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Diffusion-weighted MR imaging in monitoring the effect of a vascular targeting agent on rhabdomyosarcoma in rats.

AbstractPURPOSE:
To evaluate diffusion-weighted magnetic resonance (MR) imaging for monitoring tumor response in rats after administration of combretastatin A4 phosphate.
MATERIALS AND METHODS:
Study protocol was approved by local ethical committee for animal care and use. Rhabdomyosarcomas implanted subcutaneously in both flanks of 17 rats were evaluated with 1.5-T MR unit by using four-channel wrist coil. Transverse T2-weighted fast spin-echo sequences, T1-weighted spin-echo sequences before and after gadodiamide administration, and transverse echo-planar diffusion-weighted MR examinations were performed before, 1 and 6 hours, and 2 and 9 days after intraperitoneal injection of vascular targeting agent (combretastatin A4 phosphate, 25 mg/kg). Apparent diffusion coefficient (ADC) was automatically calculated from diffusion-weighted MR imaging findings. These findings were compared with histopathologic results at each time point. For statistical analysis, paired Student t tests with Bonferroni correction for multiple testing were used.
RESULTS:
T1-weighted images before combretastatin administration showed enhancement of solid tumor tissue but not of central necrosis. At 1 and 6 hours after combretastatin injection, enhancement of solid tissue disappeared almost completely, with exception of small peripheral rim. At 2 and 9 days after combretastatin injection, enhancement progressively reappeared in tumor periphery. ADC, however, showed decrease early after combretastatin injection ([1.26 +/- 0.16]x 10(-3) mm2/sec before, [1.18 +/- 0.17]x 10(-3) mm2/sec 1 hour after [P=.0005] and [1.08 +/- 0.14]x 10(-3) mm(2)/sec 6 hours after [P=.0007] combretastatin A4 phosphate injection), histologically corresponding to vessel congestion and vascular shutdown in periphery but no necrosis. An increase of ADC ([1.79 +/- 0.13]x 10(-3) mm2/sec) (P <.0001) 2 days after combretastatin A4 phosphate injection was paralleled by progressive histologic necrosis. A significant (P <.0001) decrease in ADC 9 days after treatment ([1.41 +/- 0.15]x 10(-3) mm2/sec) corresponded to tumor regrowth.
CONCLUSION:
In addition to basic relaxation-weighted MR imaging and postgadolinium T1-weighted MR imaging to enable prompt detection of vascular shutdown, diffusion-weighted MR imaging was used to discriminate between nonperfused but viable and necrotic tumor tissues for early monitoring of therapeutic effects of vascular targeting agent.
AuthorsHarriet C Thoeny, Frederik De Keyzer, Feng Chen, Yicheng Ni, Willy Landuyt, Eric K Verbeken, Hilde Bosmans, Guy Marchal, Robert Hermans
JournalRadiology (Radiology) Vol. 234 Issue 3 Pg. 756-64 (Mar 2005) ISSN: 0033-8419 [Print] United States
PMID15734932 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Chemical References
  • Antineoplastic Agents, Phytogenic
  • Bibenzyls
  • Contrast Media
  • Stilbenes
  • combretastatin
  • Gadolinium DTPA
Topics
  • Animals
  • Antineoplastic Agents, Phytogenic (administration & dosage, pharmacology)
  • Bibenzyls (administration & dosage, pharmacology)
  • Contrast Media
  • Diffusion Magnetic Resonance Imaging
  • Gadolinium DTPA
  • Image Processing, Computer-Assisted
  • Injections, Intraperitoneal
  • Male
  • Rats
  • Rhabdomyosarcoma (drug therapy)
  • Stilbenes (administration & dosage, pharmacology)

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