Dynamic contrast-enhanced MRI using macromolecular contrast media for monitoring the response to isolated limb perfusion in experimental soft-tissue sarcomas

MAGMA. 2004 Dec;17(3-6):296-302. doi: 10.1007/s10334-004-0050-z. Epub 2004 Oct 10.

Abstract

The objective of this study was to evaluate the potential of dynamic contrast-enhanced MRI for quantitative characterization of tumor microvessels and to assess the microvascular changes in response to isolated limb perfusion with TNF-alpha and melphalan. Dynamic contrast-enhanced MRI was performed in an experimental cancer model, using a macromolecular contrast medium, albumin-(Gd-DTPA)45. Small fragments of BN 175, a soft-tissue sarcoma, were implanted in 11 brown Norway (BN) rats. Animals were assigned randomly to a control (Haemaccel) or drug-treated group (TNF-alpha/melphalan). MRI was performed at baseline and 24 h after ILP. The transendothelial permeability (K(PS)) and the fractional plasma volume (fPV) were estimated from the kinetic analysis of MR data using a two-compartment bi-directional model. K(PS) and fPV decreased significantly in the drug-treated group compared to baseline (p<0.05). In addition, K(PS) post therapy was significantly lower (p<0.05) in the drug-treated group than in the control group. There was no significant difference in fPV between the drug-treated and the control group after therapy. Tumor microvascular changes in response to isolated limb perfusion can be determined after 24 h by dynamic contrast-enhanced MRI. The data obtained in this experimental model suggest possible applications in the clinical setting, using the appropriate MR contrast agents.

Publication types

  • Evaluation Study

MeSH terms

  • Albumins*
  • Animals
  • Antineoplastic Combined Chemotherapy Protocols / administration & dosage
  • Chemotherapy, Cancer, Regional Perfusion / methods
  • Contrast Media*
  • Extremities / blood supply
  • Gadolinium DTPA*
  • Image Enhancement / methods*
  • Macromolecular Substances
  • Magnetic Resonance Imaging / methods*
  • Male
  • Melphalan / administration & dosage*
  • Prognosis
  • Rats
  • Rats, Inbred BN
  • Sarcoma, Experimental / diagnosis*
  • Sarcoma, Experimental / drug therapy*
  • Treatment Outcome
  • Tumor Necrosis Factor-alpha / administration & dosage*

Substances

  • Albumins
  • Contrast Media
  • Macromolecular Substances
  • Tumor Necrosis Factor-alpha
  • albumin-(gadolinium-DTPA)
  • Gadolinium DTPA
  • Melphalan