Reduced blood flow and oxygenation in SA-1 tumours after electrochemotherapy with cisplatin.

Electrochemotherapy is an antitumour treatment that utilises locally delivered electric pulses to increase cytotoxicity of chemotherapeutic drugs. Besides increased drug delivery, application of electric pulses affects tumour blood flow. The aim of this study was to determine tumour blood flow modifying effects of electrochemotherapy with cisplatin, its effects on tumour oxygenation and to determine their relation to antitumour effectiveness. Electrochemotherapy of SA-1 subcutaneous tumours was performed by application of electric pulses to the tumours, following administration of cisplatin. Tumour blood flow modifying effects of electrochemotherapy were determined by measurement of tumour perfusion using the Patent blue staining technique, determination of tumour blood volume, and microvascular permeability using contrast enhanced magnetic resonance imaging, and tumour oxygenation using electron paramagnetic resonance oximetry. Antitumour effectiveness was determined by tumour growth delay and the extent of tumour necrosis and apoptosis. Tumour treatment by electrochemotherapy induced 9.4 days tumour growth delay. Tumour blood flow was reduced instantaneously and persisted for several days. This reduction in tumour blood flow was reflected in reduced tumour oxygenation. The maximal reduction in partial oxygen pressure (pO2) levels was observed at 2 h after the treatment, with steady recovery to the pretreatment level within 48 h. The reduced tumour blood flow and oxygenation correlated well with the extent of tumour necrosis and tumour cells apoptosis induced by electrochemotherapy with cisplatin. Therefore, the data indicate that antitumour effectiveness of electrochemotherapy is not only due to increased cytotoxicity of cisplatin due to electroporation of tumour cells, but also due to anti-vascular effect of electrochemotherapy, which resulted in reduced tumour blood flow and oxygenation.

Magnetic resonance imaging of alternating electric currents.

Electric Current Density Imaging (CDI) is a new modality of magnetic resonance imaging that enables electric current distribution imaging in conductive samples containing water. So far, two CDI techniques have been in use: DC-CDI operating at zero frequency and RF-CDI operating at the RF Larmor frequency. In this paper we present a new CDI technique, which extends the CDI frequency range to alternating electric currents (AC-CDI). First, a theoretical model for the electric current response to the alternating voltage is presented. Later, this model is used for the frequency analysis of the AC-CDI sequence. Additionally, the effect of off-resonance spins and imperfect refocusing RF pulses on the stability of the AC-CDI sequence and the echo formation is studied. The new theory is verified by experiments on a model system and compared to the other two methods: DC-CDI and RF-CDI. Finally, an application of the AC-CDI sequence to biological systems is demonstrated by an experiment on a wood twig in which an increase of approximately 30% was obtained at AC as compared to DC electric current.

Reduced tumor oxygenation by treatment with vinblastine.

Vinblastine (VLB) previously has been shown to perturb tumor blood flow, but the effect of these perturbations on tissue oxygenation is not known. The recent development of electron paramagnetic resonance (EPR) oximetry now has made it feasible to measure the effects of changes of perfusion on the pO(2) in tumors and normal tissues as a function of time and dose. We measured changes in tumor perfusion by Patent blue staining, tumor blood volume and microvascular permeability by contrast-enhanced magnetic resonance imaging, and tumor oxygenation by EPR in s.c. SA-1 murine tumors. We found that treatment with VLB induced dose-dependent reduction in tumor perfusion. One hour after i.p. treatment of mice with 2.5 mg/kg VLB, tumor perfusion was reduced to 20% of the pretreatment value and returned to close to original values within 48 h. A transient tumor blood flow-modifying effect of VLB was demonstrated also by contrast-enhanced magnetic resonance imaging; reduction of tumor blood volume and microvascular permeability was found. Reduced tumor oxygenation was found as measured by EPR oximetry, with the same time course of changes in tumor blood flow. Tumor oxygenation was reduced to 50% of pretreatment value 1 h after the treatment with 2.5 mg/kg VLB and returned to pretreatment levels within 24 h after the treatment. Although the directions of the changes in perfusion and oxygenation were similar, they were quantitatively different. Reduction in oxygenation of normal tissues, muscle, and subcutis also occurred but was smaller and returned to pretreatment values more quickly compared to the changes induced in the tumors. In conclusion, the present study demonstrates that VLB causes a profound reduction in tumor blood flow and oxygenation, which may have implications in controlling side effects of therapy and the planning of combined treatment with VLB, either with other chemotherapeutic drugs or with radiotherapy.

Specific absorption rate study for radiofrequency current density imaging using a two-dimensional finite element model.

Radiofrequency current density imaging is an MR technique that images tissue conductivity contrast. Compared to conventional MRI, RF-CDI uses two additional sources of RF power to be absorbed and that must be evaluated in terms of proper parameter optimization to prevent excessive tissue heating and effects on the nervous system. In view of possible future clinical use of RF-CDI, a simple 2D finite element model of a rat brain was built to simulate current density distribution and distribution of absorbed RF power, i.e., SAR and related tissue heating. Current density in the rat brain was also evaluated qualitatively and quantitatively in an in vivo RF-CDI experiment. The results demonstrate that a numerical model can predict SAR and tissue temperature changes. The study also shows that substantial sensitivity and resolution of RF-CDI can be achieved using imaging parameters that produce SAR and temperature changes within allowed limits.

Subchronic liver injuries caused by microcystins.

