Liver tumors: MR imaging of radioactive holmium microspheres--phantom and rabbit study

Johannes F W Nijsen1, Jan-Henry Seppenwoolde, Thomas Havenith

  • 1Department of Nuclear Medicine, University Medical Centre, Heidelberglaan 100, Room E02.222, 3584 CX, Utrecht, The Netherlands. f.nijsen@azu.nl

Radiology
|March 20, 2004
PubMed
Abstract

Insights

Magnetic resonance (MR) imaging can clearly visualize holmium-loaded poly(L-lactic acid) microspheres (Ho-PLLA-MS) in liver tumors. This technique allows for tracking of Ho-PLLA-MS during administration and biodistribution for internal radionuclide therapy.

Area of Science:

  • Medical imaging
  • Radiotherapy
  • Biomaterials

Background:

  • Holmium-loaded poly(L-lactic acid) microspheres (Ho-PLLA-MS) are utilized in internal radionuclide therapy for liver tumors.
  • Effective monitoring of microsphere administration and biodistribution is crucial for treatment efficacy.
  • Magnetic resonance (MR) imaging offers non-invasive visualization capabilities.

Purpose of the Study:

  • To evaluate the utility of MR imaging for tracking Ho-PLLA-MS during administration and biodistribution in liver tumors.
  • To assess the feasibility of real-time MR imaging during microsphere delivery.
  • To determine if MR imaging can depict Ho-PLLA-MS in vivo after treatment.

Main Methods:

  • MR imaging measurements were performed in phantoms, ex vivo rabbit livers, and in vivo rabbit liver tumor models.
  • Transverse relaxivity (R2*) of Ho-PLLA-MS was determined.
  • Dynamic MR imaging was used to detect Ho-PLLA-MS in a vena cava model to estimate lung shunting.

Main Results:

  • Real-time MR imaging during microsphere administration was feasible in ex vivo liver experiments.
  • In vivo MR imaging successfully depicted radioactive, nonradioactive, and decayed Ho-PLLA-MS in rabbit livers.
  • Dynamic MR imaging demonstrated the ability to detect single doses of passing Ho-PLLA-MS.

Conclusions:

  • MR imaging is a viable tool for clear in vivo visualization of Ho-PLLA-MS.
  • This imaging modality can support the administration and biodistribution monitoring of Ho-PLLA-MS in liver tumor radionuclide therapy.