Comprehensive characterization of tumor therapeutic response with simultaneous mapping cell size, density, and transcytolemmal water exchange

Fuente: arXiv
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Autori principali: Shi, Diwei, Li, Sisi, Liu, Fan, Jiang, Xiaoyu, Wu, Lei, Chen, Li, Zheng, Quanshui, Bao, Haihua, Guo, Hua, Xu, Junzhong
Natura: Preprint
Pubblicazione: 2024
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author Shi, Diwei
Li, Sisi
Liu, Fan
Jiang, Xiaoyu
Wu, Lei
Chen, Li
Zheng, Quanshui
Bao, Haihua
Guo, Hua
Xu, Junzhong
author_facet Shi, Diwei
Li, Sisi
Liu, Fan
Jiang, Xiaoyu
Wu, Lei
Chen, Li
Zheng, Quanshui
Bao, Haihua
Guo, Hua
Xu, Junzhong
contents Early assessment of tumor therapeutic response is an important topic in precision medicine to optimize personalized treatment regimens and reduce unnecessary toxicity, cost, and delay. Although diffusion MRI (dMRI) has shown potential to address this need, its predictive accuracy is limited, likely due to its unspecific sensitivity to overall pathological changes. In this work, we propose a new quantitative dMRI-based method dubbed EXCHANGE (MRI of water Exchange, Confined and Hindered diffusion under Arbitrary Gradient waveform Encodings) for simultaneous mapping of cell size, cell density, and transcytolemmal water exchange. Such rich microstructural information comprehensively evaluates tumor pathologies at the cellular level. Validations using numerical simulations and in vitro cell experiments confirmed that the EXCHANGE method can accurately estimate mean cell size, density, and water exchange rate constants. The results from in vivo animal experiments show the potential of EXCHANGE for monitoring tumor treatment response. Finally, the EXCHANGE method was implemented in breast cancer patients with neoadjuvant chemotherapy, demonstrating its feasibility in assessing tumor therapeutic response in clinics. In summary, a new, quantitative dMRI-based EXCHANGE method was proposed to comprehensively characterize tumor microstructural properties at the cellular level, suggesting a unique means to monitor tumor treatment response in clinical practice.
format Preprint
id arxiv_https___arxiv_org_abs_2408_01918
institution arXiv
publishDate 2024
record_format arxiv
spellingShingle Comprehensive characterization of tumor therapeutic response with simultaneous mapping cell size, density, and transcytolemmal water exchange
Shi, Diwei
Li, Sisi
Liu, Fan
Jiang, Xiaoyu
Wu, Lei
Chen, Li
Zheng, Quanshui
Bao, Haihua
Guo, Hua
Xu, Junzhong
Medical Physics
Early assessment of tumor therapeutic response is an important topic in precision medicine to optimize personalized treatment regimens and reduce unnecessary toxicity, cost, and delay. Although diffusion MRI (dMRI) has shown potential to address this need, its predictive accuracy is limited, likely due to its unspecific sensitivity to overall pathological changes. In this work, we propose a new quantitative dMRI-based method dubbed EXCHANGE (MRI of water Exchange, Confined and Hindered diffusion under Arbitrary Gradient waveform Encodings) for simultaneous mapping of cell size, cell density, and transcytolemmal water exchange. Such rich microstructural information comprehensively evaluates tumor pathologies at the cellular level. Validations using numerical simulations and in vitro cell experiments confirmed that the EXCHANGE method can accurately estimate mean cell size, density, and water exchange rate constants. The results from in vivo animal experiments show the potential of EXCHANGE for monitoring tumor treatment response. Finally, the EXCHANGE method was implemented in breast cancer patients with neoadjuvant chemotherapy, demonstrating its feasibility in assessing tumor therapeutic response in clinics. In summary, a new, quantitative dMRI-based EXCHANGE method was proposed to comprehensively characterize tumor microstructural properties at the cellular level, suggesting a unique means to monitor tumor treatment response in clinical practice.
title Comprehensive characterization of tumor therapeutic response with simultaneous mapping cell size, density, and transcytolemmal water exchange
topic Medical Physics
url https://arxiv.org/abs/2408.01918