Abstract | PURPOSE: To test the prognostic potential of tumor R2* with respect to radiotherapeutic outcome. Blood oxygenation level dependent (BOLD) MRI images are sensitive to changes in deoxyhemoglobin concentration through the transverse MRI relaxation rate R2* of tissue water, hence the quantitative measurement of tumor R2* may be related to tissue oxygenation. METHODS AND MATERIALS:
Tumor growth inhibition in response to radiation was established for both GH3 prolactinomas and RIF-1 fibrosarcomas with animals breathing either air or carbogen during radiation. In a separate cohort, the baseline R2* and carbogen (95% O2, 5% CO2)-induced DeltaR2* of rat GH3 prolactinomas and murine RIF-1 fibrosarcomas were quantified using multigradient echo (MGRE) MRI prior to radiotherapy, and correlated with subsequent tumor growth inhibition in response to ionizing radiation, while the animals breathed air. RESULTS: A radiation dose of 15 Gy caused pronounced growth delay in both tumor models and transient regression of the GH3 prolactinomas. When the animals breathed carbogen during radiation, the growth delay/regression was enhanced only in the GH3 prolactinomas. The GH3 prolactinomas, which exhibit a relatively fast baseline R2* and large DeltaR2* in response to carbogen breathing prior to radiotherapy, showed a substantial reduction in normalized tumor volume to 66 +/- 3% with air breathing and 36 +/- 5% with carbogen seven days after 15 Gy irradiation. In contrast, the effect of 15 Gy on the RIF-1 fibrosarcomas, which give a relatively slow baseline R2* and negligible DeltaR2* response to carbogen prior to treatment, showed a much smaller growth inhibition (143 +/- 3% with air, 133 +/- 12% with carbogen). CONCLUSION: Quantitation of tumor R2* and carbogen-induced DeltaR2* by MGRE MRI provides completely noninvasive prognostic indicators of a potential acute radiotherapeutic response.
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Authors | Loreta M Rodrigues, Franklyn A Howe, John R Griffiths, Simon P Robinson |
Journal | Journal of magnetic resonance imaging : JMRI
(J Magn Reson Imaging)
Vol. 19
Issue 4
Pg. 482-8
(Apr 2004)
ISSN: 1053-1807 [Print] United States |
PMID | 15065173
(Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
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Copyright | Copyright 2004 Wiley-Liss, Inc. |
Chemical References |
- Radiation-Sensitizing Agents
- Carbon Dioxide
- carbogen
- Oxygen
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Topics |
- Animals
- Carbon Dioxide
(administration & dosage)
- Female
- Fibrosarcoma
(metabolism, pathology, radiotherapy)
- Image Processing, Computer-Assisted
- Magnetic Resonance Imaging
(methods)
- Mice
- Mice, Inbred C3H
- Neoplasm Transplantation
- Oxygen
(administration & dosage, metabolism)
- Prognosis
- Prolactinoma
(metabolism, pathology, radiotherapy)
- Radiation-Sensitizing Agents
(administration & dosage)
- Radiotherapy Dosage
- Rats
- Rats, Inbred WF
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