Quantification of Macrophages in High-Grade Gliomas by Using Ferumoxytol-enhanced MRI: A Pilot Study.


Journal

Radiology
ISSN: 1527-1315
Titre abrégé: Radiology
Pays: United States
ID NLM: 0401260

Informations de publication

Date de publication:
01 2019
Historique:
pubmed: 7 11 2018
medline: 12 10 2019
entrez: 7 11 2018
Statut: ppublish

Résumé

Purpose To investigate ferumoxytol-enhanced MRI as a noninvasive imaging biomarker of macrophages in adults with high-grade gliomas. Materials and Methods In this prospective study, adults with high-grade gliomas were enrolled between July 2015 and July 2017. Each participant was administered intravenous ferumoxytol (5 mg/kg) and underwent 3.0-T MRI 24 hours later. Two sites in each tumor were selected for intraoperative sampling on the basis of the degree of ferumoxytol-induced signal change. Susceptibility and the relaxation rates R2* (1/T2*) and R2 (1/T2) were obtained by region-of-interest analysis by using the respective postprocessed maps. Each sample was stained with Prussian blue, CD68, CD163, and glial fibrillary acidic protein. Pearson correlation and linear mixed models were performed to assess the relationship between imaging measurements and number of 400× magnification high-power fields with iron-containing macrophages. Results Ten adults (four male participants [mean age, 65 years ± 9 {standard deviation}; age range, 57-74 years] and six female participants [mean age, 53 years ± 12 years; age range, 32-65 years]; mean age of all participants, 58 years ± 12 [age range, 32-74 years]) with high-grade gliomas were included. Significant positive correlations were found between susceptibility, R2*, and R2' and the number of high-power fields with CD163-positive (r range, 0.64-0.71; P < .01) and CD68-positive (r range, 0.55-0.57; P value range, .01-.02) iron-containing macrophages. No significant correlation was found between R2 and CD163-positive (r = 0.33; P = .16) and CD68-positive (r = 0.24; P = .32) iron-containing macrophages. Similar significance results were obtained with linear mixed models. At histopathologic analysis, iron particles were found only in macrophages; none was found in glial fibrillary acidic protein-positive tumor cells. Conclusion MRI measurements of susceptibility, R2*, and R2' (R2* - R2) obtained after ferumoxytol administration correlate with iron-containing macrophage concentration, and this shows their potential as quantitative imaging markers of macrophages in malignant gliomas. © RSNA, 2018 Online supplemental material is available for this article.

Identifiants

pubmed: 30398435
doi: 10.1148/radiol.2018181204
pmc: PMC6312434
doi:

Substances chimiques

Ferrosoferric Oxide XM0M87F357

Types de publication

Journal Article Research Support, N.I.H., Extramural Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

198-206

Subventions

Organisme : NCI NIH HHS
ID : P30 CA124435
Pays : United States
Organisme : NICHD NIH HHS
ID : R01 HD081123
Pays : United States
Organisme : NCI NIH HHS
ID : R21 CA190196
Pays : United States

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Auteurs

Michael Iv (M)

From the Departments of Radiology (M.I., P.R., H.E.D.L., M.W., K.W.Y.) and Pathology (P.S., H.V.), Stanford University Medical Center, 300 Pasteur Dr, Grant Building, Room S031E, Stanford, CA 94305; Richard M. Lucas Center for Imaging (S.H., M.M.) and Departments of Medicine (Biomedical Informatics Research) (A.G.), Neurosurgery (G.H., G.L., S.C.), and Neurology (Neuro-Oncology) (R.T.), Stanford University, Stanford, Calif.

Peyman Samghabadi (P)

From the Departments of Radiology (M.I., P.R., H.E.D.L., M.W., K.W.Y.) and Pathology (P.S., H.V.), Stanford University Medical Center, 300 Pasteur Dr, Grant Building, Room S031E, Stanford, CA 94305; Richard M. Lucas Center for Imaging (S.H., M.M.) and Departments of Medicine (Biomedical Informatics Research) (A.G.), Neurosurgery (G.H., G.L., S.C.), and Neurology (Neuro-Oncology) (R.T.), Stanford University, Stanford, Calif.

Samantha Holdsworth (S)

From the Departments of Radiology (M.I., P.R., H.E.D.L., M.W., K.W.Y.) and Pathology (P.S., H.V.), Stanford University Medical Center, 300 Pasteur Dr, Grant Building, Room S031E, Stanford, CA 94305; Richard M. Lucas Center for Imaging (S.H., M.M.) and Departments of Medicine (Biomedical Informatics Research) (A.G.), Neurosurgery (G.H., G.L., S.C.), and Neurology (Neuro-Oncology) (R.T.), Stanford University, Stanford, Calif.

Andrew Gentles (A)

From the Departments of Radiology (M.I., P.R., H.E.D.L., M.W., K.W.Y.) and Pathology (P.S., H.V.), Stanford University Medical Center, 300 Pasteur Dr, Grant Building, Room S031E, Stanford, CA 94305; Richard M. Lucas Center for Imaging (S.H., M.M.) and Departments of Medicine (Biomedical Informatics Research) (A.G.), Neurosurgery (G.H., G.L., S.C.), and Neurology (Neuro-Oncology) (R.T.), Stanford University, Stanford, Calif.