The subchronic effects of cyanobacterial lyophilizate (CL) containing microcystins on liver were investigated in female New Zealand rabbits. Sterilised CL containing microcystins was injected i.p. Liver toxicity was assessed by histological examination of liver samples. Non-invasive magnetic resonance imaging (MRI) of liver was also performed in order to assess changes in the homogeneity of liver tissue. Subchronical intoxication with microcystins caused morphological changes of liver tissue that were also detected by use of MRI. Histological analysis showed that changes seen on MRI represent liver injury characterised with fatty infiltration and periportal fibrosis. This demonstrates that subchronic exposure to microcystins can lead to liver degeneration, which can easily be detected in vivo by use of MRI.

Assessment of kainate toxicity using contrast enhanced magnetic resonance imaging.

The purpose of this study was to test the capability of contrast enhanced magnetic resonance imaging (MRI) in assessing lesion formation in rat brain after systemic (i.v.) administration of kainate. MRI was performed with T1-weighted spin echo sequence before and after the administration of kainate and contrast media. Contrast media used were based on paramagnetic gadolinium (III) ion: Gd-DTPA (gadoliniumdiethylenetriaminepentaacetic acid) and prototype agents for blood-pool enhancement. Gadomer-17 and polylysine-Gd-DTPA. Enhancement of lesion rims and other brain tissue abnormalities due to kainate with Gd-DTPA, Gadomer-17 and polylysine-Gd-DTPA were observed mainly in the region of hippocampus and in the areas not protected by the blood-brain-barrier (BBB).

Radiofrequency current density imaging of kainate-evoked depolarization.

The purpose of this study was to examine whether radiofrequency current density imaging (RF-CDI) can quantitatively monitor depolarizations evoked by excitatory amino acids in a rat's brain. To evoke depolarization, a glutamate receptor agonist, kainate, was administered into the right lateral ventricle. First, electroencephalographic activity was recorded in a basal condition and after the application of kainate. Complex behavioral patterns were observed. Second, impedance measurements were performed to assess the change in conductivity of the brain due to kainate at the Larmor frequency of the imager. Calculated changes were about 17%. Third, a set of current density images was obtained with RF-CDI before and after the administration of kainate. Kainate-induced excitatory changes were observed on current density images as brighter regions, mainly in the hippocampal area compared with the same area in the basal condition.

Magnetic resonance current density imaging of chemical processes and reactions.

Electric current density imaging was used to image conductivity changes that occur as a chemical process or reaction progresses. Feasibility was assessed in two models representing the dissolving of an ionic solid and the formation of an insoluble precipitate. In both models, temporal and spatial changes in ionic concentrations were obtained on current density images. As expected, the images showed significant signal enhancement along the ionization/dissociation sites.

The importance of electric field distribution for effective in vivo electroporation of tissues.

Cells exposed to short and intense electric pulses become permeable to a number of various ionic molecules. This phenomenon was termed electroporation or electropermeabilization and is widely used for in vitro drug delivery into the cells and gene transfection. Tissues can also be permeabilized. These new approaches based on electroporation are used for cancer treatment, i.e., electrochemotherapy, and in vivo gene transfection. In vivo electroporation is thus gaining even wider interest. However, electrode geometry and distribution were not yet adequately addressed. Most of the electrodes used so far were determined empirically. In our study we 1) designed two electrode sets that produce notably different distribution of electric field in tumor, 2) qualitatively evaluated current density distribution for both electrode sets by means of magnetic resonance current density imaging, 3) used three-dimensional finite element model to calculate values of electric field for both electrode sets, and 4) demonstrated the difference in electrochemotherapy effectiveness in mouse tumor model between the two electrode sets. The results of our study clearly demonstrate that numerical model is reliable and can be very useful in the additional search for electrodes that would make electrochemotherapy and in vivo electroporation in general more efficient. Our study also shows that better coverage of tumors with sufficiently high electric field is necessary for improved effectiveness of electrochemotherapy.

Electric current density imaging of mice tumors.

The use of electric current density imaging (CDI) to map spatial distribution of electric currents through tumors is presented. Specifically, a method previously tested on phantoms was implemented in vivo and in vitro for mapping electric current pulses of the same order of magnitude (j approximately 2500 A/m2) as in electrochemotherapy through T50/80 mammary carcinomas, B-16 melanomas and SA-1 sarcomas. A technically simplified method of electric current density imaging is discussed as well. Three geometries of electrodes (flat-flat, point-point, point-flat) indicate altered electric current distribution for the same tumor. This indicates that the method can be used for monitoring the effects of electrochemotherapy as a function of electrode geometry.

Electric current density imaging of bone by MRI.

Current density imaging (CDI) has been shown to be a feasible method to map spatial distribution of electric currents through bone structures and for studying osteoporosis and bone fracture models. For the osteoporosis model, bone sample was moistened in a solution of a sodium salt of ethylendiamintetraacetic acid (EDTA) which causes chemical reaction with hydroxyapatite Ca2+ ions and lowers the mineralisation degree of the solid bone. This enables clear visualisation of conventional magnetic resonance imaging and CDI. Sensitivity of conventional magnetic resonance and CD images of bone was improved by immersing the bone samples into physiological saline containing contrast agent Gd-DTPA prior to imaging. To stimulate effects of bone fracture on electric current conductivity through bone, a transverse cut was made through the bone, and the resulting gap was filled with an insulator. Electric current density images under these conditions have shown that regions of strong conductivity can be distinguished from regions of no conductivity at the site where the insulator restricts electric current. Real bone fracture was imaged as well. To demonstrate influence of electrolyte concentration on electric current spatial distribution, the bone samples were imaged after being immersed in various saline concentrations. The same contrast in current density images was produced with the combinations of higher electrolyte concentrations and lower voltages. Our observations demonstrate the feasibility of the method in mapping current density in bone structures, which could have implications in understanding and monitoring the effects of the electrical stimulation.