Speaker
Dr
Maddalena Autiero
(Università degli studi di Napoli "Federico II")
Description
In the last years we have tested hematoporphyrin (HP) dichlorohydrate as an optical
contrast agent for the in vivo detection of solid surface tumors on small animals
(mice) by Fluorescence Reflectance Imaging (FRI). HP dichlorohydrate was shown to
accumulate in tumors, but the volume of the studied tumors was about 50-400 mm3, so
that the tumor masses were visible with the naked eye and palpable. Instead, it is
crucial in the tumor diagnostic the detection of tumors in their early stage:
earlier diagnosis greater the patient survival probability, especially if the tumor
is highly invasive.
In this work, we apply HP-FRI to image in vivo the HP red fluorescence emission
from mouse regions injected with tumor cells of high malignancy degree, in order to
study the onset and the growth of the tumor and its early detectability. To this
purpose, we improved our previous setup with a high sensitivity, high photometric
resolution, monochrome, cooled digital CCD camera.
The fluorescence excitation is supplied by a frequency doubled pulsed Nd:YAG laser
(532 nm). The cooled digital CCD camera (Hamamatsu ORCA 285 G) records the HP
fluorescence radiation (at 630 and 690 nm) filtered by a cut-on long-wavelength
pass filter (cut-on wavelength = 600 nm) that rejects the backscattered radiation
at 532 nm. About 106 ARO (anaplastic human thyroid carcinoma, highly malignant)
cells were implanted subcutaneously in the back of several mice and their growing
was monitored about daily through HP-FRI measurements for approximately 10 days
starting from the fifth day after the cell injection and 6 h after HP injection.
By exploiting the selective HP uptake by the tumor tissues and the high sensitivity
of the CCD camera, we have imaged the fluorescence of tumors implanted only five
days before the HP-FRI measurements, and, as a consequence, non visible with the
naked eye and undetectable to the palpation. HP uptake appears different for
healthy and tumor tissues so that the maximum optical contrast tumor-healthy tissue
is obtained 24 h after HP administration.
HP dichlorohydrate, through it is an aspecific fluorescent tumor marker, is
suitable to detect subcutaneous tumor masses with a number of cells of the order of
tens of millions (corresponding to a volume of few cube millimiters). Owing to the
penetration depth in the tissues of emission red light of fluorophores exogenous
(pheophorbide, probably), are detectable also some tumor-free internal organs.
The features of this optical imaging system make it suitable for an integration
with radionuclide imaging systems. Indeed, we combined it with Medipix2 hybrid
pixel detectors (256x256 pixels of 55 micron pitch, 14x14 mm2 sensitive area) with
silicon or CdTe pixel detector. A coded mask collimator with hole size of the order
of 1-2 pixels would allow for a submillimetric spatial resolution. The resulting
multimodal imaging system for small animals aims at reaching high spatial
resolution (< 1 mm), short acquisition times, reliability, ease of use, compactness
and relatively low cost. By taking planar views of the animal, the system can
produce in vivo images of surface tumor masses grown in mice, using 99mTc MIBI as a
radiotracer and hematoporphyrin (HP) dichlorohydrate as an exogenous optical
fluorophore. Finally, the availability of radionuclide labelled porphyrins makes
possible to administer at the same time both the gamma emitting radiotracer and the
fluorescent marker, when aiming at a combined radionuclide / fluorescence imaging.
Author
Dr
Maddalena Autiero
(Università degli studi di Napoli "Federico II")
Co-authors
Dr
Giovanni Mettivier
(Università degli studi di Napoli "Federico II")
Prof.
Giuseppe Roberti
(Università degli studi di Napoli "Federico II")
Dr
Luigi Celentano
(Università degli studi di Napoli "Federico II")
Prof.
Marcello Marotta
(Università degli studi di Napoli "Federico II")
Dr
Maria Cristina Montesi
(Università degli studi di Napoli "Federico II")
Prof.
Paolo Laccetti
(Università degli studi di Napoli "Federico II")
Prof.
Paolo Russo
(Università degli studi di Napoli "Federico II")
Dr
Patrizia Riccio
(Università degli studi di Napoli "Federico II")
Dr
Rosanna Cozzolino
(Università degli studi di Napoli "Federico II")