Department of Radiology, Weill Cornell Medicine, New York, NY, 10065, USA.
Department of Urology, University of Florida, Gainesville, FL, 32610, USA.
Sci Rep. 2020 Jan 24;10(1):1171. doi: 10.1038/s41598-020-58219-9.
The use of magnetic fluid hyperthermia (MFH) for cancer therapy has shown promise but lacks suitable methods for quantifying exogenous irons such as superparamagnetic iron oxide (SPIO) nanoparticles as a source of heat generation under an alternating magnetic field (AMF). Application of quantitative susceptibility mapping (QSM) technique to prediction of SPIO in preclinical models has been challenging due to a large variation of susceptibility values, chemical shift from tissue fat, and noisier data arising from the higher resolution required to visualize the anatomy of small animals. In this study, we developed a robust QSM for the SPIO ferumoxytol in live mice to examine its potential application in MFH for cancer therapy. We demonstrated that QSM was able to simultaneously detect high level ferumoxytol accumulation in the liver and low level localization near the periphery of tumors. Detection of ferumoxytol distribution in the body by QSM, however, required imaging prior to and post ferumoxytol injection to discriminate exogenous iron susceptibility from other endogenous sources. Intratumoral injection of ferumoxytol combined with AMF produced a ferumoxytol-dose dependent tumor killing. Histology of tumor sections corroborated QSM visualization of ferumoxytol distribution near the tumor periphery, and confirmed the spatial correlation of cell death with ferumoxytol distribution. Due to the dissipation of SPIOs from the injection site, quantitative mapping of SPIO distribution will aid in estimating a change in temperature in tissues, thereby maximizing MFH effects on tumors and minimizing side-effects by avoiding unwanted tissue heating.
磁流体热疗 (MFH) 在癌症治疗中的应用具有广阔的前景,但缺乏合适的方法来量化外源性铁,如超顺磁性氧化铁 (SPIO) 纳米颗粒作为交变磁场 (AMF) 下产生热量的来源。由于磁化率值的差异较大、来自组织脂肪的化学位移以及为了可视化小动物的解剖结构而需要更高的分辨率导致数据更嘈杂,因此应用定量磁化率映射 (QSM) 技术来预测临床前模型中的 SPIO 一直具有挑战性。在本研究中,我们开发了一种针对活体小鼠 SPIO -ferumoxytol 的稳健 QSM,以检验其在癌症治疗 MFH 中的潜在应用。我们证明了 QSM 能够同时检测肝脏中高水平的 ferumoxytol 积累和肿瘤周围低水平的定位。然而,通过 QSM 检测体内 ferumoxytol 的分布需要在注射 ferumoxytol 之前和之后进行成像,以区分外源性铁的磁化率与其他内源性来源。肿瘤内注射 ferumoxytol 联合 AMF 产生了 ferumoxytol 剂量依赖性的肿瘤杀伤作用。肿瘤切片的组织学证实了 QSM 可视化 ferumoxytol 在肿瘤周围的分布,并确认了细胞死亡与 ferumoxytol 分布的空间相关性。由于 SPIOs 从注射部位消散,因此 SPIO 分布的定量映射将有助于估计组织温度的变化,从而最大限度地提高 MFH 对肿瘤的影响,并通过避免不必要的组织加热来最小化副作用。
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