For many anticancer therapies, it would be desirable to accurately monitor and quantify tumor response early in the treatment regimen. This would allow oncologists to continue effective therapies or discontinue ineffective therapies early in the course of treatment, and hence, reduce morbidity. This is especially true for second-line therapies, which have reduced response rates and increased toxicities. Previous works by others and ourselves have shown that water mobility, measured by diffusion-weighted magnetic resonance imaging (DW-MRI), increases early in tumors destined to respond to therapies. In the current communication, we further characterize the utility of DW-MRI to predict response of prostate cancer xenografts to docetaxel in SCID mice in a preclinical setting. The current data illustrate that tumor volumes and secreted prostate-specific antigen both respond strongly to docetaxel in a dose-responsive manner, and the apparent diffusion coefficient of water (ADC(w)) increases significantly by 2 days even at the lowest doses (10 mg/kg). The ADCw data were parsed by histogram analyses. Our results indicate that DW-MRI can be used for early detection of prostate carcinoma xenograft response to docetaxel chemotherapy.

In oncology practice, longitudinal studies are routinely conducted to monitor the size and enhancement of tumors in cancer patients undergoing therapy. Imaging protocols typically use gadolinium-enhanced T 1 -weighted images or T 2weighted images from which tumor size is inferred and tumor response estimated. The past few years have also seen the emergence of diffusion-weighted magnetic resonance imaging (DWMRI) as a potential alternative to monitor therapeutic response (Kauppinen, R.A., NMR Biomed. 2002, 15, 6). The attractiveness of DWMRI resides in its ability to detect local microstructural changes associated with treatment long before their effects are translated into effective size changes. Damage to cell membrane integrity, changes in viscosity, and/or relative size of intra-vs. extracellular compartments all translate into changes in the apparent diffusion coefficient of tumor water measured by DWMRI. This dependence makes DWMRI a particularly sensitive method to detect response to a wide variety of chemotherapeutic agents. This review will focus on the emerging role of DWMRI to monitor the response of tumors to anti-cancer chemotherapies.