Changes in tumour vessel density upon treatment with anti-angiogenic agents: relationship with response and

N S Vasudev1, V Goh, J K Juttla

  • 1Tumour Biology Team, Breakthrough Breast Cancer Research Centre, The Institute of Cancer Research, London SW3 6JB, UK.

Abstract

Insights

Tumor enhancement changes correlate with treatment response and resistance in patients receiving anti-angiogenic therapy. Reduced enhancement indicates tumor shrinkage, while rebound vascularization suggests acquired resistance.

Area of Science:

  • Oncology
  • Radiology
  • Pharmacology

Background:

  • Investigating tumor vessel density as a marker for anti-angiogenic therapy response.
  • Assessing correlation between tumor enhancement and treatment outcomes.

Purpose of the Study:

  • To correlate changes in tumor vessel density with response and resistance to anti-angiogenic therapy.
  • To understand mechanisms of response and resistance to tyrosine kinase inhibitors.

Main Methods:

  • Arterial phase contrast-enhanced CT in metastatic renal cancer patients.
  • Simultaneous measurement of tumor size and enhancement (tumor vessel density surrogate).
  • Analysis of individual lesion responses and rebound vascularization.

Main Results:

  • Reduced tumor enhancement strongly correlated with lesion size reduction.
  • Observed diverse responses within individual lesions and across patients.
  • Rebound vascularization amplitude was greater in lesions with better initial response.

Conclusions:

  • Tumor enhancement changes serve as a surrogate marker for anti-angiogenic therapy response and resistance.
  • Provides insights into the mechanisms of action and resistance to anti-angiogenic agents.

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