MRI of metastasis-permissive microenvironments
Marie-France Penet1, Zhihang Chen, Zaver M Bhujwalla
1JHU In vivo Cellular & Molecular Imaging Center, The Russell H. Morgan Department of Radiology & Radiological Science, Baltimore, MD, USA. mpenet@mri.jhu.edu
The tumor microenvironment significantly influences cancer metastasis. Understanding these microenvironments using advanced imaging is key to combating cancer spread and improving patient outcomes.
Area of Science:
- Oncology
- Cancer Biology
- Medical Imaging
Background:
- The tumor microenvironment plays a critical role in cancer metastasis, a leading cause of cancer mortality.
- Cancer cells adapt and co-opt their surrounding stroma for survival and proliferation.
- Paget's 'seed and soil' hypothesis from 1889 highlighted the importance of the microenvironment in metastasis.
Purpose of the Study:
- To provide an overview of molecular and functional imaging techniques for characterizing tumor microenvironments.
- To explore how microenvironments promote or permit cancer cell metastasis.
- To describe the microenvironmental characteristics of distant metastases.
Main Methods:
- Review of molecular and functional imaging strategies.
- Integration of advances in molecular biology and chemistry.
- Noninvasive multimodality imaging approaches.
Main Results:
- The tumor microenvironment is actively shaped by cancer cells to promote metastasis.
- Specific microenvironmental factors facilitate cancer cell colonization in distant organs.
- Imaging reveals critical characteristics of metastatic microenvironments.
Conclusions:
- Understanding the tumor microenvironment is crucial for developing effective anti-metastasis strategies.
- Multimodality imaging offers new insights into the metastatic cascade.
- Targeting the microenvironment holds promise for cancer therapy.
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