Purpose: To quantitatively evaluate the spatial distribution of flow-and permeability-limited perfusion in MCF7 human breast cancer tumors orthotopically implanted in CD1-NU mice.
Materials and Methods:Flow-limited perfusion was derived from 2 H-MRI recorded before and after infusion of deuterated water. Permeability-limited perfusion was evaluated from GdDTPA-enhanced 1 H-MRI.
Results:The dominant processes in tumor perfusion, namely blood flow and capillary permeability, were mapped in orthotopically implanted MCF7 human breast cancer tumors. The dynamic data were processed according to physiological models, yielding parametric maps of intravascular volume fraction, water perfusion rate, GdDTPA permeability rate constant, and extracellular volume fraction accessible to GdDTPA. The maps exhibited the heterogeneous distribution of each perfusion parameter. Most of the tumor tissue (Ն95%) was perfused with HDO, while Gd-DTPA was perfused in only about 50% of it. In most loci the perfusion rate was limited by capillary permeability to Gd-DTPA.
Conclusion:The results demonstrated the instructive value of tracers with different properties used in conjunction to achieve a deeper understanding of tumor perfusion capacity. This study offers tools for the accurate, noninvasive evaluation of drug delivery efficacy. THE DEVELOPMENT OF A FUNCTIONING vascular network requires coordination between different cell types and is regulated by multiple growth factors, cytokines, kinases, and other growth regulatory proteins (Refs. 1 and 2, and references cited therein). These modulators constantly stimulate the formation of tumor neovascularization, and therefore maturation of the vessel network is rarely complete (3). Moreover, the architecture of the capillary bed in tumors is complex and tortuous, the capillary walls are leaky, and interstitial fluid pressure is elevated-hence tumor perfusion is irregular (Ref. 4 and references cited therein). These unique properties of tumor vasculature, and the dependency of tumor growth on this vasculature, make it an appropriate target for anticancer therapies (5,6). Thus, quantitative assessment of tumor perfusion plays a critical role in measuring the success of antivasculature therapy. Evaluation of tumor perfusion is also important in predicting the efficiency of drug delivery to its site of action.Tissue perfusion involves two major processes: blood flow and capillary permeability. An additional physiological parameter dominating tissue perfusion is the volume and surface area of the capillaries occupying the tissue. The dynamic nature of these processes implies that they should be monitored in vivo with the application of noninvasive methods such as dynamic magnetic resonance imaging (MRI).An appropriate tracer for monitoring flow-limited perfusion is water, since the net capillary permeability to water is considered to be much higher than its flow. Deuterium-labeled water is MR-detectable, with little toxicity to the host (7). Accordingly, deuterated water has been used as a tracer s...