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    Magnetic Resonance Imaging to Assess Tissue

    Oxygenation and Redox Status

    .

    Hyperpolarized (by EPR) MRI

    Electron Paramagnetic Resonance (EPR) Imaging

    Redox Sensitive Paramagnetic Contrast Agents in MRI

    Murali C Krishna

    Radiation Biology Branch

    Center for Cancer Research

    National Cancer Institute

    NIH, Bethesda, MD

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    EPR spectroscopy is similar to NMR

    spectroscopy.

    NMR spectroscopy detects nuclei with magnetic

    moments.

    ex: 1H, 13 C, 19 F, 31 P etc.

    EPR spectroscopy detects species with unpaired

    electrons.

    ex: free radicals, transition metal complexes

    At a given magnetic field, EPR is more sensitive

    than NMR

    Electron Paramagnetic Resonance

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    NMR spectroscopy detects nuclei with magnetic moments.

    ex: 1H, 13 C, 19 F, 31 P etc.

    EPR spectroscopy is similar to NMR spectroscopy.

    EPR spectroscopy detects species with unpaired electrons.

    ex: free radicals, transition metal complexes

    At a given magnetic field, EPR is more sensitive than NMR

    In MRI, proton NMR spectra are used for anatomic imaging.Reason: simple NMR spectrum.

    For EPR Imaging we need species with simple EPR spectrum.

    candidates: free radicals

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    Can we image free radicals in biological systems?

    Spatially-resolved (anatomical) information can be

    obtained using EPR imaging, similar to MRI

    MRI EPR imaging

    Spin Probes Tissue protons Free radicals

    (endogenous) (>50 M) (

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    Molecular Oxygen Provides Contrast to Paramagnetic Probes inEPRI

    Molecular oxygen is paramagnetic and provides contrast to paramagnetic probes.

    This causes spectral broadening (increase in line width)

    Line width changes from oxygen contrast > 200 % in EPRIn NMR such changes may be ~10%

    It is possible to image spatial distribution of paramagnetic spin

    probe by EPR and obtain pO2 information

    Oxygen (pO2)

    0 25 50 75 100

    EPR

    Line-w

    idth(mG)

    0

    200

    400

    600

    EPR Line Width vs pO2

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    Desirable Features

    Chemical and spectroscopic:

    Water soluble

    Kinetically and metabolically stable

    Single and narrow line resonance

    Linewidth pO2

    Toxicology:

    Non-toxic at concentrations required for imaging

    In vivo life time imaging time

    Pharmacologic:

    EPR Imaging with infusible probes may provide a more

    global assessment of pO2

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    Overhauser, A; Phys. Rev. (1953)Dynamic nuclear polarizationapplicable to conduction electrons in alkali metals

    Hyperpolarized MRI using EPR and Paramagnetic Contrast AgentsLurie DJ, Bussell DM, Bell LH, Mallard JR,

    Proton- Electron Double Magnetic-Resonance Imaging of Free-Radical Solutions

    J. Magnetic Resonance 76, 366-370 (1988)

    C

    .

    Physical Basis for Hyperpolarization of Nuclei

    Dynamic Nuclear Polarization with Paramagnetic Agents

    Overhauser Effect

    http://store.aip.org/OA_HTML/ecl.jsp?mode=detail&item=24804
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    Trityl Radicals

    Gomberg, M; JACS. (1900)

    Triphenyl methyl: A case of trivalent carbon. I reserve the field for myself.

    Golman, K et. al.

    Overhauser-enhanced MR imaging (OMRI)Acta Radiologica 39, 10-17(1998)

    Contrast Agents for Hyperpolarization

    of1H, 13 C

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    Contrast Agent - Trityl Radical

    Mouse MTD = 2.5 - 5 mmol/kg

    T1/2 in mouse blood and

    kidney: 9-10 min

    Linewidth: 100 - 300 mG

    Oxygen tension: 0 - 21 %

    .C

    OX063

    =CH2OH

    CH2OH

    HOCH2

    COO-

    Na+

    S

    S

    S

    S

    HOCH2 Nycomed Imaging

    Nycomed Amersham

    AmershamGE

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    Overhauser MRI

    Combination of EPRI + MRI

    MRI for anatomy and EPR for Spectral information

    MR Imaging of Hyperpolarized Water Protons by EPR

    Low magnetic field (~10 mT)

    Uses Free Radical Paramagnetic contrast agentsCoil tuned to both NMR and EPR frequencies

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    Scanner

    Field strengths and Pulse Frequenci

    EPR NMR

    Magnet (mT): 8 15

    Resonators: 226 MHz 640 kHz

    Magnet and resonator dimensions

    Resonator Magnet

    Diameter (cm): 2.5 80

    Length (cm): 8 125

    Frequency Encoding

    Gradient: 1.5 G/cm

    Phase Encoding

    Gradient 64 steps

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    Int

    0.6

    1.2

    1.8

    2.4

    3.0

    MRI Contrast Agent MRI + Contrast Agent

    Kidney

    Bladder

    Tumor

    Image Intensity enhanced by:

    1) Contrast Agent concentration

    2) Hypoxic/Ischemic regions

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    % Oxygen inbreathing air

    Time

    (min.)

