Distinguishing Tumor Admixed in a Radiation Necrosis (RN) Background: 1H and 2H MR With a Novel Mouse Brain-Tumor/RN Model
PurposeDistinguishing radiation necrosis (RN) from recurrent tumor remains a vexing clinical problem with important health-care consequences for neuro-oncology patients. Here, mouse models of pure tumor, pure RN, and admixed RN/tumor are employed to evaluate hydrogen (1H) and deuterium (2H) magnetic...
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| Format: | Article |
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Frontiers Media S.A.
2022-05-01
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| Series: | Frontiers in Oncology |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fonc.2022.885480/full |
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| author | Xia Ge Kyu-Ho Song John A. Engelbach Liya Yuan Feng Gao Sonika Dahiya Keith M. Rich Joseph J. H. Ackerman Joseph J. H. Ackerman Joseph J. H. Ackerman Joseph J. H. Ackerman Joel R. Garbow Joel R. Garbow |
| author_facet | Xia Ge Kyu-Ho Song John A. Engelbach Liya Yuan Feng Gao Sonika Dahiya Keith M. Rich Joseph J. H. Ackerman Joseph J. H. Ackerman Joseph J. H. Ackerman Joseph J. H. Ackerman Joel R. Garbow Joel R. Garbow |
| author_sort | Xia Ge |
| collection | DOAJ |
| description | PurposeDistinguishing radiation necrosis (RN) from recurrent tumor remains a vexing clinical problem with important health-care consequences for neuro-oncology patients. Here, mouse models of pure tumor, pure RN, and admixed RN/tumor are employed to evaluate hydrogen (1H) and deuterium (2H) magnetic resonance methods for distinguishing RN vs. tumor. Furthermore, proof-of-principle, range-finding deuterium (2H) metabolic magnetic resonance is employed to assess glycolytic signatures distinguishing RN vs. tumor.Materials and MethodsA pipeline of common quantitative 1H MRI contrasts, including an improved magnetization transfer ratio (MTR) sequence, and 2H magnetic resonance spectroscopy (MRS) following administration of 2H-labeled glucose, was applied to C57BL/6 mouse models of the following: (i) late time-to-onset RN, occurring 4–5 weeks post focal 50-Gy (50% isodose) Gamma Knife irradiation to the left cerebral hemisphere, (ii) glioblastoma, growing ~18–24 days post implantation of 50,000 mouse GL261 tumor cells into the left cerebral hemisphere, and (iii) mixed model, with GL261 tumor growing within a region of radiation necrosis (1H MRI only). Control C57BL/6 mice were also examined by 2H metabolic magnetic resonance.ResultsDifferences in quantitative 1H MRI parametric values of R1, R2, ADC, and MTR comparing pure tumor vs. pure RN were all highly statistically significant. Differences in these parameter values and DCEAUC for tumor vs. RN in the mixed model (tumor growing in an RN background) are also all significant, demonstrating that these contrasts—in particular, MTR—can effectively distinguish tumor vs. RN. Additionally, quantitative 2H MRS showed a highly statistically significant dominance of aerobic glycolysis (glucose ➔ lactate; fermentation, Warburg effect) in the tumor vs. oxidative respiration (glucose ➔ TCA cycle) in the RN and control brain.ConclusionsThese findings, employing a pipeline of quantitative 1H MRI contrasts and 2H MRS following administration of 2H-labeled glucose, suggest a pathway for substantially improving the discrimination of tumor vs. RN in the clinic. |
| first_indexed | 2024-12-12T13:10:34Z |
| format | Article |
| id | doaj.art-64a5d1d367a24a0d9b68997e32492072 |
| institution | Directory Open Access Journal |
| issn | 2234-943X |
| language | English |
| last_indexed | 2024-12-12T13:10:34Z |
| publishDate | 2022-05-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Oncology |
| spelling | doaj.art-64a5d1d367a24a0d9b68997e324920722022-12-22T00:23:32ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2022-05-011210.3389/fonc.2022.885480885480Distinguishing Tumor Admixed in a Radiation Necrosis (RN) Background: 1H and 2H MR With a Novel Mouse Brain-Tumor/RN ModelXia Ge0Kyu-Ho Song1John A. Engelbach2Liya Yuan3Feng Gao4Sonika Dahiya5Keith M. Rich6Joseph J. H. Ackerman7Joseph J. H. Ackerman8Joseph J. H. Ackerman9Joseph J. H. Ackerman10Joel R. Garbow11Joel R. Garbow12Department of Radiology, Washington University, Saint Louis, MO, United StatesDepartment of Radiology, Washington University, Saint Louis, MO, United StatesDepartment of Radiology, Washington University, Saint Louis, MO, United StatesDepartment of Neurosurgery, Washington