Landuyt W, Hermans R, Bosmans H, Sunaert S, Béatse E, Farina D, Meijerink M, Zhang H, Van Den Bogaert W, Lambin P, Marchal G
Laboratory of Experimental Radiobiology and Department of Radiotherapy/Oncology, KU Leuven, University Hospitals Leuven, 3000 Leuven, Belgium.
Eur Radiol. 2001;11(11):2332-40. doi: 10.1007/s003300100996.
The aim of this study was to evaluate the feasibility of functional MR imaging (fMRI) at 1.5 T, exploiting blood oxygenation level-dependent (BOLD) contrast, for detecting changes in whole-tumour oxygenation induced by carbogen (5% CO2+95% O2) inhalation of the host. Adult WAG/Rij rats with rhabdomyosarcomas growing subcutaneously in the lower flank were imaged when tumours reached sizes between 1 and 11 cm3 (n=12). Air and carbogen were alternatively supplied at 2 l/min using a snout mask. Imaging was done on a 1.5-T MR scanner using a T2*-weighted gradient-echo, echo-planar imaging (GE-EPI) sequence. Analysis of the whole-tumour EPI images was based on statistical parametric maps. Voxels with and without signal intensity changes (SIC) were recorded. Significance thresholds were set at p<0.05, corrected for multiple comparisons. In continuous air breathing condition, 3 of 12 tumours showed significant negative SIC and 1 tumour had a clear-cut positive SIC. The remaining tumours showed very little or no change. When switching to carbogen breathing, the SIC were significantly positive in 10 of 12 tumours. Negative SIC were present in 4 tumours, of which three were simultaneously characterised by positive SIC. The overall analysis indicated that 6 of the 12 tumours could be considered as strong positive responders to carbogen. Our research demonstrates the applicability of fMRI GE-EPI at 1.5 T to study whole-tumour oxygenation non-invasively. The observed negative SIC during air condition may reflect the presence of transient hypoxia during these measurements. Selection of tumours on the basis of their individual response to carbogen is possible, indicating a role of such non-invasive measurements for using tailor-made treatments.
本研究的目的是评估在1.5 T场强下利用血氧水平依赖(BOLD)对比的功能磁共振成像(fMRI)检测吸入卡波金(5%二氧化碳+95%氧气)引起的宿主全肿瘤氧合变化的可行性。当横纹肌肉瘤在成年WAG/Rij大鼠下腹部皮下生长至体积为1至11 cm³时(n = 12),对其进行成像。使用口鼻面罩以2 l/min的流速交替供应空气和卡波金。在1.5-T磁共振扫描仪上采用T2*加权梯度回波、回波平面成像(GE-EPI)序列进行成像。基于统计参数图对全肿瘤EPI图像进行分析。记录有和无信号强度变化(SIC)的体素。将显著性阈值设定为p<0.05,并针对多重比较进行校正。在持续空气呼吸条件下,12个肿瘤中有3个显示出显著的负向SIC,1个肿瘤有明确的正向SIC。其余肿瘤显示变化很小或无变化。当切换至卡波金呼吸时,12个肿瘤中有10个的SIC显著为正。4个肿瘤存在负向SIC,其中3个同时具有正向SIC特征。总体分析表明,12个肿瘤中有6个可被视为对卡波金的强阳性反应者。我们的研究证明了1.5 T场强下的fMRI GE-EPI可用于无创研究全肿瘤氧合。在空气条件下观察到的负向SIC可能反映了这些测量过程中短暂缺氧的存在。根据肿瘤对卡波金的个体反应进行选择是可行的,这表明这种无创测量在采用定制治疗方面具有作用。