    0:45 6:20 12:00 17:30 23:20

    21% 9.5% 21% 9.5% 21%

    0

    100

    mm Hg

    Oxygen Mapping with OMRI

    Rat, respiratory model1.5 mmol/kg

    Oxygen Maps from OMRI Correspond with Changes in Tissue Oxygenation

    Dynamic changes in pO2 can be monitored

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    20

    40

    60

    80

    100

    120

    140

    0

    20

    40

    60

    80

    100

    120

    140

    0

    (O

    xyge

    n,mm

    Hg

    )

    (Oxyge

    n

    ,mm

    Hg)

    Air

    Carbogen

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    Overhauser MRI/Summary

    Currently implemented in mice, rats.

    For human applications:

    Contrast agents/Safety

    SAR/Localized coils

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    Challenges in Imaging of13 C labeled molecules with MRI.

    1) Lower concentration compared to protons

    2) Lower magnetic moment than protons (25%)

    3) Lower Polarization than protons (25%)

    Hyperpolarized 13 C MRI

    Implications for Molecular Imaging

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    1H 13 C 13 C Hyperpolarized

    C, M 80 0.1 0.1

    (MHz/T) 42.5 10.7 10.7

    Polariz., P 1.10-5 2.10-6 0.5

    c P 0.034 2.14.10-6 0.535

    Sensitivity Considerations in MRI of1H and 13 C at 3 Tesla

    Magnetic Field

    Molecular Imaging With Endogenous Substances.Golman et al: PNAS Vol 100, 10158-10163, 2003.

    Golman et al: PNAS Vol 100, 10435-10439, 2003.

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    Strategy for Hyperpolarization of13 C labeled Molecules by EPRfor in vivo imaging

    Mix the 13 C labeled compound with trityl radical

    Freeze to 1. 4 K and put it in 2.7 T magnet Irradiate with 95 GHz radiation (EPR) Thaw it to room temperature, inject and image in< 2min!

    Golman et al PNAS 2003

    Ardenkjaer et al PNAS 2003

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    A)

    B)

    NMR Spectrum of13 C Urea (natural Abundance)

    9.4 Tesla (400 MHz)

    Single Shot NMR Spectrum

    Acquisition time: 1s

    Polarization of13 C Urea 20%

    13 C Urea at normal polarization

    Acquisition time: 65 HoursPolarization: 7.5 ppm

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    0

    20

    40

    60

    80

    100

    120

    0 10 20 30 40 50 60 70

    Time (s)

    Signal Loss of hyperpolarized 13 C Urea in a mouse after iv bolus

    There is ~ minute for image data

    acquisition before polarization is lost.

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    Metabolic fates of

    pyruvate

    Alan

    ine

    Oxaloacetate

    Lactate

    Acetyl-CoA

    PyruvateTransamination

    Carboxylation Oxidative

    decarboxylation

    Reduction

    Pyruvate is converted into lactate, alanine,

    oxaloacetate or Acetyl-CoA depending on the

    needs of the tissues.

    With suitable hyperpolarized molecules,

    it is possible to distinguish breakdown

    products based on their chemical shiftsby 13 C MRI.

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    3D surface rendering

    In vivo metabolic mapping

    using 13 C-pyruvate

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    Imaging pO2 using EPR Imaging and

    paramagnetic moleculesDirect detection of contrast agent by EPRI

    Image collection using static magnetic field gradients

    Images of spin probe distribution

    pO2 maps obtained by T2* weighted imaging

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    frequency

    FT

    pulse width10 - 100 ns

    dead time0.3 - 1.0 s

    1.0 - 4.0 s

    FID

    TIME DOMAIN EPR EXPERIMENTS

    The EPR Signals last ~ microseconds after RF pulse

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    Gradient ramping and pseudo-echo

    r

    FT

    Frequency ( 1D spatial profile)

    RFp u

    ls e

    Dea

    d

    tim

    e time

    Gx

    Gy

    Gz

    EPR/Single Point Imaging

    After the dead time, the phase of one point after a fixed time delay is monitored at

    different gradient magnitudes per direction.

    The resultant envelope is equivalent of a Gradient Recalled Echo.

    FT of this envelop gives the spatial projection

    Resolution independent of line width.

    Fourier reconstruction possible with static gradients

    We implemented Fourier Imaging Capabilities in EPRI.

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    Time (ns) Frequency (MHz)

    FT

    EPR Experiment in Time-Domain.

    Line width, = 1/( T2)Dead-time

    We have Developed EPR Instrumentation withnanosecond time resolution

    EPR can be used for pO imaging by post processing for T * effects

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    EPR can be used for pO2 imaging by post-processing for T2* effects.

