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Dr. Abraham Nyska;
DVM, Dipl. ECVP, Fellow IATP
Please contact Scintica Instrumentation for
additional information:
Phone: +1 (519) 914 5495
info@scinticainstrumentation.com
Expanding preclinical and
histopathology
capabilities with MRI
technology: a useful tool
for preclinical safety and
efficacy evaluation
cortex X 200
medulla X 200
Ex-vivo - MRH
Control Kidney
cortex X 200
medulla X 200
Acute Kidney Injury
Ex-vivo - MRH
• This presentation addresses the practical applications of
compact MRI, and will demonstrate practical concept examples
in the fields of “smart toxicology” and “smart histology” .
• The presentation will demonstrate how compact MRI
technology can serve as an important adjunct to toxicology and
toxicologic pathology by nondestructively providing 3-
dimensional (3-D) digital data sets, detailed morphological
insights, and quantitative information.
Webinar Objective
• Brief introduction to MRI Technology and Terminology
• Concept of MRI-based Histology
• Presentation of Various Preclinical Models
• Conclusion and Live Q&A Session
Presentation Overview
MRI Technology and Terminology
Magnetic Resonance Imaging Technology
• MRI has come a long way
• Smaller
• Less expensive
• Easier to use
• Non-clinical applications
• Quantify tissue alterations
• Monitor disease progression
• Assess efficacy and response
In Vivo Imaging – The Future is Now!
In Vivo Imaging – Don’t Choose, Fuse!
Advantages of MRI in Toxicology
• Non invasive - Permits longitudinal in vivo imaging to follow disease in the same animal (better statistics, less
animals required)
• Can acquire numerous digital slices from whole fixed organs in any plane without destroying the specimen
• High soft tissue contrast as well as good bone visualization
• Provides a means to obtain quantitative data
Provides complimentary information to conventional pathology - Better practice, safer
drugs/products
MRI – A Psychological Barrier
• Expensive equipment
• Expensive maintenance
• Special facility required (shielded room)
• Safety issues (no metals around)
• Hard to operate
• For “MR gurus” only - High level of expertise required
Shift Happens – Compact MRI for Everyone
• Compact
• Quiet
• Affordable
• Easy to use
• Safe
• No special facility
• Maintenance-free
MRI Made Easier
• Complicated Software… No more
• Tons of Parameters to Optimize…
No more
• One Touch MRI - Ask. Touch.
Answer
MRI Terminology
• By changing the frequency, duration and timing of applied magnetic fields and radio frequency (rf) pulses,
MRI can provide what are basically “MRI stains”
• Most common “MRI stains” (Types of contrast) - T1 and T2
MRI Terminology
T2T1
Any Plane Can Be Imaged
axialsagittal coronal
MRI Data Presentation – Individual Slices
MRI Data Presentation – Slice Through Animation
MRI Data Presentation – See Through 3D Rendering (MIP)
Segmentation – Volume Calculation
MRI-based histology – “Smart sections”
Or
“Smart histology”
MRI-based Histology - Smart Sections Added Value for
Lesion Evaluation
• Localize the lesions
• Count the lesions
• Measure lesions volume
• Longitudinal in vivo follow-up in the same animal
• Information about homogeneity of the lesions
Methods
• All scans performed on a M-series compact MRI by Aspect
Imaging
• Animals
• Anesthetized with isoflurane
• Heated
• Physiological monitoring
• Fixed samples
• In any fixative solution
• Fluorinert
Preclinical Models to be Presented
Models That Will Be Presented
• Detection of preneoplastic lesions in the liver
• Toxicity follow-up in the kidney
• Assessment of subcutaneous local tolerability
• Testing the efficacy of anti-cancer drug in brain tumor model
• Evaluating the efficacy of lung antifibrotic potential of a drug;
• Combining the Compact MR capacity in the assessment of cancerous potential of novel therapeutic stem cells
Focal Hepatic Lesions
• Model: Mdr-/- mouse develops multiple focal hepatic lesions
• Objective: Detect and measure volume of multiple focal lesions
Detection of Multiple Focal Lesions in Mouse Liver
In vivo MRI
hepatic
lesions
liver
kidney
ip. fat
sc. fat
hepatic
lesion
resolution 270 mm; slice thickness 1mm; acquisition time 3.5 min
Multiple Focal Lesions in Mouse Liver ex vivo MRI
resolution 156 mm; slice thickness 0.7 mm; acquisition time 35 min
Segmentation of Lesions Based on ex vivo MRI
Quantification of Lesions Based on ex vivo MRI
• 15 distinctive lesions were detected
• The smallest lesion detected had a diameter of 0.6 mm
• The largest lesion had a diameter of 4.8 mm
• Total liver mass 2593 mm3
• Total lesion mass 60.3 mm3 (2.3%)
Segmentation of Lesions Based on ex vivo MRI
Classification of Liver Lesions as Focal Fatty Changes by
Histopathology
