2020
DOI: 10.3389/fonc.2020.00161
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Non-invasive Investigation of Tumor Metabolism and Acidosis by MRI-CEST Imaging

Abstract: Altered metabolism is considered a core hallmark of cancer. By monitoring in vivo metabolites changes or characterizing the tumor microenvironment, non-invasive imaging approaches play a fundamental role in elucidating several aspects of tumor biology. Within the magnetic resonance imaging (MRI) modality, the chemical exchange saturation transfer (CEST) approach has emerged as a new technique that provides high spatial resolution and sensitivity for in vivo imaging of tumor metabolism and acidosis. This mini-r… Show more

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Cited by 42 publications
(43 citation statements)
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References 129 publications
(130 reference statements)
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“…Indirect measurements of acidic regions in the TME have been obtained in canine OS samples by immunohistochemistry (IHC) analysis (Avnet et al , 2017). Consequently, non‐invasive imaging approaches are needed to provide accurate in vivo measurements of tumor acidosis (Anemone et al , 2019; Consolino et al , 2020). Previous MRS approaches reported intratumoral acidosis in murine fibrosarcoma models, but lacked the ability to assess the spatial distribution (Vaupel et al , 1989, 1994).…”
Section: Epidemiology Of Sarcomamentioning
confidence: 99%
“…Indirect measurements of acidic regions in the TME have been obtained in canine OS samples by immunohistochemistry (IHC) analysis (Avnet et al , 2017). Consequently, non‐invasive imaging approaches are needed to provide accurate in vivo measurements of tumor acidosis (Anemone et al , 2019; Consolino et al , 2020). Previous MRS approaches reported intratumoral acidosis in murine fibrosarcoma models, but lacked the ability to assess the spatial distribution (Vaupel et al , 1989, 1994).…”
Section: Epidemiology Of Sarcomamentioning
confidence: 99%
“…Another interesting application of CEST is pH imaging in which the endogenous amide proton transfer rate is related to the pH in the tissue of interest (62) . Most applications of CEST pH imaging are done in the brain (63)(64)(65) where the pH is between 6⋅5 and 8⋅5. It would be of great utility if CEST could be used to make 3-D stomach pH maps since pH is an important factor that among others influences pepsin activity.…”
Section: Chemical Exchange Saturation Transfermentioning
confidence: 99%
“…Moreover, the large heterogeneity that we observed in tumour pHe values among the investigated tumour murine models is in agreement with the range of pHe values reported by others using MRI-based approaches and confirmed by invasive microelectrode measurements. [60][61][62][63] Importantly, the relationship between tumour acidosis and metastatic propensity is a valuable clinical issue, since death rate in breast cancer patients is heavily dependent on metastases. In addition to the strong correlation observed between the acidity score and the number of lung metastases, we further investigated whether a causative link exists between tumour acidosis and invasiveness.…”
Section: Discussionmentioning
confidence: 99%
“…Moreover, the large heterogeneity that we observed in tumour pHe values among the investigated tumour murine models is in agreement with the range of pHe values reported by others using MRI-based approaches and confirmed by invasive microelectrode measurements. 60 63 …”
Section: Discussionmentioning
confidence: 99%