Figure 3 from VCAM-1–targeted MRI Improves Detection of the Tumor-brain Interface
Cheng VWT., de Pennington N., Zakaria R., Larkin JR., Serres S., Sarkar M., Kirkman MA., Bristow C., Croal P., Plaha P., Campo L., Chappell MA., Lord S., Jenkinson MD., Middleton MR., Sibson NR.
<p>Anti-VCAM-1–targeted MRI reveals tumor margins in MDA231Br-GFP brain metastases. Pre-/post-gadolinium <i>T</i><sub>1</sub>-weighted images from rat brains either with intrastriatal MDA231Br-GFP tumors (<b>A</b> and <b>B</b>) or injected intrastriatally with PBS (<b>C</b>). Matched pre-/post-MPIO <i>T</i><sub>2</sub>*-weighted images from the same anatomic locations and same animals as for <b>A</b> and <b>B</b>, injected intravenously with either VCAM-MPIO contrast (<b>D</b>), or IgG-MPIO (<b>E</b>). <b>F,</b> Pre-/post-MPIO <i>T</i><sub>2</sub>*-weighted images from a rat injected intrastriatally with PBS and VCAM-MPIO intravenously. Dashed red line encircles visible hypointense regions. <b>G,</b><i>T</i><sub>2</sub>-weighted images showing areas of tumor-associated hyperintensity (white arrowhead). <b>H,</b> Representative MR images of MDA231Br-GFP tumor-bearing rat brain with hypointensities (green pixels) from <i>T</i><sub>2</sub>*-weighted imaging overlaid on contrast-enhanced <i>T</i><sub>1</sub>-weighted imaging. Note the green pixels extend into regions of the striatum with no associated <i>T</i><sub>2</sub> hyperintensity (red arrowheads). Scale bar = 2 mm. <b>I,</b> Graph showing volumes of hypointensities post-<i>T</i><sub>2</sub>*-weighted MRI; data shown as mean ± SD, blue = ipsilateral striatum, yellow = contralateral striatum. **, <i>P</i> < 0.01; ***, <i>P</i> < 0.001; <i>post hoc</i> Tukey test (<i>n</i> = 8 MDA231Br-GFP groups and <i>n</i> = 3 PBS group). <b>J,</b> Representative <i>T</i><sub>2</sub>*-weighted MR image slice of a MDA231Br-GFP tumor, with white box highlighting the invasive tumor margin confirmed histologically (<b>K</b>); scale bar = 500 μm. <b>L,</b> Corresponding high-power magnification of highlighted regions of interest (black and red boxes) from stained adjacent sections, demonstrating bound VCAM-MPIO beads (black arrowhead/brown spheres) in a VCAM-1–positive vessel lumen (brown); scale bar = 10 μm.</p>

