The Second Clinical Medical College, Jinan University, Shenzhen, Guangdong, 518020, China.
Department of Radiology, Shenzhen People's Hospital (The Second Clinical Medical College, Jinan University; The First Affiliated Hospital, Southern University of Science and Technology), Shenzhen, 518020, Guangdong, China.
J Nanobiotechnology. 2022 Jun 16;20(1):284. doi: 10.1186/s12951-022-01479-6.
Glioblastoma (GBM) as the most common primary malignant brain tumor exhibits a high incidence and degree of malignancy as well as poor prognosis. Due to the existence of formidable blood-brain barrier (BBB) and the aggressive growth and infiltrating nature of GBM, timely diagnosis and treatment of GBM is still very challenging. Among different imaging modalities, magnetic resonance imaging (MRI) with merits including high soft tissue resolution, non-invasiveness and non-limited penetration depth has become the preferred tool for GBM diagnosis. Furthermore, multimodal imaging with combination of MRI and other imaging modalities would not only synergistically integrate the pros, but also overcome the certain limitation in each imaging modality, offering more accurate morphological and pathophysiological information of brain tumors. Since contrast agents contribute to amplify imaging signal output for unambiguous pin-pointing of tumors, tremendous efforts have been devoted to advances of contrast agents for MRI and multimodal imaging. Herein, we put special focus on summary of the most recent advances of not only MRI contrast agents including iron oxide-, manganese (Mn)-, gadolinium (Gd)-, F- and copper (Cu)-incorporated nanoplatforms for GBM imaging, but also dual-modal or triple-modal nanoprobes. Furthermore, potential obstacles and perspectives for future research and clinical translation of these contrast agents are discussed. We hope this review provides insights for scientists and students with interest in this area.
胶质母细胞瘤(GBM)作为最常见的原发性恶性脑肿瘤,具有发病率和恶性程度高以及预后差的特点。由于存在强大的血脑屏障(BBB)以及 GBM 的侵袭性生长和浸润特性,GBM 的及时诊断和治疗仍然极具挑战性。在不同的成像方式中,磁共振成像(MRI)具有软组织分辨率高、非侵入性和不受穿透深度限制等优点,已成为 GBM 诊断的首选工具。此外,将 MRI 与其他成像方式相结合的多模态成像不仅可以协同整合各自的优势,还可以克服每种成像方式的某些局限性,提供更准确的脑肿瘤形态和病理生理学信息。由于造影剂有助于放大成像信号输出,从而明确指出肿瘤的位置,因此人们投入了大量的精力来开发 MRI 和多模态成像用造影剂。在此,我们特别关注了最近在用于 GBM 成像的 MRI 造影剂(包括氧化铁、锰(Mn)、钆(Gd)、氟(F)和铜(Cu)纳米平台)以及双模态或三模态纳米探针方面的最新进展的总结。此外,还讨论了这些造影剂未来研究和临床转化的潜在障碍和前景。我们希望这篇综述能为对此领域感兴趣的科学家和学生提供一些见解。