wp6. cancer imaging with focus on breast cancer...wp6. cancer imaging with focus on breast cancer...

35
Wp6. Cancer Imaging with focus on b breast cancer Anikitos Garofalakis ‘Frederic Joliot Hospital Service(SHFJ), Institute of Biomedical imaging(I 2 BM), Atomic Energy Commission(CEA)1 Anikitos GAROFALAKIS CEA, I 2 BM, SHFJ, LIME, INSERM U1023

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Page 1: Wp6. Cancer Imaging with focus on breast cancer...Wp6. Cancer Imaging with focus on breast cancer Anikitos Garofalakis ‘Frederic Joliot Hospital Service(SHFJ), Institute of Biomedical

Wp6. Cancer Imaging with focus on

bbreast cancer

Anikitos Garofalakis

‘Frederic Joliot Hospital Service(SHFJ), Institute of Biomedical

imaging(I2BM), Atomic Energy Commission(CEA)’g g( ) gy ( )

1Anikitos GAROFALAKIS CEA, I2BM, SHFJ, LIME, INSERM U1023

Page 2: Wp6. Cancer Imaging with focus on breast cancer...Wp6. Cancer Imaging with focus on breast cancer Anikitos Garofalakis ‘Frederic Joliot Hospital Service(SHFJ), Institute of Biomedical

background

The use of animal models for the evaluation of FMT under realistic conditions

Objectives of Wp6:

To provide cancer animal models

To provide key fluorescence probes

Quantitatively examine FMT performance to visualize disease processes in-vivo

To predict clinical utility (48 month deliverable)

2Anikitos GAROFALAKIS CEA, I2BM, SHFJ, LIME, INSERM U1023

Page 3: Wp6. Cancer Imaging with focus on breast cancer...Wp6. Cancer Imaging with focus on breast cancer Anikitos Garofalakis ‘Frederic Joliot Hospital Service(SHFJ), Institute of Biomedical

Animal modelsmodels and probes

MCF 7MDA 231 U87PC12 MEN2A

a. xenografted tumors

PyMT

b. spontaneous tumors

Animal models

MCF-7MDA-231 U87 human glioma

PC12-MEN2A rat pheochromocytoma

PyMT

Fluorescent probes

Prosense RGD-based Angiosense

a. commercial probes

Aptamers Nano-micelles

b. custom-made probes

Prosense RGD basedoptical probes(Integrisense680,Angiostamp680)

Angiosense

3Anikitos GAROFALAKIS CEA, I2BM, SHFJ, LIME, INSERM U1023

Cathepsin activity Integrin avβ3 Blood volume

Page 4: Wp6. Cancer Imaging with focus on breast cancer...Wp6. Cancer Imaging with focus on breast cancer Anikitos Garofalakis ‘Frederic Joliot Hospital Service(SHFJ), Institute of Biomedical

fluorescent probes for tumor-related processes

FDG

Integrin avβ3 Neo-angiogenesis

CathepsinECM d d tiECM degradation

Blood volume

4Anikitos GAROFALAKIS CEA, I2BM, SHFJ, LIME, INSERM U1023

Page 5: Wp6. Cancer Imaging with focus on breast cancer...Wp6. Cancer Imaging with focus on breast cancer Anikitos Garofalakis ‘Frederic Joliot Hospital Service(SHFJ), Institute of Biomedical

Quantitatively examine FMT performance to visualize disease processes in-vivo

targetedbiological molecule 1

FDG

μPET FMT

Type of information Molecular Molecular

Resolution ~ 1 mm3 ~ 1 mm3

Kinetics Fast (~seconds) 5-15 min/scan

Whole Body Imaging YES NO

Time range of follow up ~ hours ~days

Cost $$$ $Cost $$$ $

Activatable probes NO YES

Labelling Need radiochemistry Simple

Quantification Linear from pM ?

5Anikitos GAROFALAKIS CEA, I2BM, SHFJ, LIME, INSERM U1023

Q p ?

