Meeting Banner
Abstract #1640

A Hydroxyapatite-Targeted Gadolinium Contrast Agent for MRI of Breast Cancer Microcalcifications

Jonathan Marmurek1, Elaine Lunsford2, Elena Vinogradov2, 3, Khaled Nasr2, Fangbing Liu2, Ananth J. Madhuranthakam4, John V. Frangioni2, 5, Robert E. Lenkinski3

1Harvard-MIT Division of Health Sciences and Technology, Cambridge, MA, United States; 2Beth Israel Deaconess Medical Center, Boston, MA; 3UT Southwestern Medical Center, Dallas, TX; 4Global Applied Science Laboratory, GE Healthcare, Boston, MA; 5Harvard Medical School, Boston, MA

Clinical x-ray mammography cannot delineate hydroxyapatite (HA) and calcium oxalate (CO), the respective forms of microcalcification in malignant and benign breast cancer. We present the first in-vivo MRI of an HA-targeted gadolinium contrast agent. Pre- and post-contrast MRI using ultra-short echo times (UTE) showed that the contrast agent had a 4.3-fold relative specificity for HA over CO when delivered systemically to subcutaneous crystal implants in mice. UTE MRI of a breast cancer model in rats showed that the HA-targeted contrast agent produced a signal intensity enhancement greater than 200% in tumor calcifications.

Keywords

ability abstract account administered agent amplified animal animals application applied approved arrow balance beth bilaterally binding biologically birdcage body bone bound breast built calcifications calcified calcium cancer cells chelate clinical coil collected competitive computed conjugated continuous contrast control crystal crystals dashed deaconess degree delivered delivery demonstrating density detectable detected detection diagnostic difficult division dose echoes enhanced enhancement enhancements entire exposure fast female fiducial flanks fold gadolinium gradient greater health helical hence highlighted implant implantation implanted implants imply improve in vivo indistinguishable induced injected injection injections inoculation intensifies intensities intensity isotropic laboratory lesser ligand linker localize location long malignant mammography marker matrix medical meeting mice micro model models molecular monitor nude optimal position post preferred previously prior protein rats receive registered reported respective response rims school sessions short slice slurry smallest solid sought southwestern specificity spin still structures subcutaneous suspect systemic targeted targeting throughout tomography towards transmit tumor tumors ultra uptake validated visible weeks