Dept. of Clinical Physiology, Nuclear Medicine & PET and Cluster for Molecular Imaging, Dept. of Biomedical Sciences, Rigshospitalet and University of Copenhagen, Copenhagen, Denmark.
Sci Rep. 2020 May 5;10(1):7595. doi: 10.1038/s41598-020-64617-w.
Nanoparticle-mediated photothermal cancer therapy (PTT) is a treatment which creates localized damage to tumors via nanoparticles that generate heat when irradiated with near infrared light. Substantial work has been dedicated to developing efficient heat-transducing nanoparticles that can be delivered systemically to the tumor. However, less attention has been given to clinically relevant assessment methods of treatment outcome that could be used for personalizing the therapy. Here, we compare F-FDG positron emission tomography combined with computed tomography (PET/CT) and diffusion-weighted imaging (DWI) for early evaluation and prognosis of PTT in tumor-bearing mice using silica-gold nanoshells (NS). The NS-treated mice experienced inhibited tumor growth and significantly prolonged survival compared to control mice. One day after PTT, PET/CT and DWI scans showed a decrease in tumor F-FDG uptake of ~90% and an increase of ~50% in apparent diffusion coefficient (ADC) values respectively, compared to baseline. No significant changes were observed for control groups. Additionally, the changes in F-FDG uptake and ADC values correlated significantly with survival, demonstrating that both methods can be used for early evaluation of PTT although F-FDG PET/CT showed the strongest prognostic value. Based on these results, both modalities should be considered for therapy monitoring of PTT when clinically translated.
纳米颗粒介导的光热癌症治疗(PTT)是一种通过纳米颗粒在近红外光照射下产生热量来对肿瘤造成局部损伤的治疗方法。大量的工作致力于开发高效的热转换纳米颗粒,可以通过系统途径递送到肿瘤部位。然而,对于可以用于个体化治疗的临床相关治疗效果评估方法的关注较少。在这里,我们使用二氧化硅-金纳米壳(NS)比较了 F-FDG 正电子发射断层扫描与计算机断层扫描(PET/CT)和弥散加权成像(DWI)在荷瘤小鼠 PTT 的早期评估和预后中的应用。与对照组相比,NS 治疗的小鼠经历了肿瘤生长的抑制和生存时间的显著延长。PTT 后 1 天,与基线相比,PET/CT 和 DWI 扫描分别显示肿瘤 F-FDG 摄取减少约 90%,表观扩散系数(ADC)值增加约 50%。对照组未观察到明显变化。此外,F-FDG 摄取和 ADC 值的变化与生存显著相关,表明两种方法都可用于 PTT 的早期评估,尽管 F-FDG PET/CT 显示出最强的预后价值。基于这些结果,当在临床上转化时,两种方式都应该被考虑用于 PTT 的治疗监测。
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