Page 6: Wp6. Cancer Imaging with focus on breast cancer...Wp6. Cancer Imaging with focus on breast cancer Anikitos Garofalakis ‘Frederic Joliot Hospital Service(SHFJ), Institute of Biomedical

calibration of FMT

Use of tubes filled with fluorophores

Use of the quantification capacity of PET imaging in combination with a dual PET/Optical probe

targetedbi l i l biological molecule

PET

vs [C]

FMT

6Anikitos GAROFALAKIS CEA, I2BM, SHFJ, LIME, INSERM U1023

Page 7: Wp6. Cancer Imaging with focus on breast cancer...Wp6. Cancer Imaging with focus on breast cancer Anikitos Garofalakis ‘Frederic Joliot Hospital Service(SHFJ), Institute of Biomedical

FMT-PET-CT imaging

in vivo

7Anikitos GAROFALAKIS CEA, I2BM, SHFJ, LIME, INSERM U1023

Page 8: Wp6. Cancer Imaging with focus on breast cancer...Wp6. Cancer Imaging with focus on breast cancer Anikitos Garofalakis ‘Frederic Joliot Hospital Service(SHFJ), Institute of Biomedical

fDOT-PET-CT imaging/protocol

PET PETFMT CT

0 60 min30 90

CT contrast agenttargetedbiological molecule

8Anikitos GAROFALAKIS CEA, I2BM, SHFJ, LIME, INSERM U1023

Page 9: Wp6. Cancer Imaging with focus on breast cancer...Wp6. Cancer Imaging with focus on breast cancer Anikitos Garofalakis ‘Frederic Joliot Hospital Service(SHFJ), Institute of Biomedical

calibration/FMT-PET-CT imaging

PET FMT PET CT

FMT/CTul

ated

es

) 800

1000

quan

tity

calc

y PE

T (

pmol

e

600

PET/CT

Prob

e by

200

400 PET/CT

Time (min)

0 20 40 60 80 100 120 140

9Anikitos GAROFALAKIS CEA, I2BM, SHFJ, LIME, INSERM U1023

Page 10: Wp6. Cancer Imaging with focus on breast cancer...Wp6. Cancer Imaging with focus on breast cancer Anikitos Garofalakis ‘Frederic Joliot Hospital Service(SHFJ), Institute of Biomedical

b/./calibration/fDOT-PET-CT imaging/volume validation

PET/CT fDOT/CT

Coronal view

Axial viewAxial view

PET segmented volume

Optical signal segmented volume

CT contrast

10Anikitos GAROFALAKIS CEA, I2BM, SHFJ, LIME, INSERM U1023

CT contrast

Page 11: Wp6. Cancer Imaging with focus on breast cancer...Wp6. Cancer Imaging with focus on breast cancer Anikitos Garofalakis ‘Frederic Joliot Hospital Service(SHFJ), Institute of Biomedical

b/./calibration/fDOT-PET-CT imaging/quantification

1000

(M

) 10

oles

by

PET

10

100

tion

by P

ET

0,1

1

pm

o

0 1

1

Con

cent

rat

0 001

0,01

fDOT (a.u.)101 102 103 104 105

0,1

fDOT concentration (a.u.)0,1 1 10 100

0,001

Sensitivity limit ~ 1 pmoles, 5nM(C)

11Anikitos GAROFALAKIS CEA, I2BM, SHFJ, LIME, INSERM U1023

Garofalakis et al, Optics Letters (2010)

Page 12: Wp6. Cancer Imaging with focus on breast cancer...Wp6. Cancer Imaging with focus on breast cancer Anikitos Garofalakis ‘Frederic Joliot Hospital Service(SHFJ), Institute of Biomedical

PET-FMT dual imaging

targetedbiological molecule

μPET FMT

Type of information Molecular Molecular

Resolution ~ 1 mm3 ~ 1 mm3

Kinetics Fast (~seconds) 5-15 min/scan

Whole Body Imaging YES NO

Time range of follow up ~ hours ~days

Cost $$$ $Cost $$$ $

Activatable probes NO YES

Labelling Need radiochemistry Simple

Quantification Linear from pM Linear from nM

12Anikitos GAROFALAKIS CEA, I2BM, SHFJ, LIME, INSERM U1023

Linear from nM

Page 13: Wp6. Cancer Imaging with focus on breast cancer...Wp6. Cancer Imaging with focus on breast cancer Anikitos Garofalakis ‘Frederic Joliot Hospital Service(SHFJ), Institute of Biomedical

cancer imaging in combination with PET

Angiostamp680ControlAngiostamp680Angiosense750

FMT PET CT FMT

day -1 day 0 day 1 day 2 ….

