Because of the spatial and temporal heterogeneities of cancers, technologies to investigate cancer cells and the consequences of their interactions with abnormal physiological environments, such as hypoxia and acidic extracellular pH, with stromal cells, and with the extracellular matrix, under controlled conditions, are valuable to gain insights into the functioning of cancers. These insights can lead to an understanding of why cancers invade and metastasize, and identify effective treatment strategies. Here we have provided an overview of the applications of MRI/MRS/ MRSI to investigate intact perfused cancer cells, their metabolism and invasion, and their interactions with stromal cells and the extracellular matrix. KEYWORDS hypoxia, intact cancer cells, invasion, metabolism, perfusion, stromal cells
| INTRODUCTIONCancers are complex systems with spatial and temporal heterogeneities of physiological environments, types and distribution of stromal and immune cells, and extracellular matrix (ECM) structure and composition. Understanding the response of cancer cells to environmental stimuli such as hypoxia and acidic extracellular pH that are frequently observed in tumors, and identifying the role of interactions of cancer cells with stromal and immune cells in promoting aggressive phenotypic characteristics are difficult in vivo, because of these complexities of cancers and their microenvironments. Yet these insights are critical to designing effective treatments for cancer, an achievement that still remains beyond our grasp. In efforts to "deconstruct" the tumor and its environments, cell perfusion systems that allow the interrogation of intact multilayered cells or spheroids under carefully controlled conditions are valuable.Perfusion systems or bioreactors provide a biologically compatible environment to allow cell or organ growth under controlled conditions that can be used in applications for tissue engineering, drug discovery, cell expansion, and hybridoma-based antibody production. 1-3 Applications of noninvasive imaging to such systems could provide temporal and spatial information, but these have been relatively limited because, other than microscopy, the configurations of most imaging systems are not easily adapted to the requirements of cell perfusion. Vertical bore high-field