    RFp u

    ls e

    time

    cm

    Int.

    Using several times points in the echo for image reconstruction

    it is possible to estimate oxygen dependent line width of the

    contrast agent

    Gx

    O P id E ll t T2 C t t t

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    0 % 1 %

    2.5 %5 %

    Oxygen Provides Excellent T2 Contrast to

    Paramagnetic Contrast AgentsPhantom Schematic

    mm

    mm

    Intensity Image

    -20 -15 -10 -5 0 5 10 15 20

    -20

    -15

    -10

    -5

    0

    5

    10

    15

    20

    0

    0.02

    0.04

    0.06

    0.08

    0.1

    0.12

    0.14

    0.16

    mm

    mm

    LineWidthMapping

    -20 -15 -10 -5 0 5 10 15 20

    -20

    -15

    -10

    -5

    0

    5

    10

    15

    20

    150

    160

    170

    180

    190

    200

    210

    220

    230

    240

    250

    pO2 dependent T2 Map

    150

    160

    170

    180

    190

    200

    210

    220230

    240

    250

    0 1 2 3 4 5Oxygen concentration %

    Lw

    inmG

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    Intensity ImageIntensity Image

    Sagital View ( 1mm Slices)Sagital View ( 1mm Slices)

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    Line Width ImageLine Width Image

    Sagital View ( 1mm Slices)Sagital View ( 1mm Slices)

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    N

    O

    R

    N

    O H

    R

    .

    Reduction

    Oxidation

    n = 1, piperidine nitroxides eg. Tempol, Tempo, Temponen = 0, pyrrolidine nitroxides. Eg. Carbamoyl proxyl, carboxy proxyl

    (n) (n)

    Nitroxide radical Hydroxylamine

    Paramagnetic Diamagnetic

    Provides enhancement in T1 based MRI Does not provide T1 contrast in MRI

    Nitroxides can provide redox status dependent contrast in MRI

    Time Course of Tempol-Induced

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    %Difference in Intensity Green: +; Red: -

    Evo = 1/60

    Tempol-Induced T1 contrast in

    Tumor Bearing Mouse

    Image Intensity in Tumor Bearing

    Mouse

    Tempol-Induced T1 contrast in Tumor Bearing Mouse changes with time after administration.

    Time-intensity profiles in muscle and tumor are different

    Evo = 1/60

    GEFI: TR75, TE3, FA45

    Evo = 1/60 Evo = 8/60 Evo = 15/60

    Evo = 22/60 Evo = 29/60 Evo = 60/60

    Tumor Normal

    B C D

    E F G

    A

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    y = -0.8592x + 5.2778

    R2 = 0.9954

    0

    1

    2

    3

    4

    0 1 2 3 4 5 6 7 8

    Time (min)

    ln(%c

    hange)

    y = -0.2735x + 3.126

    R2 = 0.7954

    0

    1

    2

    3

    4

    0 1 2 3 4 5 6 7 8

    Time (min)

    ln(%c

    hange)

    Tumor

    Normal

    Change in Tempol-induced MR Intensity Enhancement as a Function of Time

    Intensity change with time is faster in tumor than normal tissue.

    Nitroxides are reduced faster in tumors than in normal tissue

    Time Course of 3-CP-Induced

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    MSME: TR4000, TE450

    Evo = 1/60

    GEFI: TR75, TE3, FA45

    Evo = 1/60 Evo = 8/60 Evo = 15/60

    Evo = 22/60 Evo = 29/60 Evo = 60/60

    %Difference

    Image Intensity in Tumor Bearing

    Mouse3CP-Induced T1 contrast in

    Tumor Bearing Mouse

    3CP-Induced T1 contrast in Tumor Bearing Mouse changes with time after administration.

    Time-intensity profiles in muscle and tumor are different

    Evo = 1/60

    Tumor Normal

    GEFI: TR75, TE3, FA45

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    y = -0.1074x + 4.074

    R2 = 0.9978

    0

    1

    2

    3

    4

    0 5 10 15 20

    Time (min)

    ln(%c

    hange)

    y = -0.0698x + 3.9395

    R2 = 0.9933

    0

    1

    2

    3

    4

    0 5 10 15 20

    Time (min)

    ln(%c

    hange)

    Tumor

    Normal

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    John Cook, Ph. D

    Deva Devasahayam, MS (EE)

    Fuminori Hyodo, Ph. DJanusz Koscielniak, Ph. D

    Atsuko Matsumoto M.S

    Ken-Ichiro Matsumoto, Ph. D

    Sankaran Subramanian, Ph. D

    James B. Mitchell, Ph. D

    David Wink, Ph. D

    Angelo Russo, Ph. D, M. DAmram Samuni, Ph. D

    Klaes Golman, Amersham, Sweden

    Jan-Henrik Ardenkjaer, Amersham,

    Sweden

    ACKNOWLEDGEMENTS