Investigating low-velocity fluid flow in tumors with convection-MRI

Simon Walker-Samuel*, Thomas A. Roberts, Rajiv Ramasawmy, Jake S. Burrell, Sean Peter Johnson, Bernard M. Siow, Simon Richardson, Miguel R. Gonçalves, Douglas Pendse, Simon P. Robinson, R. Barbara Pedley, Mark F. Lythgoe

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

31 Citations (Scopus)

Abstract

Several distinct fluid flow phenomena occur in solid tumors, including intravascular blood flow and interstitial convection. Interstitial fluid pressure is often raised in solid tumors, which can limit drug delivery. To probe low-velocity flow in tumors resulting from raised interstitial fluid pressure, we developed a novel MRI technique named convection-MRI, which uses a phase-contrast acquisition with a dual-inversion vascular nulling preparation to separate intra- and extravascular flow. Here, we report the results of experiments in flow phantoms, numerical simulations, and tumor xenograft models to investigate the technical feasibility of convection-MRI. We observed a significant correlation between estimates of effective fluid pressure from convection-MRI with gold-standard, invasive measurements of interstitial fluid pressure in mouse models of human colorectal carcinoma. Our results show how convection-MRI can provide insights into the growth and responsiveness to vascular-targeting therapy in colorectal cancers. Significance: A noninvasive method for measuring low-velocity fluid flow caused by raised fluid pressure can be used to assess changes caused by therapy.

Original languageEnglish
Pages (from-to)1859-1872
Number of pages14
JournalCancer Research
Volume78
Issue number7
DOIs
Publication statusPublished - 1 Apr 2018

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