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Tumor radiation response enhancement by acoustical stimulation of the vasculature.

ABSTRACT: We have discovered that ultrasound-mediated microbubble vascular disruption can enhance tumor responses to radiation in vivo. We demonstrate this effect using a human PC3 prostate cancer xenograft model. Results indicate a synergistic effect in vivo with combined single treatments of ultrasound-stimulated microbubble vascular perturbation and radiation inducing an over 10-fold greater cell kill with combined treatments. We further demonstrate with experiments in vivo that induction of ceramide-related endothelial cell apoptosis, leading to vascular disruption, is a causative mechanism. In vivo experiments with ultrasound and bubbles permit radiation doses to be decreased significantly for comparable effect. We envisage this unique combined ultrasound-based vascular perturbation and radiation treatment method being used to enhance the effects of radiation in a tumor, leading to greater tumor eradication.

SUBMITTER: Czarnota GJ

PROVIDER: S-EPMC3409730 | biostudies-literature | 2012 Jul

REPOSITORIES: biostudies-literature

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Tumor radiation response enhancement by acoustical stimulation of the vasculature.

Czarnota Gregory J GJ Karshafian Raffi R Burns Peter N PN Wong Shun S Al Mahrouki Azza A Lee Justin W JW Caissie Amanda A Tran William W Kim Christina C Furukawa Melissa M Wong Emily E Giles Anoja A

Proceedings of the National Academy of Sciences of the United States of America 20120709 30

We have discovered that ultrasound-mediated microbubble vascular disruption can enhance tumor responses to radiation in vivo. We demonstrate this effect using a human PC3 prostate cancer xenograft model. Results indicate a synergistic effect in vivo with combined single treatments of ultrasound-stimulated microbubble vascular perturbation and radiation inducing an over 10-fold greater cell kill with combined treatments. We further demonstrate with experiments in vivo that induction of ceramide-r ...[more]

PMID: 22778441

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Project description:BACKGROUND:Intra-and inter-tumoral heterogeneity in growth dynamics and vascularity influence tumor response to radiation therapy. Quantitative imaging techniques capture these dynamics non-invasively, and these data can initialize and constrain predictive models of response on an individual basis. METHODS:We have developed a family of 10 biologically-based mathematical models describing the spatiotemporal dynamics of tumor volume fraction, blood volume fraction, and response to radiation therapy. To evaluate this family of models, rats (n?=?13) with C6 gliomas were imaged with magnetic resonance imaging (MRI) three times before, and four times following a single fraction of 20?Gy or 40?Gy whole brain irradiation. The first five 3D time series data of tumor volume fraction, estimated from diffusion-weighted (DW-) MRI, and blood volume fraction, estimated from dynamic contrast-enhanced (DCE-) MRI, were used to calibrate tumor-specific model parameters. The most parsimonious and well calibrated of the 10 models, selected using the Akaike information criterion, was then utilized to predict future growth and response at the final two imaging time points. Model predictions were compared at the global level (percent error in tumor volume, and Dice coefficient) as well as at the local or voxel level (concordance correlation coefficient). RESULT:The selected model resulted in <?12% error in tumor volume predictions, strong spatial agreement between predicted and observed tumor volumes (Dice coefficient?>?0.74), and high level of agreement at the voxel level between the predicted and observed tumor volume fraction and blood volume fraction (concordance correlation coefficient?>?0.77 and?>?0.65, respectively). CONCLUSIONS:This study demonstrates that serial quantitative MRI data collected before and following radiation therapy can be used to accurately predict tumor and vasculature response with a biologically-based mathematical model that is calibrated on an individual basis. To the best of our knowledge, this is the first effort to characterize the tumor and vasculature response to radiation therapy temporally and spatially using imaging-driven mathematical models.

Dataset Information

Tumor radiation response enhancement by acoustical stimulation of the vasculature.

Publications

Tumor radiation response enhancement by acoustical stimulation of the vasculature.

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