Summary and Comment
• In vivo and ex vivo MRI evaluation were effective in identifying the location and measuring the volume of focal
changes in the liver
• This approach using in vivo MRI would allow for following lesion development over time
• In this study the MRI was done after lesions were fully developed, however, longitudinal studies using in vivo
MRI would easily be feasible in this model
Rhabdomyolysis -Induced Acute Kidney Injury (AKI) in
Mouse
Mice Model of Glycerol-Induced AKI
IM 50% Glycerol
CB6F1 Mice
0 3 8 15
MRI + Blood
samples
Days
Mice Model of Glycerol-Induced AKI
IM 50% Glycerol
CB6F1 Mice
0 3 8 15
MRI + Blood
samples
Days
Control vs. Affected Kidney in vivo MRI
Control Affected
cortex
medulla
Day 3
• Loss of contrast
• Enlarged kidneys
resolution 234 mm; slice thickness 1mm; acquisition time 10 min
Following Disease Progression in vivo MRI
Day 0 Day 3 Day 8 Day 15
Contrast and size recoveredContrast lost and kidney enlargement
Control vs. Affected Kidney ex vivo MRI
Control Affected
cortex
medulla
papila
Loss of contrast
resolution 117 mm; slice thickness 0.5 mm; acquisition time 56 min
MRI and Histology – Control Kidney
cortex X 200
medulla X 200
Ex-vivo
MRI and Histology – Affected Kidney
cortex X 200
medulla X 200
Ex-vivo
Summary of Findings and Comment
• In vivo and ex vivo MRI were effective in identifying alterations in the cortex and medulla Histopathology:
Maximal extent of cortical necrosis and medullary hyaline cast formation
• In vivo and ex vivo MRI confirmed organ recovery. Histopathology: The previously necrotic tubules were
replaced by regeneration
Local Safety of Subcutaneous Formulations
• Model: In this study, subcutaneous lesions were analyzed by MRI 2 weeks after a 24-hour continuous infusion
of different formulations
• Objective of the experiment: This was a feasibility study for application of the ex vivo MRI in order to evaluate
the subcutaneous toxic effects induced at the injection site of test compounds
Subcutaneous Drug Injection Into Pig Skin MRI vs.
Histology
MRI (T1) Histology
H&E Histopathology
Blue = Multifocal areas of fat necrosis & associated inflammation
Red = Normal adipose tissue
Segmentation and Quantification of Affected Volume
Ex vivo MRI
Affected Volume 2200 mm3
Summary and Comment
• Ex vivo MRI was effective in identifying the location and quantifying the extent of subcutaneous necrosis and
inflammation caused by different formulations
• Applying this method on fixed tissues samples derived from different dose formulations provides a
quantitative determination of relative irritancy of different injected formulations
Longitudinal Growth of a Brain Tumor
• Model: Gl-261 glioma cells stereotactically injected into the right brain hemisphere of CB6F1 mice
• Objective: Longitudinal evaluation of tumor growth
Longitudinal Evaluation of Tumor Growth in vivo MRI
Day 15 Day 17 Day 20
axial
coronal
resolution 156 mm; slice
thickness 1 mm; acquisition
time 13 min
Ex Vivo MRI vs Histology
Day 15
Day 20
Summary and Comment
• In vivo and ex vivo MRI evaluation provided a way to follow the time-related growth of an induced tumor in the
brain and to determine the volume of the tumor
• This model demonstrates the utility of using MRI for longitudinal studies and would be useful for testing the
efficacy of anti-cancer drugs
Rat Lung Fibrosis
• Model: Single intratracheal instillation of bleomycin into 6 week-old Sprague Dawley rats
• Objective: Monitor lung fibrosis in rats using in vivo and ex vivo MRI as a tool for following temporal progression
of the pathological process
Rat Lung Control vs. Fibrosis in vivo MRI
control
fibrotic
Day 11 Post Instillation
resolution 274 mm; slice thickness 1.2 mm; acquisition time 4.5 min
Control vs. Fibrosis – Ex vivo MRI
Control Fibrosis
Day 11 Post Instillation
Fibrotic Rat Lung – Volume Quantification Based on
ex vivo MRI
Connective Tissue: 1267 mm3
Normal Tissue: 1396 mm3
Day 11 Post Instillation
3D rendering 3D rendering + segmentation
Histology – Masson’s Trichrome
controlfibrosis
High magnificationLow magnification
Summary and Comment
• In vivo MRI provides a longitudinal evaluation of pulmonary disease progression and regression
• Ex vivo MRI in combination with histology provides a quantitative assessment of the components of the
interstitial thickening
• Based on the ability to quantify the extent of disease, different therapeutic modalities can be compared for
their effectiveness
Compact MRI for the Assessment of Tumorigenicity
Following Intrathecal Transplantation of Human
Embryonic Stem Cells (hESC) in Mice
Materials and Methods
• Two mice injected with the vehicle control and 3 injected with hESC
• Injection within the inter-vertebral (L5 to L6) grove.
