were fixed and stained
with hematoxylin & eosin (H&E) and with CD-31 (vasculature), CA-IX and pimonizadole (hypoxia) by immunohistochemistry (IHC). An optimized 3D
alignment of MRI and histological slices was obtained using a custom MATLAB
code by the following process. Histological and IHC image segmentation were
digitized and analyzed using VisioPharm® software and then downsampled into
complex superpixels to match the resolution of MRI-derived maps. Histological
habitats were determined using information from H&E and IHC sections
together. In MATLAB, a rule set was applied to the multiple downsampled pixels
that correspond to each MRI pixel as follows: 1) pixels that were classified
according to the H&E sections as either viable or nonviable. 2) IHC
sections stained for pimonidazole or CA-IX were used to determine whether there were
enough stained subpixels (above a threshold of 15%) within each superpixel to
label it as hypoxic. Finally, an analogous rule was applied to CD31-stained
sections, and the superpixels that tested positive were deemed viable. The
final pixel classifications resulted in four different habitats: viable,
viable/hypoxic, hypoxic/nonviable, and nonviable.
Results & Discussion
We showed a novel analysis
of multiparametric MRI-data and co-registration with histology to assess
intratumoral heterogeneity by detecting tumor habitats in sarcoma and breast
cancer models. By using a 3D-printed tumor mold, we were able to successfully
align MRI and histological slices (Fig.
1). Four distinct tumor habitats were detected by clustering the MRI
parameter maps values simultaneous with the algorithm based on GMM (Fig. 2). Histological image
segmentation classified cells as viable or nonviable, based on cell morphology
observed in H&E and CD-31 staining. Hypoxic areas were identified on the viable or nonviable sub-regions (Fig. 3). Thus, the corresponding
histological slices were also segmented into four habitats, showing a similar
spatial distribution to MRI-derived habitat maps, although it was more evident
in breast cancer (Fig. 4) than
sarcoma (Fig 5). Sarcomas were less heterogeneous
in MRI, showing few to no nonviable areas in histology, while in breast
tumor the habitats were more delimited. Tumors were mostly composed of
nonviable cells in the core and viable cells in the edge, which corresponded to
areas with low and high enhancement in DCE, respectively (Fig 4). Hypoxia was observed mainly in peri-necrotic areas,
extending to the viable cell areas and these regions showed moderate
enhancement in DCE. Interestingly, the habitat in magenta could represent a
population of viable cells adapted to local hypoxic conditions (Fig 4).Conclusion
This methodology can potentially
detect distinctly different tumor habitats that are confirmed by histology. We
present a novel and efficient method for co-registration of MRI and histology,
and showed that multiple imaging sequences permit the quantification of the
spatial heterogeneity of physiologically distinct tumor habitats. This approach
could potentially be used as a non-invasive imaging method for monitor
intratumoral heterogeneity during the cancer therapy.Acknowledgements
This work has been supported by
a NIH grant awarded through the NCI (grant number 5R01CA187532).References
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