Summary The interstitial fluid pressure (IFP) and the proton spin-lattice and spin-spin relaxation times (T, and T2) of some experimental tumours have been shown to be related to tumour water content. These observations have led to the hypothesis that magnetic resonance imaging (MRI) might be a clinically useful non-invasive method for assessment of tumour IFP. The purpose of the work reported here was to examine the general validity of this hypothesis. R-1 8 human melanoma xenografts grown intradermally in Balb/c nu/nu mice were used as the tumour model system. Median T, and T2 were determined by spin-echo MRI using a 1 .5-T clinical whole-body tomograph. IFP was measured using the wick-in-needle technique. No correlation was found between tumour IFP and fractional tumour water content. Moreover, there was no correlation between median T, or T2 and IFP, suggesting that proton T, and T2 values determined by MRI cannot be used clinically to assess tumour IFP and thereby to predict the uptake of macromolecular therapeutic agents.Keywords: melanoma xenografts; interstitial fluid pressure; magnetic resonance imaging; relaxation times; tumour water content Most tumours show an elevated interstitial fluid pressure (IFP) compared with normal tissues (Jain, 1987). Highly elevated IFP might lead to a pressure difference between the microvascular and interstitial space that is close to 0 mmHg and hence to inadequate uptake and heterogeneous distribution of monoclonal antibodies and other macromolecular therapeutic agents (Jain and Baxter, 1988;Cobb, 1989). Many human tumours show a maximum antibody uptake per gram of tissue of only around 0.005% of the injected dose per gram of body weight (Bradwell et al, 1985). Antibodies are preferentially distributed in regions close to blood vessels, and there are many regions without or with negligible antibody uptake (Jones et al 1986;Sands et al, 1988).Measurements of IFP in human tumours using the wickin-needle technique have shown that the IFP can differ substantially among individual tumours of the same histological type (Boucher et al, 1991;Less et al, 1992). Patients with tumours showing an IFP close to normal tissue values, i.e. tumours with a significant pressure difference between the microvascular and interstitial space are more likely to benefit from treatment modalities involving macromolecular therapeutic agents than patients with highly elevated tumour IFP (Jain and Baxter, 1988). The wickin-needle technique is invasive and can be used to measure IFP only in superficial tumours. A non-invasive method for measurement of IFP would therefore be useful for predicting the uptake of macromolecules in tumours and hence therapeutic response.Studies of experimental tumours have suggested that the IFP is related to tumour water content in some tumour lines (Lee et al, 1992;Leunig et al, 1994). The proton spin-lattice and spin-spin relaxation times (T1 and T2) of tumour tissue are, to a large extent, (Braunschweiger et al, 1986;Belfi et al, 1991). These observations have le...