To enhance tumor magnetic resonance imaging (MRI) signals via the selective accumulation of contrast agents, we prepared folate-modified gadolinium-lipid-based nanoparticles as MRI contrast agents. Folatemodified nanoparticles were comprised of polyethylene glycol (PEG)-lipid, gadolinium diethylenetriamine pentaacetic acid lipid, cationic cholesterol derivatives, folate-conjugated PEG-lipid, and Cy7-PEG-lipid. Folate receptor-mediated cellular nanoparticle association was examined in KB cells, which overexpress the folate receptor. The biodistribution of nanoparticles after their intravenous injection into KB tumor-bearing mice was measured. Mice were imaged through in vivo fluorescence imaging and MRI 24 h after nanoparticle injection, and the intensity enhancement of the tumor MRI signal was evaluated. Increased cellular association of folate-modified nanoparticles was inhibited by excess free folic acid, indicating that nanoparticle association was folate receptor-mediated. Irrespective of folate modification, the amount of nanoparticles in blood 24 h after injection was ca. 10% of the injected dose. Compared with non-modified nanoparticles, folate-modified nanoparticles exhibited significant accumulation in tumor tissues without altering other biodistribution, as well as enhanced tumor fluorescence and MRI signal intensity. The results support the feasibility of MRI-and in vivo fluorescence imaging-based tumor visualization using folate-modified nanoparticles and provide opportunities to develop folate targeting-based imaging applications.Key words folate modification; tumor imaging; lipid-based nanoparticle; magnetic resonance imaging (MRI) contrast agent; KB tumor Magnetic resonance imaging (MRI) is a non-invasive method for tumor detection that provides high-resolution images of anatomical structures. The use of gadolinium (Gd)-based MRI contrast agents shortens the longitudinal relaxation times (T 1 ) of water proton, resulting in signal enhancement of T 1 -weighted images, and improves the detection of the morphological and functional abnormalities of tumors. The usefulness of small molecular contrast agents in clinical practice is limited by low specificity for the intended target tissues, and need to use high concentrations, for signal enhancement. To overcome these shortcomings, a wide variety of macromolecules and nanoparticulate systems have been developed as Gd-based MRI contrast agents, including proteins, 1) dendrimers, 2) polymers, [3][4][5] liposomes, [6][7][8] and micelles. 9-11) Since nano-sized carrier systems passively extravasate from the circulation through the vascular gaps of the tumor neovasculature, a process termed the enhanced permeability and retention (EPR) effect, 12) they have been utilized for the delivery of contrast agents and therapeutic agents to tumors. 11,13) To increase tumor selectivity, these imaging systems were modified with ligands that specifically interact with tumor tissues. [14][15][16][17] The folate receptor is a promising target for tumorspecific contrast ag...