2011
DOI: 10.3233/cbm-2010-0188
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Molecular and functional imaging of invasion and metastasis: Windows into the metastatic cascade

Abstract: The ability of cancer cells to invade, metastasize, and form distant colonies, is one of the key characteristics that confers lethality to cancer. Metastatic cancer cells typically become refractory to treatment. The metastatic cascade is a multi-step process that is governed by events within the cancer cell, the tumor microenvironment, and the distant environments that are invaded and colonized by the cancer cells. Noninvasive imaging techniques are facilitating a close examination of the stepwise journey of … Show more

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Cited by 7 publications
(7 citation statements)
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“…Metastatic progression is a highly complex and coordinated cascade of events that is influenced by a wide variety of mediators (11,12). Among the key factors that participate in this process, adhesion molecules expressed on cancer cells and cells of the target organ have a crucial role (13,14).…”
Section: Introductionmentioning
confidence: 99%
“…Metastatic progression is a highly complex and coordinated cascade of events that is influenced by a wide variety of mediators (11,12). Among the key factors that participate in this process, adhesion molecules expressed on cancer cells and cells of the target organ have a crucial role (13,14).…”
Section: Introductionmentioning
confidence: 99%
“…In addition to identifying proteolytic activity in the ECM, MRI probes are also making inroads into understanding the metastatic cascade (2), and in detecting small nodules in patients. Diffusion-weighted (DW) MRI can be applied to detect metastases in vivo , as shown by Lin et al , in a clinical study where the detection of pelvic lymph nodes was improved by combining size analysis on anatomic images with apparent diffusion coefficient (ADC) values, reaching a sensitivity of 83% and a specificity of 99% (69).…”
Section: Metastases Detectionmentioning
confidence: 99%
“…MR probes that detect changes in the intra and extracellular space to characterize oncogenic tissue, receptor expression on cancer cells, and endothelial, and stromal cells within the tumor, protease activity, physiological properties such as pH, oxygen tension, angiogenesis, vascularization can be imaged in preclinical or clinical settings (Figure 1). These probes can also be used to improve metastases detection, and for theranostic imaging (1, 2). Because of the high sensitivity of detection of nuclear imaging, imaging receptor expression has been the traditional domain of nuclear imaging probes.…”
Section: Introductionmentioning
confidence: 99%
“…Components of the TME are frequently co-opted by cancer cells to survive, invade and form distant metastasis 6 . Abnormalities in vasculature, lymphatics, and metabolism create heterogeneities in hypoxia, interstitial pressure and acidic microenvironments 7 that continually change, highlighting the importance of using noninvasive imaging to follow these dynamics 8 . Importantly, both cancer cells and the TME can be exploited for theranostic strategies 9 by incorporating imaging reporters within the carrier to detect the target of interest, and ascertain that the carrier with the therapeutic payload is at the target of interest and has cleared from normal tissue, before activating the therapy (schematic in Figure 1).…”
Section: Introductionmentioning
confidence: 99%