Department of Cancer Systems Imaging, U.T.-M.D. Anderson Cancer Center, 1400 Pressler St., Unit 1473, Houston, TX 77030, USA.
Department of Pediatric Radiology, Texas Children's Hospital, 6621 Fannin St., Houston, TX 77030, USA.
Sci Rep. 2016 Dec 22;6:38991. doi: 10.1038/srep38991.
The degree of tumor removal at surgery is a major factor in predicting outcome for ovarian cancer. A single multimodality agent that can be used with magnetic resonance (MR) for staging and pre-surgical planning, and with optical imaging to aid surgical removal of tumors, would present a new paradigm for ovarian cancer. We assessed whether a dual-mode, dual-Gadolinium (DM-Dual-Gd-ICG) contrast agent can be used to visualize ovarian tumors in the peritoneal cavity by multimodal MR and near infra-red imaging (NIR). Intraperitoneal ovarian tumors (Hey-A8 or OVCAR3) in mice enhanced on MR two days after intravenous DM-Dual Gd-ICG injection compared to controls (SNR, CNR, p < 0.05, n = 6). As seen on open abdomen and excised tumors views and confirmed by optical radiant efficiency measurement, Hey-A8 or OVCAR3 tumors from animals injected with DM-Dual Gd-ICG had increased fluorescence (p < 0.05, n = 6). This suggests clinical potential to localize ovarian tumors by MR for staging and surgical planning, and, by NIR at surgery for resection.
手术中肿瘤切除的程度是预测卵巢癌预后的一个主要因素。如果有一种单一的多模态药物,可以与磁共振(MR)联合用于分期和术前规划,并且可以与光学成像联合用于辅助肿瘤切除,这将为卵巢癌带来新的治疗模式。我们评估了一种双模、双钆(DM-Dual-Gd-ICG)造影剂是否可以通过多模态磁共振和近红外成像(NIR)来可视化腹腔内的卵巢肿瘤。与对照组相比,静脉注射 DM-Dual Gd-ICG 两天后,小鼠腹腔内的卵巢肿瘤(Hey-A8 或 OVCAR3)在 MR 上增强(SNR、CNR,p<0.05,n=6)。从注射 DM-Dual Gd-ICG 的动物的开腹和切除肿瘤视图中可以看出,并且通过光学辐射效率测量得到证实,来自注射 DM-Dual Gd-ICG 的动物的 Hey-A8 或 OVCAR3 肿瘤的荧光增强(p<0.05,n=6)。这表明该造影剂具有通过 MR 进行分期和手术规划,以及通过 NIR 在手术中进行切除定位的临床潜力。