Prosense680

13Anikitos GAROFALAKIS CEA, I2BM, SHFJ, LIME, INSERM U1023

Page 14: Wp6. Cancer Imaging with focus on breast cancer...Wp6. Cancer Imaging with focus on breast cancer Anikitos Garofalakis ‘Frederic Joliot Hospital Service(SHFJ), Institute of Biomedical

b

MDA-231/FDG-Cathepsin

a b

3D Optical( )

0.92

0.75 mm(Prosense)

0.59μM

PET [F18]FDG

c

Volume Mean

Prosense_DAY_1 317.781 3.5

Prosense_DAY_2 412.45 3.5

Prosense_DAY_3 373.337 4.0

14Anikitos GAROFALAKIS CEA, I2BM, SHFJ, LIME, INSERM U1023

Page 15: Wp6. Cancer Imaging with focus on breast cancer...Wp6. Cancer Imaging with focus on breast cancer Anikitos Garofalakis ‘Frederic Joliot Hospital Service(SHFJ), Institute of Biomedical

MDA-231/FDG – Integrin avβ3

RGD-based ligand Control ligand

0.24

0 12

0.04

0 02

0

0.12

uM0

0.02

uM

15Anikitos GAROFALAKIS CEA, I2BM, SHFJ, LIME, INSERM U1023

Page 16: Wp6. Cancer Imaging with focus on breast cancer...Wp6. Cancer Imaging with focus on breast cancer Anikitos Garofalakis ‘Frederic Joliot Hospital Service(SHFJ), Institute of Biomedical

models and probes

MCF-7MDA-231 U87 human glioma

PC12-MEN2A rat pheochromocytoma

a. xenografted tumors

PyMT

b. spontaneous tumors

human gliomarat pheochromocytoma

Probe to tumor

MDA231/ Cathepsin

activity

MDA231/ Integrin

localization

MDA231/ Nano-micelle labelling

PC12-MEN2A/Cathepsin activity

PC12-MEN2A/Cathepsin activity/tumor

% signaloverlapping 6,6 ± 2,5 6,7 ± 5,0 34 ± 12 31,8±12,0

p yIntegrin localization

% volumeHMGU@MunichD l 7 4% volume

overlapping 37,6 ± 8,1 39,0 ± 18,6 40,03 ± 19,02 41,2±12,5 Del 7.4

16Anikitos GAROFALAKIS CEA, I2BM, SHFJ, LIME, INSERM U1023

Page 17: Wp6. Cancer Imaging with focus on breast cancer...Wp6. Cancer Imaging with focus on breast cancer Anikitos Garofalakis ‘Frederic Joliot Hospital Service(SHFJ), Institute of Biomedical

MCFS7 xenografted tumor/aptamers ACE8

0.80.9

0 30.40.50.60.7

D in

tum

our

“Annexin II” as potential target ?

ACE8 Control0.00.10.20.3

%ID

*

17Anikitos GAROFALAKIS CEA, I2BM, SHFJ, LIME, INSERM U1023

Page 18: Wp6. Cancer Imaging with focus on breast cancer...Wp6. Cancer Imaging with focus on breast cancer Anikitos Garofalakis ‘Frederic Joliot Hospital Service(SHFJ), Institute of Biomedical

summary

To provide cancer animal models

Del 6.3 To develop animal models of other cancer for studying FMT-XCT performance (U87 glioma cells)

To provide key fluorescence probes

2nd year deliverable (target of aptamer ACE8 has to be identified)2 year deliverable (target of aptamer ACE8 has to be identified)

Quantitatively examine FMT performance to visualize disease processes in-vivop

Del 6.4 To perform in-vivo imaging of key animal models of cancer and correlate the findings with standard laboratory tests and gro th meas resand growth measures

To predict clinical utility (48 month deliverable)

18Anikitos GAROFALAKIS CEA, I2BM, SHFJ, LIME, INSERM U1023

Page 19: Wp6. Cancer Imaging with focus on breast cancer...Wp6. Cancer Imaging with focus on breast cancer Anikitos Garofalakis ‘Frederic Joliot Hospital Service(SHFJ), Institute of Biomedical

aknowledgements

Albertine Dubois Dr

Laboratory of experimental molecular medicine (LIME)

Albertine Dubois, DrXiao Tong, Phd studentVincent Brulon, TechnicianRaphael Boisgard, Dr

Chemistry Laboratory for life sciences(LCV)Bertrand Czarny, Techniciang

Bertrand Tavitian, ProfFrédéric Ducongé, Dr

y,

Group of radiochemistry et radio-pharmacy (GRR) Bertrand Kühnast, DrFrederic Dollé Drex-members:

Agnes Cibiel, DrCarine Pestourie, DrDaniel Dupont, Dr

Frederic Dollé, Dr

Nicolas Mackiewicz, DrIsabelle Jassens, Technician

19Anikitos GAROFALAKIS CEA, I2BM, SHFJ, LIME, INSERM U1023

Page 20: Wp6. Cancer Imaging with focus on breast cancer...Wp6. Cancer Imaging with focus on breast cancer Anikitos Garofalakis ‘Frederic Joliot Hospital Service(SHFJ), Institute of Biomedical

