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Dynamic Contrast-Enhanced MRI Using a Macromolecular MR Contrast Agent (P792): Evaluation of Antivascular Drug Effect in a Rabbit VX2 Liver Tumor Model.

AbstractOBJECTIVE:
To evaluate the utility of dynamic contrast-enhanced magnetic resonance imaging (DCE-MRI) using macromolecular contrast agent (P792) for assessment of vascular disrupting drug effect in rabbit VX2 liver tumor models.
MATERIALS AND METHODS:
This study was approved by our Institutional Animal Care and Use Committee. DCE-MRI was performed with 3-T scanner in 13 VX2 liver tumor-bearing rabbits, before, 4 hours after, and 24 hours after administration of vascular disrupting agent (VDA), using gadomelitol (P792, n = 7) or low molecular weight contrast agent (gadoterate meglumine [Gd-DOTA], n = 6). P792 was injected at a of dose 0.05 mmol/kg, while that of Gd-DOTA was 0.2 mmol/kg. DCE-MRI parameters including volume transfer coefficient (K(trans)) and initial area under the gadolinium concentration-time curve until 60 seconds (iAUC) of tumors were compared between the 2 groups at each time point. DCE-MRI parameters were correlated with tumor histopathology. Reproducibility in measurement of DCE-MRI parameters and image quality of source MR were compared between groups.
RESULTS:
P792 group showed a more prominent decrease in K(trans) and iAUC at 4 hours and 24 hours, as compared to the Gd-DOTA group. Changes in DCE-MRI parameters showed a weak correlation with histologic parameters (necrotic fraction and microvessel density) in both groups. Reproducibility of DCE-MRI parameters and overall image quality was not significantly better in the P792 group, as compared to the Gd-DOTA group.
CONCLUSION:
Dynamic contrast-enhanced magnetic resonance imaging using a macromolecular contrast agent shows changes of hepatic perfusion more clearly after administration of the VDA. Gadolinium was required at smaller doses than a low molecular contrast agent.
AuthorsHee Sun Park, Joon Koo Han, Jeong Min Lee, Young Il Kim, Sungmin Woo, Jung Hwan Yoon, Jin-Young Choi, Byung Ihn Choi
JournalKorean journal of radiology (Korean J Radiol) 2015 Sep-Oct Vol. 16 Issue 5 Pg. 1029-37 ISSN: 2005-8330 [Electronic] Korea (South)
PMID26357497 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Chemical References
  • Antineoplastic Agents
  • Benzophenones
  • Heterocyclic Compounds
  • N-(4-(3-(1H-1,2,4-triazol-1-yl)-4-(3,4,5-trimethoxybenzoyl)phenyl)thiazol-2-yl)-2-amino-3-methylbutanamide
  • Organometallic Compounds
  • gadolinium 1,4,7,10-tetraazacyclododecane-N,N',N'',N'''-tetraacetate
  • Valine
  • contrast agent P792
Topics
  • Animals
  • Antineoplastic Agents (therapeutic use)
  • Benzophenones (therapeutic use)
  • Disease Models, Animal
  • Heterocyclic Compounds (administration & dosage, chemistry)
  • Liver Neoplasms (diagnostic imaging, drug therapy, pathology)
  • Magnetic Resonance Imaging
  • Male
  • Organometallic Compounds (administration & dosage, chemistry)
  • Rabbits
  • Radiography
  • Reproducibility of Results
  • Valine (analogs & derivatives, therapeutic use)

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