University, Saint Louis, MO, United StatesDepartment of Surgery, Washington University, Saint Louis, MO, United StatesDivision of Neuropathology, Department of Pathology and Immunology, Washington University, Saint Louis, MO, United StatesDepartment of Neurosurgery, Washington University, Saint Louis, MO, United StatesDepartment of Radiology, Washington University, Saint Louis, MO, United StatesAlvin J. Siteman Cancer Center, Washington University, Saint Louis, MO, United StatesDepartment of Internal Medicine, Washington University, Saint Louis, MO, United StatesDepartment of Chemistry, Washington University, Saint Louis, MO, United StatesDepartment of Radiology, Washington University, Saint Louis, MO, United StatesAlvin J. Siteman Cancer Center, Washington University, Saint Louis, MO, United StatesPurposeDistinguishing radiation necrosis (RN) from recurrent tumor remains a vexing clinical problem with important health-care consequences for neuro-oncology patients. Here, mouse models of pure tumor, pure RN, and admixed RN/tumor are employed to evaluate hydrogen (1H) and deuterium (2H) magnetic resonance methods for distinguishing RN vs. tumor. Furthermore, proof-of-principle, range-finding deuterium (2H) metabolic magnetic resonance is employed to assess glycolytic signatures distinguishing RN vs. tumor.Materials and MethodsA pipeline of common quantitative 1H MRI contrasts, including an improved magnetization transfer ratio (MTR) sequence, and 2H magnetic resonance spectroscopy (MRS) following administration of 2H-labeled glucose, was applied to C57BL/6 mouse models of the following: (i) late time-to-onset RN, occurring 4–5 weeks post focal 50-Gy (50% isodose) Gamma Knife irradiation to the left cerebral hemisphere, (ii) glioblastoma, growing ~18–24 days post implantation of 50,000 mouse GL261 tumor cells into the left cerebral hemisphere, and (iii) mixed model, with GL261 tumor growing within a region of radiation necrosis (1H MRI only). Control C57BL/6 mice were also examined by 2H metabolic magnetic resonance.ResultsDifferences in quantitative 1H MRI parametric values of R1, R2, ADC, and MTR comparing pure tumor vs. pure RN were all highly statistically significant. Differences in these parameter values and DCEAUC for tumor vs. RN in the mixed model (tumor growing in an RN background) are also all significant, demonstrating that these contrasts—in particular, MTR—can effectively distinguish tumor vs. RN. Additionally, quantitative 2H MRS showed a highly statistically significant dominance of aerobic glycolysis (glucose ➔ lactate; fermentation, Warburg effect) in the tumor vs. oxidative respiration (glucose ➔ TCA cycle) in the RN and control brain.ConclusionsThese findings, employing a pipeline of quantitative 1H MRI contrasts and 2H MRS following administration of 2H-labeled glucose, suggest a pathway for substantially improving the discrimination of tumor vs. RN in the clinic.https://www.frontiersin.org/articles/10.3389/fonc.2022.885480/fullMRItumorradiation necrosismetabolic imagingdeuterium |
| spellingShingle | Xia Ge Kyu-Ho Song John A. Engelbach Liya Yuan Feng Gao Sonika Dahiya Keith M. Rich Joseph J. H. Ackerman Joseph J. H. Ackerman Joseph J. H. Ackerman Joseph J. H. Ackerman Joel R. Garbow Joel R. Garbow Distinguishing Tumor Admixed in a Radiation Necrosis (RN) Background: 1H and 2H MR With a Novel Mouse Brain-Tumor/RN Model Frontiers in Oncology MRI tumor radiation necrosis metabolic imaging deuterium |
| title | Distinguishing Tumor Admixed in a Radiation Necrosis (RN) Background: 1H and 2H MR With a Novel Mouse Brain-Tumor/RN Model |
| title_full | Distinguishing Tumor Admixed in a Radiation Necrosis (RN) Background: 1H and 2H MR With a Novel Mouse Brain-Tumor/RN Model |
| title_fullStr | Distinguishing Tumor Admixed in a Radiation Necrosis (RN) Background: 1H and 2H MR With a Novel Mouse Brain-Tumor/RN Model |
| title_full_unstemmed | Distinguishing Tumor Admixed in a Radiation Necrosis (RN) Background: 1H and 2H MR With a Novel Mouse Brain-Tumor/RN Model |
| title_short | Distinguishing Tumor Admixed in a Radiation Necrosis (RN) Background: 1H and 2H MR With a Novel Mouse Brain-Tumor/RN Model |
| title_sort | distinguishing tumor admixed in a radiation necrosis rn background 1h and 2h mr with a novel mouse brain tumor rn model |
| topic | MRI tumor radiation necrosis metabolic imaging deuterium |
| url | https://www.frontiersin.org/articles/10.3389/fonc.2022.885480/full |
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