Department of Radiology, Lausanne University Hospital (CHUV) and University of Lausanne (UNIL), Lausanne, Switzerland.
Division of Angiology, Heart and Vessel Department, Lausanne University Hospital (CHUV), Lausanne, Switzerland.
Sci Rep. 2019 Nov 25;9(1):17488. doi: 10.1038/s41598-019-53905-9.
Fluorine-19 (F) magnetic resonance imaging (MRI) of injected perfluorocarbons (PFCs) can be used for the quantification and monitoring of inflammation in diseases such as atherosclerosis. To advance the translation of this technique to the clinical setting, we aimed to 1) demonstrate the feasibility of quantitative F MRI in small inflammation foci on a clinical scanner, and 2) to characterize the PFC-incorporating leukocyte populations and plaques. To this end, thirteen atherosclerotic apolipoprotein-E-knockout mice received 2 × 200 µL PFC, and were scanned on a 3 T clinical MR system. F MR signal was detected in the aortic arch and its branches in all mice, with a signal-to-noise ratio of 11.1 (interquartile range IQR = 9.5-13.1) and a PFC concentration of 1.15 mM (IQR = 0.79-1.28). Imaging flow cytometry was used on another ten animals and indicated that PFC-labeled leukocytes in the aortic arch and it branches were mainly dendritic cells, macrophages and neutrophils (ratio 9:1:1). Finally, immunohistochemistry analysis confirmed the presence of those cells in the plaques. We thus successfully used F MRI for the noninvasive quantification of PFC in atherosclerotic plaque in mice on a clinical scanner, demonstrating the feasibility of detecting very small inflammation foci at 3 T, and advancing the translation of F MRI to the human setting.
氟-19(F)磁共振成像(MRI)可用于注射全氟碳化合物(PFC)的定量和监测,如动脉粥样硬化等疾病的炎症。为了将这项技术推进到临床应用,我们的目标是:1)在临床扫描仪上证明定量 F MRI 在小炎症灶中的可行性,2)对含 PFC 的白细胞群体和斑块进行特征描述。为此,13 只动脉粥样硬化载脂蛋白 E 基因敲除小鼠接受了 2×200µL 的 PFC,在 3T 临床磁共振系统上进行扫描。所有小鼠的主动脉弓及其分支都检测到了 F MRI 信号,信噪比为 11.1(四分位距 IQR=9.5-13.1),PFC 浓度为 1.15mM(IQR=0.79-1.28)。在另外 10 只动物上进行的成像流式细胞术表明,主动脉弓及其分支中 PFC 标记的白细胞主要是树突状细胞、巨噬细胞和中性粒细胞(比例为 9:1:1)。最后,免疫组织化学分析证实了斑块中存在这些细胞。因此,我们成功地在临床扫描仪上使用 F MRI 对小鼠动脉粥样硬化斑块中的 PFC 进行了非侵入性定量,证明了在 3T 下检测非常小的炎症灶的可行性,并推进了 F MRI 在人类中的应用。