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Molecular Imaging and Biology
Published in: Molecular Imaging and Biology 1/2022

01-02-2022 | Breast Cancer | Research Article

GlucoCEST MRI for the Evaluation Response to Chemotherapeutic and Metabolic Treatments in a Murine Triple-Negative Breast Cancer: A Comparison with[18F]F-FDG-PET

Authors: Martina Capozza, Annasofia Anemone, Chetan Dhakan, Melania Della Peruta, Martina Bracesco, Sara Zullino, Daisy Villano, Enzo Terreno, Dario Livio Longo, Silvio Aime

Published in: Molecular Imaging and Biology | Issue 1/2022

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Abstract

Purpose

Triple-negative breast cancer (TNBC) patients have usually poor outcome after chemotherapy and early prediction of therapeutic response would be helpful. [18F]F-FDG-PET/CT acquisitions are often carried out to monitor variation in metabolic activity associated with response to the therapy, despite moderate accuracy and radiation exposure limit its application. The glucoCEST technique relies on the use of unlabelled D-glucose to assess glucose uptake with conventional MRI scanners and is currently under active investigations at clinical level. This work aims at validating the potential of MRI-glucoCEST in monitoring the therapeutic responses in a TNBC tumor murine model.

Procedures

Breast tumor (4T1)–bearing mice were treated with doxorubicin or dichloroacetate for 1 week. PET/CT with [18F]F-FDG and MRI-glucoCEST were performed at baseline and after 3 cycles of treatment. Metabolic changes measured with [18F]F-FDG-PET and glucoCEST were compared and evaluated with changes in tumor volumes.

Results

Doxorubicin-treated mice showed a significant decrease in tumor growth when compared to the control group. GlucoCEST imaging provided metabolic response after three cycles of treatment. Conversely, no variations were detected in [18F]F-FDG uptake. Dichloroacetate-treated mice did not show any decrease either in tumor volume or in tumor metabolic activity as assessed by both glucoCEST and [18F]F-FDG-PET.

Conclusions

Metabolic changes during doxorubicin treatment can be predicted by glucoCEST imaging that appears more sensitive than [18F]F-FDG-PET in reporting on therapeutic response. These findings support the view that glucoCEST may be a sensitive technique for monitoring metabolic response, but future studies are needed to explore the accuracy of this approach in other tumor types and treatments.
Appendix
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Metadata
Title
GlucoCEST MRI for the Evaluation Response to Chemotherapeutic and Metabolic Treatments in a Murine Triple-Negative Breast Cancer: A Comparison with[18F]F-FDG-PET
Authors
Martina Capozza
Annasofia Anemone
Chetan Dhakan
Melania Della Peruta
Martina Bracesco
Sara Zullino
Daisy Villano
Enzo Terreno
Dario Livio Longo
Silvio Aime
Publication date
01-02-2022
Publisher
Springer International Publishing
Published in
Molecular Imaging and Biology / Issue 1/2022
Print ISSN: 1536-1632
Electronic ISSN: 1860-2002
DOI
https://doi.org/10.1007/s11307-021-01637-6

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