Increasing the sensitivity of detection of targeted MRI contrast agents using image analysis

Lead Research Organisation: University of Cambridge
Department Name: Biochemistry

Abstract

Magnetic resonance imaging (MRI) typically images water protons and gives excellent images of soft tissues since the signal intensity depends on both the water distribution and the MR properties of the water protons, which can vary significantly between and within tissues. Furthermore, these MR properties can be a dynamic function of tissue physiology and thus image contrast can report not only on tissue structure but also on aspects of tissue function. This capability of MRI to image not only tissue architecture but also tissue function has been expanded considerably in recent years by the advent of 'molecular imaging'. Molecular imaging typically involves the introduction of a paramagnetically labelled probe molecule or contrast agent that reports in the MR image of tissue morphology, on some aspect of underlying tissue biochemistry or physiology. Molecular imaging in MRI now encompasses a number of different applications, including pH mapping, cell surface receptor mapping, gene reporter constructs which permit mapping of gene activity and methods for labelling cells with paramagnetic labels that allow their tissue trafficking to be imaged in real time in vivo. However, a fundamental limitation of MR-based molecular imaging methods is their relative insensitivity when compared to radiochemical (PET, SPECT) or optical (bioluminescence, near infra-red fluorescence) molecular imaging modalities. A solution to this problem, which we are pursuing currently, is to increase the concentration of the paramagnetic label and/or the effect that it has on signal intensity in the MR image. However, the problem with these approaches are that they almost invariably involve an increase in the size of the label, which can compromise the function of the ligand or cell, to which the label is attached. We are proposing here a parallel approach to increasing the sensitivity of label detection in MR imaging by using sophisticated image analysis methods, of a type used by the astrophysics community to de-noise images and enhance feature recognition in images of star clusters. The capability to perform reliable automated segmentation of MR images does not currently exist within the MR imaging community. Some simple approaches have been tried, but none are capable of performing the task to the required level of accuracy and reliability. We will use a novel Bayesian algorithm that uses a generative model for the imaging process, combined with efficient methods for obtaining the statistically optimal result. We will start by performing conventional texture analyses of MR images of well-defined in vitro model systems that mimic the punctate nature of cell labelling in vivo and at the same time model different labelled cell densities, at both macroscopic (mm) and microscopic levels (micron). The basic texture analysis methods employed previously will be extended and will provide a baseline for comparison with the results obtained subsequently using the novel Bayesian approach. All analyses will be directly validated against the known geometry (cell density, label content, cell cluster spacing) of the gelatin phantoms. These experiments will determine whether the sensitivity of labelled cell detection can be improved by image analysis. The best analysis methods will be further validated using pre-existing in vivo data of the type already published by us and for which we have good histological data from corresponding tissue sections obtained post-mortem. The expected outcomes of this project are image analysis methods that improve the sensitivity of labelled cell and molecule detection using MRI. By improving the sensitivity of detection, these methods may also permit lower label concentrations to be used, with attendant improvements in cell and molecular function.

Technical Summary

Molecular imaging is revolutionising the application of magnetic resonance imaging (MRI) in biology and medicine. Molecular imaging in MRI includes the use of contrast media targeted at specific molecular entities, such as cell surface receptors, and labelling cells with paramagnetic agents, which allows them to be tracked non-invasively in vivo. However, a fundamental limitation of molecular imaging using MR, is its relative lack of sensitivity as compared to other imaging modalities. One solution to this problem is to increase the relaxivity of the paramagnetic tag. However, this almost invariably involves an increase in its size, which can compromise the function of the ligand or cell, to which the label is attached. Another approach is to use sophisticated image analysis methods, of a type used by the astrophysics community to de-noise images and enhance feature recognition, to improve the sensitivity of label detection. This approach, which can be pursued in parallel with increasing the relaxivity of the paramagnetic tag, is the subject of this proposal. The capability to perform reliable automated segmentation of MR images does not currently exist within the MR imaging community. Some simple approaches have been tried, but none are capable of performing the task to the required level of accuracy and reliability. We will use a novel Bayesian segmentation algorithm that uses a generative model for the imaging process, combined with efficient methods for obtaining the statistically optimal result. The technique is based on Markov-chain Monte Carlo sampling from the posterior distribution of the parameters in the model of the object. We have shown that this corresponds to the theoretically optimal method for parameterised object detection and characterisation. The expected outcomes of this project are image analysis methods that improve the sensitivity of labelled cell and molecule detection using MRI.