20Anikitos GAROFALAKIS CEA, I2BM, SHFJ, LIME, INSERM U1023

Page 21: Wp6. Cancer Imaging with focus on breast cancer...Wp6. Cancer Imaging with focus on breast cancer Anikitos Garofalakis ‘Frederic Joliot Hospital Service(SHFJ), Institute of Biomedical

21Anikitos GAROFALAKIS CEA, I2BM, SHFJ, LIME, INSERM U1023

Page 22: Wp6. Cancer Imaging with focus on breast cancer...Wp6. Cancer Imaging with focus on breast cancer Anikitos Garofalakis ‘Frederic Joliot Hospital Service(SHFJ), Institute of Biomedical

a/fDOT-alone output

xyz

x

PC12-MEN2A with SentiDye® 700

22Anikitos GAROFALAKIS CEA, I2BM, SHFJ, LIME, INSERM U1023

coronal sagittal

Page 23: Wp6. Cancer Imaging with focus on breast cancer...Wp6. Cancer Imaging with focus on breast cancer Anikitos Garofalakis ‘Frederic Joliot Hospital Service(SHFJ), Institute of Biomedical

a/fDOT with CT

Tumor model MEN2A/Integrisense(angiogenesis)

fDOT is often combined with a structural modality

23Anikitos GAROFALAKIS CEA, I2BM, SHFJ, LIME, INSERM U1023

Page 24: Wp6. Cancer Imaging with focus on breast cancer...Wp6. Cancer Imaging with focus on breast cancer Anikitos Garofalakis ‘Frederic Joliot Hospital Service(SHFJ), Institute of Biomedical

Unmixed Unmixed

b/./cancer imaging in combination with PET/FDG-Two color fDOT

a b

UnmixedAngiostamp680

UnmixedAngiosense750

5.0

11.0

0.9

7.7

c dCT/Optical CT/Optical

μM μM

11.0 4.4

[F18]FDG segmented volume

Angiostamp680 signal segmented volume

FDG/Optical FDG/Optical

5.0μM

0.9μM

Angiosense750 signal segmented volume

e f g

h i j

24Anikitos GAROFALAKIS CEA, I2BM, SHFJ, LIME, INSERM U1023

Page 25: Wp6. Cancer Imaging with focus on breast cancer...Wp6. Cancer Imaging with focus on breast cancer Anikitos Garofalakis ‘Frederic Joliot Hospital Service(SHFJ), Institute of Biomedical

b/./calibration/fDOT-PET-CT imaging/protocol

PET PETfDOT CT

0 60 min30 90

Kidney contrastagent

Oligo

+Oligo

+

Known biodistributionKnown biodistribution

Deep seated organ

25Anikitos GAROFALAKIS CEA, I2BM, SHFJ, LIME, INSERM U1023

No degradation

Page 26: Wp6. Cancer Imaging with focus on breast cancer...Wp6. Cancer Imaging with focus on breast cancer Anikitos Garofalakis ‘Frederic Joliot Hospital Service(SHFJ), Institute of Biomedical

b/./calibration/fDOT-PET-CT imaging

PET/CT fDOT/CT

26Anikitos GAROFALAKIS CEA, I2BM, SHFJ, LIME, INSERM U1023

Page 27: Wp6. Cancer Imaging with focus on breast cancer...Wp6. Cancer Imaging with focus on breast cancer Anikitos Garofalakis ‘Frederic Joliot Hospital Service(SHFJ), Institute of Biomedical

b/./calibration/fDOT-PET-CT imaging/volume validation

a) b)

PET segmented volumePET segmented volume

Optical signal segmented volume

CT contrast

PET/CT fDOT/CTPET/CT fDOT/CT

27Anikitos GAROFALAKIS CEA, I2BM, SHFJ, LIME, INSERM U1023

Page 28: Wp6. Cancer Imaging with focus on breast cancer...Wp6. Cancer Imaging with focus on breast cancer Anikitos Garofalakis ‘Frederic Joliot Hospital Service(SHFJ), Institute of Biomedical

b/./calibration/fDOT-PET-CT imaging/quantification

1000 10

calc

ulat

ed

mol

es) 100

robe

cal

cula

ted

M)

1

robe

qua

ntity

cby

PE

T (p

m

1

10

entr

atio

n of

pr

by P

ET

(

0,01

0,1

Reconstructed fDOT fluorescence (a.u.)

101 102 103 104 105

P

0,1

Reconstructed fDOT fluorescence concentration (a.u.)

