MRI techniques for immunotherapy monitoring

MRI is a widely available clinical tool for cancer diagnosis and treatment monitoring. MRI provides excellent soft tissue imaging, using a wide range of contrast mechanisms, and can non-invasively detect tissue metabolites. These approaches can be used to distinguish cancer from normal tissues, to s...

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Main Authors: Pippa G Corrie, Ferdia A Gallagher, Doreen Lau
Format: Article
Language:English
Published: BMJ Publishing Group 2022-09-01
Series:Journal for ImmunoTherapy of Cancer
Online Access:https://jitc.bmj.com/content/10/9/e004708.full
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author Pippa G Corrie
Ferdia A Gallagher
Doreen Lau
author_facet Pippa G Corrie
Ferdia A Gallagher
Doreen Lau
author_sort Pippa G Corrie
collection DOAJ
description MRI is a widely available clinical tool for cancer diagnosis and treatment monitoring. MRI provides excellent soft tissue imaging, using a wide range of contrast mechanisms, and can non-invasively detect tissue metabolites. These approaches can be used to distinguish cancer from normal tissues, to stratify tumor aggressiveness, and to identify changes within both the tumor and its microenvironment in response to therapy. In this review, the role of MRI in immunotherapy monitoring will be discussed and how it could be utilized in the future to address some of the unique clinical questions that arise from immunotherapy. For example, MRI could play a role in identifying pseudoprogression, mixed response, T cell infiltration, cell tracking, and some of the characteristic immune-related adverse events associated with these agents. The factors to be considered when developing MRI imaging biomarkers for immunotherapy will be reviewed. Finally, the advantages and limitations of each approach will be discussed, as well as the challenges for future clinical translation into routine clinical care. Given the increasing use of immunotherapy in a wide range of cancers and the ability of MRI to detect the microstructural and functional changes associated with successful response to immunotherapy, the technique has great potential for more widespread and routine use in the future for these applications.
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spelling doaj.art-941f410e40e048bc916278ca449a21ec2024-03-12T18:00:10ZengBMJ Publishing GroupJournal for ImmunoTherapy of Cancer2051-14262022-09-0110910.1136/jitc-2022-004708MRI techniques for immunotherapy monitoringPippa G Corrie0Ferdia A Gallagher1Doreen Lau2Department of Oncology, Addenbrooke’s Hospital, Cambridge, UKDepartment of Radiology, University of Cambridge, Cambridge, UKCentre for Immuno-Oncology, Nuffield Department of Medicine, University of Oxford, Oxford, UKMRI is a widely available clinical tool for cancer diagnosis and treatment monitoring. MRI provides excellent soft tissue imaging, using a wide range of contrast mechanisms, and can non-invasively detect tissue metabolites. These approaches can be used to distinguish cancer from normal tissues, to stratify tumor aggressiveness, and to identify changes within both the tumor and its microenvironment in response to therapy. In this review, the role of MRI in immunotherapy monitoring will be discussed and how it could be utilized in the future to address some of the unique clinical questions that arise from immunotherapy. For example, MRI could play a role in identifying pseudoprogression, mixed response, T cell infiltration, cell tracking, and some of the characteristic immune-related adverse events associated with these agents. The factors to be considered when developing MRI imaging biomarkers for immunotherapy will be reviewed. Finally, the advantages and limitations of each approach will be discussed, as well as the challenges for future clinical translation into routine clinical care. Given the increasing use of immunotherapy in a wide range of cancers and the ability of MRI to detect the microstructural and functional changes associated with successful response to immunotherapy, the technique has great potential for more widespread and routine use in the future for these applications.https://jitc.bmj.com/content/10/9/e004708.full
spellingShingle Pippa G Corrie
Ferdia A Gallagher
Doreen Lau
MRI techniques for immunotherapy monitoring
Journal for ImmunoTherapy of Cancer
title MRI techniques for immunotherapy monitoring
title_full MRI techniques for immunotherapy monitoring
title_fullStr MRI techniques for immunotherapy monitoring
title_full_unstemmed MRI techniques for immunotherapy monitoring
title_short MRI techniques for immunotherapy monitoring
title_sort mri techniques for immunotherapy monitoring
url https://jitc.bmj.com/content/10/9/e004708.full
work_keys_str_mv AT pippagcorrie mritechniquesforimmunotherapymonitoring
AT ferdiaagallagher mritechniquesforimmunotherapymonitoring
AT doreenlau mritechniquesforimmunotherapymonitoring