Publications

10 25 50
 
Description Magnetic resonance imaging (MRI) typically images water protons and gives excellent images of soft tissues since the signal intensity depends on both the water distribution and the MR properties of the water protons, which can vary significantly between and within tissues. Furthermore, these MR properties can be a dynamic function of tissue physiology and thus image contrast can report not only on tissue structure but also on aspects of tissue function. This capability of MRI to image not only tissue architecture but also tissue function has been expanded considerably in recent years by the advent of "molecular imaging". Molecular imaging typically involves the introduction of a paramagnetically labelled probe molecule or contrast agent that reports in the MR image of tissue morphology, on some aspect of underlying tissue biochemistry or physiology. Molecular imaging in MRI now encompasses a number of different applications, including pH mapping, cell surface receptor mapping, gene reporter constructs, which permit mapping of gene activity, and methods for labelling cells with paramagnetic labels that allow their tissue trafficking to be imaged in real time. However, a fundamental limitation of all molecular imaging in vivo, whether it is with MRI, or with radionuclide imaging techniques such as PET or SPECT or with optical, or near optical techniques, such as bioluminescence or near-infrared imaging is background signal caused by non-specific binding of the targeted contrast agent. In the work funded by this grant we showed that we could minimise the effects of background, and thus enhance the sensitivity of detection of a targeted MR imaging agent for detecting cell death, by analysing the distribution of the contrast agent in the image. Essentially by parameterising the heterogeneous distribution of the agent we were able to increase significantly the sensitivity of its detection, thus achieving our stated aim i.e. the development of an image analysis method that improves the sensitivity of labelled cell and molecule detection using MRI. We have subsequently gone on to show that this image analysis technique will work even in the absence of a targeted contrast agent. In T2-weighted images we showed that the technique could detect treatment response through an increase in image heterogeneity post treatment.
Exploitation Route Since there is currently no imaging biomarker that can detect "pseudoprogression" in glioma patients, where the tumour continues to get bigger despite a positive response to treatment, we believe that this method will have immediate utility in the clinic. We have just completed a retrospective study, which showed great promise and we are about to embark on a prospective clinical study. Should this be successful we will make the analysis software widely available for further clinical trials of the technique. We also plan to explore whether this approach can be applied to images acquired using other imaging modalities e.g. PET. With further funding from Cancer Research UK, which allowed me to employ the post-doc on the grant for a further 18 months, and with funding from the MRC, which has funded a clinical fellow in my laboratory, we have now applied this image analysis technique to clinical images. Specifically we have used the technique to analyse T2-weighted MR images of human brain tumours (gliomas) before and after treatment (radiotherapy with temozolamide) and used it to detect those patients who have shown a positive response to treatment. This is currently difficult to do as the tumours often get bigger following treatment, even when there is a positive response to treatment, as assessed by longer term outcome.
Sectors Healthcare,Pharmaceuticals and Medical Biotechnology

 
Description We have shown how analysis of image heterogeneity can be used to enhance the sensitivity of detection of a targeted imaging agent. We went on to show, in a subsequent study, how analysing heterogeneity in magnetic resonance images, in the absence of any contrast agent, can be used to detect the early responses of tumours to treatment. This technique could have widespread use in clinical oncological imaging.
First Year Of Impact 2009
Sector Healthcare,Pharmaceuticals and Medical Biotechnology
 
Description Further funding from my CRUK core grant allowed me to employ the post-doc on the grant for another 18 months
Amount £3,080,000 (GBP)
Organisation Cancer Research UK 
Sector Charity/Non Profit
Country United Kingdom
Start 11/2008 
End 10/2013
 
Description New imaging methods for detecting brain tumour response to treatment
Amount £171,094 (GBP)
Funding ID G1000265 
Organisation Medical Research Council (MRC) 
Sector Public
Country United Kingdom
Start 08/2010 
End 09/2012
 
Description Lecture at a Molecular Imaging Workshop, Madrid 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Other academic audiences (collaborators, peers etc.)
Results and Impact Lecture at a Molecular Imaging Workshop, Madrid

None
Year(s) Of Engagement Activity 2007
 
Description Lecture at an Ernst Schering Foundation Scientific Symposium on "Oncogenes meet metabolism - from deregulated genes to a broader understanding of tumour physiology". 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Other academic audiences (collaborators, peers etc.)
Results and Impact Lecture at an Ernst Schering Foundation Scientific Symposium on "Oncogenes meet metabolism - from deregulated genes to a broader understanding of tumour physiology". Berlin, Germany

None
Year(s) Of Engagement Activity 2007
 
Description Lecture at the 3rd Annual Metabolomics Society meeting. Manchester, UK 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Other academic audiences (collaborators, peers etc.)
Results and Impact Lecture at the 3rd Annual Metabolomics Society meeting

None
Year(s) Of Engagement Activity 2007
 
Description Lecture at the American Association for Cancer Research annual meeting. Los Angeles, USA 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Other academic audiences (collaborators, peers etc.)
Results and Impact Lecture at the American Association for Cancer Research annual meeting. Los Angeles, USA

no actual impacts realised to date
Year(s) Of Engagement Activity 2007
 
Description Lecture at the joint meeting of the British Pharmacological Society, the Biochemical Society and the Physiological Society (Life Science 2007). Glasgow, Scotland 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Other academic audiences (collaborators, peers etc.)
Results and Impact Lecture at the joint meeting of the British Pharmacological Society, the Biochemical Society and the Physiological Society (Life Science 2007). Glasgow, Scotland.

None
Year(s) Of Engagement Activity 2007
 
Description Lecture at the launch symposium of the Cambridge Cancer Centre 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Local
Primary Audience Other academic audiences (collaborators, peers etc.)
Results and Impact Lecture at the launch symposium of the Cambridge Cancer Centre

None
Year(s) Of Engagement Activity 2007
 
Description Lecture of the Cambridge Philosophical Society, Cambridge 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Local
Primary Audience Public/other audiences
Results and Impact Lecture of the Cambridge Philosophical Society, Cambridge. Open to public.

None
Year(s) Of Engagement Activity 2007
 
Description Plenary Lecture at the 46th Meeting of the NMR Society of Japan. Sapporo, Japan 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Other academic audiences (collaborators, peers etc.)
Results and Impact Plenary Lecture at the 46th Meeting of the NMR Society of Japan. Sapporo, Japan

None
Year(s) Of Engagement Activity 2007
 
Description Plenary lecture at the European Society for Molecular Imaging. Naples, Italy 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Other academic audiences (collaborators, peers etc.)
Results and Impact Plenary lecture at the European Society for Molecular Imaging.

None
Year(s) Of Engagement Activity 2007