0,1 1 10 100

Con

c

0,001

Reconstructed fDOT fluorescence (a.u.) ( )

Limit ~ 1 pmoles, 5nM(C)

28Anikitos GAROFALAKIS CEA, I2BM, SHFJ, LIME, INSERM U1023

Page 29: Wp6. Cancer Imaging with focus on breast cancer...Wp6. Cancer Imaging with focus on breast cancer Anikitos Garofalakis ‘Frederic Joliot Hospital Service(SHFJ), Institute of Biomedical

29Anikitos GAROFALAKIS CEA, I2BM, SHFJ, LIME, INSERM U1023

Page 30: Wp6. Cancer Imaging with focus on breast cancer...Wp6. Cancer Imaging with focus on breast cancer Anikitos Garofalakis ‘Frederic Joliot Hospital Service(SHFJ), Institute of Biomedical

a/fDOT imaging

hCd2-GFP mouse

Garofalakis A et alThree-dimensional in vivo imaging of green fluorescent protein-expressing T cells in mice with noncontact fluorescence molecular tomography. Mol Imaging. 2007 Apr-Jun;6(2):96-107

30Anikitos GAROFALAKIS CEA, I2BM, SHFJ, LIME, INSERM U1023

Page 31: Wp6. Cancer Imaging with focus on breast cancer...Wp6. Cancer Imaging with focus on breast cancer Anikitos Garofalakis ‘Frederic Joliot Hospital Service(SHFJ), Institute of Biomedical

Diffuse light in a homogeneous medium

continuous wave point source

DSUU )()()( 022 rrr

D

p

D D

l i f h d i J

+

solution for the energy density Jn

+ SourceeUr

)(rr

)(

31Anikitos GAROFALAKIS CEA, I2BM, SHFJ, LIME, INSERM U1023

Diffusive semi – infinite medium

Page 32: Wp6. Cancer Imaging with focus on breast cancer...Wp6. Cancer Imaging with focus on breast cancer Anikitos Garofalakis ‘Frederic Joliot Hospital Service(SHFJ), Institute of Biomedical

Integrisense 0h Integrisense 3h

b/./MDA-231/Integrisense and AngioStamp comparison

gIntegrisense and AngioStamp comparison

g

Tumor volume ~ 730 mm3

60,2 % signal of optical in the surrounding

30,01 % volume of tumor in the common area

31,42 % signal of optical in the surrounding

32,55 % volume of tumor in the common area

RAFT-RGD 0h RAFT - RGD 2h

Tumor volume ~ 670 mm3

47,29 % signal of optical in the surrounding

29,98 % volume of tumor in the common area

36,2 % signal of optical in the surrounding

36,48 % volume of tumor in the common area

32Anikitos GAROFALAKIS CEA, I2BM, SHFJ, LIME, INSERM U1023

Page 33: Wp6. Cancer Imaging with focus on breast cancer...Wp6. Cancer Imaging with focus on breast cancer Anikitos Garofalakis ‘Frederic Joliot Hospital Service(SHFJ), Institute of Biomedical

Discretization and weight matrix

• Sample the fluorescent concentration in N points

r1 r2 r3N points(voxels)• Convert integral equations into a system of linear equationssystem of linear equations

rny

x

For M projections : P[M×1] = W[M×N] · N[N×1]

ART method

33Anikitos GAROFALAKIS CEA, I2BM, SHFJ, LIME, INSERM U1023

ART method

Page 34: Wp6. Cancer Imaging with focus on breast cancer...Wp6. Cancer Imaging with focus on breast cancer Anikitos Garofalakis ‘Frederic Joliot Hospital Service(SHFJ), Institute of Biomedical

b/./cancer imaging

Commercial probes

P 680Cathepsin Prosense 680Cathepsinactivity

Integrinsense680 (VisenMedical, USA)AngioStamp (Fluoptics, France)

Integrin localization

Custom-made probesCustom made probes

MPEG nano-micelles

Passivebinding of tumors

34Anikitos GAROFALAKIS CEA, I2BM, SHFJ, LIME, INSERM U1023

Page 35: Wp6. Cancer Imaging with focus on breast cancer...Wp6. Cancer Imaging with focus on breast cancer Anikitos Garofalakis ‘Frederic Joliot Hospital Service(SHFJ), Institute of Biomedical

b/./calibration

Use of fluorophores of controledconcentration

Use of the quantification capacity of PET imaging in compination with a dual PET/Optical probe

vs [C]

L t th d b t t li ti Hi h t th d b t li ti

35Anikitos GAROFALAKIS CEA, I2BM, SHFJ, LIME, INSERM U1023

Low cost method but not realistic High cost method but realistic