Detection of Treatment Response in Triple-Negative Breast Tumors to Paclitaxel Using MRI Cell Size Imaging

© 2023 International Society for Magnetic Resonance in Medicine..

BACKGROUND: Breast cancer treatment response evaluation using the response evaluation criteria in solid tumors (RECIST) guidelines, based on tumor volume changes, has limitations, prompting interest in novel imaging markers for accurate therapeutic effect determination.

PURPOSE: To use MRI-measured cell size as a new imaging biomarker for assessing chemotherapy response in breast cancer.

STUDY TYPE: Longitudinal; animal model.

STUDY POPULATION: Triple-negative human breast cancer cell (MDA-MB-231) pellets (4 groups, n = 7) treated with dimethyl sulfoxide (DMSO) or 10 nM of paclitaxel for 24, 48, and 96 hours, and 29 mice with MDA-MB-231 tumors in right hind limbs treated with paclitaxel (n = 16) or DMSO (n = 13) twice weekly for 3 weeks.

FIELD STRENGTH/SEQUENCE: Oscillating gradient spin echo and pulsed gradient spin echo sequences at 4.7 T.

ASSESSMENT: MDA-MB-231 cells were analyzed using flowcytometry and light microscopy to assess cell cycle phases and cell size distribution. MDA-MB-231 cell pellets were MR imaged. Mice were imaged weekly, with 9, 6, and 14 being sacrificed for histology after MRI at weeks 1, 2, and 3, respectively. Microstructural parameters of tumors/cell pellets were derived by fitting diffusion MRI data to a biophysical model.

STATISTICAL TESTS: One-way ANOVA compared cell sizes and MR-derived parameters between treated and control samples. Repeated measures 2-way ANOVA with Bonferroni post-tests compared temporal changes in MR-derived parameters. A P-value <0.05 was considered statistically significant.

RESULTS: In vitro experiments showed that the mean MR-derived cell sizes of paclitaxel-treated cells increased significantly with a 24-hours treatment and decreased (P = 0.06) with a 96-hour treatment. For in vivo xenograft experiments, the paclitaxel-treated tumors showed significant decreases in cell size at later weeks. MRI observations were supported by flowcytometry, light microscopy, and histology.

DATA CONCLUSIONS: MR-derived cell size may characterize the cell shrinkage during treatment-induced apoptosis, and may potentially provide new insights into the assessment of therapeutic response.

LEVEL OF EVIDENCE: 2 TECHNICAL EFFICACY STAGE: 4.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:59

Enthalten in:

Journal of magnetic resonance imaging : JMRI - 59(2024), 2 vom: 01. Feb., Seite 575-584

Sprache:

Englisch

Beteiligte Personen:

Jiang, Xiaoyu [VerfasserIn]
McKinley, Eliot T [VerfasserIn]
Xie, Jingping [VerfasserIn]
Gore, John C [VerfasserIn]
Xu, Junzhong [VerfasserIn]

Links:

Volltext

Themen:

Breast cancer
Cell size
Diffusion time
Dimethyl Sulfoxide
Journal Article
Microstructure imaging
Oscillating gradient
P88XT4IS4D
Paclitaxel
Treatment response
YOW8V9698H

Anmerkungen:

Date Completed 17.01.2024

Date Revised 18.02.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1002/jmri.28774

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM357210417