Paymon Rezaii (P)

From the Departments of Radiology (M.I., P.R., H.E.D.L., M.W., K.W.Y.) and Pathology (P.S., H.V.), Stanford University Medical Center, 300 Pasteur Dr, Grant Building, Room S031E, Stanford, CA 94305; Richard M. Lucas Center for Imaging (S.H., M.M.) and Departments of Medicine (Biomedical Informatics Research) (A.G.), Neurosurgery (G.H., G.L., S.C.), and Neurology (Neuro-Oncology) (R.T.), Stanford University, Stanford, Calif.

Griffith Harsh (G)

From the Departments of Radiology (M.I., P.R., H.E.D.L., M.W., K.W.Y.) and Pathology (P.S., H.V.), Stanford University Medical Center, 300 Pasteur Dr, Grant Building, Room S031E, Stanford, CA 94305; Richard M. Lucas Center for Imaging (S.H., M.M.) and Departments of Medicine (Biomedical Informatics Research) (A.G.), Neurosurgery (G.H., G.L., S.C.), and Neurology (Neuro-Oncology) (R.T.), Stanford University, Stanford, Calif.

Gordon Li (G)

From the Departments of Radiology (M.I., P.R., H.E.D.L., M.W., K.W.Y.) and Pathology (P.S., H.V.), Stanford University Medical Center, 300 Pasteur Dr, Grant Building, Room S031E, Stanford, CA 94305; Richard M. Lucas Center for Imaging (S.H., M.M.) and Departments of Medicine (Biomedical Informatics Research) (A.G.), Neurosurgery (G.H., G.L., S.C.), and Neurology (Neuro-Oncology) (R.T.), Stanford University, Stanford, Calif.

Reena Thomas (R)

From the Departments of Radiology (M.I., P.R., H.E.D.L., M.W., K.W.Y.) and Pathology (P.S., H.V.), Stanford University Medical Center, 300 Pasteur Dr, Grant Building, Room S031E, Stanford, CA 94305; Richard M. Lucas Center for Imaging (S.H., M.M.) and Departments of Medicine (Biomedical Informatics Research) (A.G.), Neurosurgery (G.H., G.L., S.C.), and Neurology (Neuro-Oncology) (R.T.), Stanford University, Stanford, Calif.

Michael Moseley (M)

From the Departments of Radiology (M.I., P.R., H.E.D.L., M.W., K.W.Y.) and Pathology (P.S., H.V.), Stanford University Medical Center, 300 Pasteur Dr, Grant Building, Room S031E, Stanford, CA 94305; Richard M. Lucas Center for Imaging (S.H., M.M.) and Departments of Medicine (Biomedical Informatics Research) (A.G.), Neurosurgery (G.H., G.L., S.C.), and Neurology (Neuro-Oncology) (R.T.), Stanford University, Stanford, Calif.

Heike E Daldrup-Link (HE)

From the Departments of Radiology (M.I., P.R., H.E.D.L., M.W., K.W.Y.) and Pathology (P.S., H.V.), Stanford University Medical Center, 300 Pasteur Dr, Grant Building, Room S031E, Stanford, CA 94305; Richard M. Lucas Center for Imaging (S.H., M.M.) and Departments of Medicine (Biomedical Informatics Research) (A.G.), Neurosurgery (G.H., G.L., S.C.), and Neurology (Neuro-Oncology) (R.T.), Stanford University, Stanford, Calif.

Hannes Vogel (H)

From the Departments of Radiology (M.I., P.R., H.E.D.L., M.W., K.W.Y.) and Pathology (P.S., H.V.), Stanford University Medical Center, 300 Pasteur Dr, Grant Building, Room S031E, Stanford, CA 94305; Richard M. Lucas Center for Imaging (S.H., M.M.) and Departments of Medicine (Biomedical Informatics Research) (A.G.), Neurosurgery (G.H., G.L., S.C.), and Neurology (Neuro-Oncology) (R.T.), Stanford University, Stanford, Calif.

Max Wintermark (M)

From the Departments of Radiology (M.I., P.R., H.E.D.L., M.W., K.W.Y.) and Pathology (P.S., H.V.), Stanford University Medical Center, 300 Pasteur Dr, Grant Building, Room S031E, Stanford, CA 94305; Richard M. Lucas Center for Imaging (S.H., M.M.) and Departments of Medicine (Biomedical Informatics Research) (A.G.), Neurosurgery (G.H., G.L., S.C.), and Neurology (Neuro-Oncology) (R.T.), Stanford University, Stanford, Calif.

Samuel Cheshier (S)

From the Departments of Radiology (M.I., P.R., H.E.D.L., M.W., K.W.Y.) and Pathology (P.S., H.V.), Stanford University Medical Center, 300 Pasteur Dr, Grant Building, Room S031E, Stanford, CA 94305; Richard M. Lucas Center for Imaging (S.H., M.M.) and Departments of Medicine (Biomedical Informatics Research) (A.G.), Neurosurgery (G.H., G.L., S.C.), and Neurology (Neuro-Oncology) (R.T.), Stanford University, Stanford, Calif.

Kristen W Yeom (KW)

From the Departments of Radiology (M.I., P.R., H.E.D.L., M.W., K.W.Y.) and Pathology (P.S., H.V.), Stanford University Medical Center, 300 Pasteur Dr, Grant Building, Room S031E, Stanford, CA 94305; Richard M. Lucas Center for Imaging (S.H., M.M.) and Departments of Medicine (Biomedical Informatics Research) (A.G.), Neurosurgery (G.H., G.L., S.C.), and Neurology (Neuro-Oncology) (R.T.), Stanford University, Stanford, Calif.

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