The WCC Note

Your Weekly Guide to Harmonizing Clinical Trial Imaging

Posts Tagged ‘imaging angiogenesis’

fMRI: Brain, Imaging Angiogenesis, and Nano-Particles/Cancer – Vol. 2, Number 28

Thursday, December 11th, 2008

fMRI: BRAIN

MRI Helps Translate Thought Into Sound for Man with “Locked-In Syndrome”
When Jean-Dominique Bauby wrote his stunning and transcendent memoir, The Diving Bell and the Butterfly, he communicated it letter by letter by blinking his left eye.  Bauby suffered from “locked-in syndrome,” a rare neurological disorder that paralyzes all voluntary muscles except those controlling eye movements.

For such patients, no means of communication exist except nonvocal ones.  However, a recent article describes an advance which could someday allow these individuals to communicate through sound instead of gestures.  Naturenews reports a study that used an implanted brain electrode to permit a man with locked-in syndrome to create vowel sounds, after using functional brain MRI to assess his speech.

Scientists from Boston University placed the electrode in the speech area of the man’s brain and a computer decoded the brain signals.  The electrode activated a speech synthesizer that accurately replicated three vowel sounds.  As reported at the Society for Neuroscience’s annual meeting in November 2008, the team will subsequently work on computer decoding of consonants to allow the creation of complete words.  Naturenews notes that functional MRI or electrodes placed on the skull could also be used to decode brain speech.

Conclusion:  A man with locked-in syndrome was able to create audible vowel sounds using an implanted brain electrode and speech synthesizer, after having his thoughts analyzed by functional MRI.

IMAGING ANGIOGENESIS

Exploiting Novel Molecules That Create and Comprise Cancer Vessels
The new blood vessels that grow and sustain cancer originate when stimulated to occur by molecules released from cancer cells.  These molecular activators of angiogenesis include a host of proteins and small molecules.  The study of these factors may bring to fruition new and robust imaging for tumor detection and surveillance, as well as innovative therapeutic modalities for tumor cure.  The two molecules thought to be the most important sustainers of tumor growth are vascular endothelial factor (VEGF) and basic fibroblast growth factor (bFGF).  Other activators of angiogenesis include prostaglandins E1 and E2, nicotinamide, and interleukin 8, among others.  The resultant new tumor vessels display their own molecules, providing more investigative avenues to target.  The following article highlights one recent attempt to exploit these molecular features of cancer.

NANO-PARTICLES/CANCER

Imaged Nanoparticles Target Cancer Vessels and Decrease Tumor Size
Integrin ανβ3 comprises one factor found on some tumor vascularity.  Researchers at University of California, San Diego created a nanoparticle targeted at integrin that was linked with the chemotherapeutic agent doxorubicin.  The authors made it fluorescent and injected it into a live mouse pancreatic cancer model.  As reported in Proceedings of the National Academy of Science, the authors noted modest decreased primary tumor growth, but significant reduction in the draining lymph-node metastases.  Featured in Naturenews, the study also reported that the treatment reduced metastases in a mouse kidney cancer model.

Conclusion:  Fluorescent nanoparticles, linked with a chemotherapeutic agent, that were targeted at molecules found exclusively on new vessels have been reported to decrease metastases in mice pancreatic and kidney cancers.

fMRI: Speech, Imaging Angiogenesis, and MRI: Leukemia – Vol. 2, Number 27

Wednesday, December 3rd, 2008

fMRI: SPEECH

Speech Content and Speaker Identification Reflected in Functional Brain MR Images
Attempts to create machines capabile of recognizing human speech commenced in the 1950s, yet the human brain’s ability to understand speech and identify its speaker has proved a profoundly complex and nuanced higher-order function, difficult to mechanically replicate.  Untangling the threads of this intricate process has progressed recently, as researchers examined listeners’ brain auditory cortexes and used neural “fingerprints” to decipher what, and to whom, the subjects were listening.  Researchers from the University of Maastricht, Netherlands, used imaging combined with multivariate statistical pattern recognition of speech sounds to examine the brains’ receptive speech pathways.  Initially, seven participants listened to the speech sounds of three Dutch vowels from three Dutch speakers.  The distinct brain activation patterns underwent scrutiny with high-resolution functional MR imaging (fMRI), the sounds evoking responses in the superior temporal cortexes of the subjects.  As reported in Science, the researchers subsequently expanded on their work by using functional MRI brain images and their response patterns to decode sounds and their speakers.

Conclusion:  Early work by Dutch researchers has deciphered speech content and speaker identification using functional MRI imaging.

IMAGING ANGIOGENESIS

Imaging the Many Faces of Tumor Angiogenesis
The National Cancer Institute describes tumor angiogenesis as a proliferating blood vessel network that penetrates malignant tumors to provide oxygen and nutrients and remove wastes.  Creation of this neovascularity requires molecules released from the tumor cells, and without these molecular signals and their resultant new vessel formation, the cancers cannot progress.

These molecular investigators cause a cascade of events, initially activating host tissue genes that subsequently incite proteins to be produced, which then initiate the new vessels to grow.  The presence of this increased blood flow produces a local environmental change that can be perceived by dynamic contrast-enhanced imaging.

Conclusion:  In this and upcoming issues of The WCC Note, studies will be profiled to illustrate examples in which current and developing imaging techniques capture and exploit angiogenesis, a fundamental biological feature of cancer.

MRI: LEUKEMIA

MRI of Angiogenesis in Leukemia Portends Decreased Chemotherapy Response
A cancer of the blood cells, leukemia strikes blood-forming tissue such as bone marrow, sending an abnormal number of cells into the blood stream.  In the United States, an estimated 44,270 new cases will be diagnosed in 2008.

A recent study in the journal Blood examined dynamic contrast MRI in patients with acute myeloid leukemia (AML) and correlated it with their outcomes.  The authors, from National Taiwan University Hospital in Taipei, prospectively imaged 78 patients with AML at diagnosis and after induction chemotherapy.  Bone-marrow angiogenesis assessment consisted of three factors: peak enhancement ratio (reflecting tissue perfusion), amplitude (denoting vascularity), and volume transfer constant (indicative of vascular permeability).

The results showed peak and amplitude findings decreased significantly with remission.  Those individuals presenting with higher peak or amplitude values exhibited shorter disease-free and overall survival.  Along with old age and unfavorable karyotype, higher peak value at diagnosis independently predicted overall survival.

Conclusion:  Authors reporting a study in Blood showed that heightened bone-marrow angiogenesis on MRI in leukemia patients predicted adverse outcomes.  They suggest the information may help profile which individuals could benefit from anti-angiogenic therapy.