• Daily clinical evaluation
• In vivo MRI at 2 occasions (days 25 & 48)
• Sacrifice on day 55, followed by formalin fixation, ex vivo MRI, and histopathology
Spinal Teratoma - Segmented
ROI Color Voxels Volume mm³
teratoma red 1927 82.6201
In vivo Ex vivo
Spinal Rendering and Segmentation of the Spinal Cord
Brain Teratoma – in vivo & ex vivo MRI Segmentation vs.
Histology
In vivo Ex vivo Histology
ROI Color Voxels Volume mm³
tumor magenta 20539 9.79376
3D Rendering of the Brain – Pink Areas are the Teratoma
Malignant Teratoma in the Spinal Cord
Results and Conclusions
• Paresis developed in mice injected with the hESC
• In vivo MRI located abnormal areas in the spinal column and brain
• Histopathology confirmed Malignant Teratoma
• In Conclusion: The MRI technique can be used for time course observations for testing the carcinogenic
potential of novel stem cells intended for clinical use.
MRI-based Histology – Smart Sections Added Value for
Lesion Evaluation
• Localize the lesions
• Count the lesions
• Measure lesions volume
• Longitudinal in vivo follow-up in the same animal
• Information about homogeneity of the lesions
Regulatory Perspectives…
• Citing from Dr. Bob Maronpot’s view concerning the future use of imaging data in conventional pre-clinical
studies submission to the FDA (i.e., this view was stated in Regulatory Forum Opinion Piece: Imaging
Applications in Toxicologic Pathology – Recommendations for Use in Regulated Nonclinical Toxicity Studies.
• “…We just have to take the stance that imaging as an adjunct to conventional histopathology makes the
histopathology that much better and allows for better sampling. The imaging also provided three-dimensional
quantitative data. I suspect providing imaging along with conventional histopathology could have positive
regulatory consequences ... Once FDA starts getting that sort of information, it may evolve to become a
desirable component of a submission. “
• Brief introduction to MRI Technology and Terminology
• Concept of MRI-based Histology
• Presentation of Various Preclinical Models
• Conclusion
Presentation Summary
Dr. Abraham Nyska
DVM, Dipl. ECVP, Fellow IATP
Q&A SESSION: To ask a question, click the Q&A
Button, type your question and click
send. Any questions that are not
addressed during the live webinar will
be answered following the event.
Thank you for participating!
Please contact Scintica Instrumentation for
additional information:
Phone: +1 (519) 914 5495
info@scinticainstrumentation.com
Expanding preclinical and histopathology capabilities with MRI technology: a useful tool for preclinical safety and efficacy evaluation

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Expanding preclinical and histopathology capabilities with MRI technology: a useful tool for preclinical safety and efficacy evaluation

  • 1. Dr. Abraham Nyska; DVM, Dipl. ECVP, Fellow IATP Please contact Scintica Instrumentation for additional information: Phone: +1 (519) 914 5495 info@scinticainstrumentation.com Expanding preclinical and histopathology capabilities with MRI technology: a useful tool for preclinical safety and efficacy evaluation cortex X 200 medulla X 200 Ex-vivo - MRH Control Kidney cortex X 200 medulla X 200 Acute Kidney Injury Ex-vivo - MRH
  • 2. • This presentation addresses the practical applications of compact MRI, and will demonstrate practical concept examples in the fields of “smart toxicology” and “smart histology” . • The presentation will demonstrate how compact MRI technology can serve as an important adjunct to toxicology and toxicologic pathology by nondestructively providing 3- dimensional (3-D) digital data sets, detailed morphological insights, and quantitative information. Webinar Objective
  • 3. • Brief introduction to MRI Technology and Terminology • Concept of MRI-based Histology • Presentation of Various Preclinical Models • Conclusion and Live Q&A Session Presentation Overview
  • 4. MRI Technology and Terminology
  • 5. Magnetic Resonance Imaging Technology • MRI has come a long way • Smaller • Less expensive • Easier to use • Non-clinical applications • Quantify tissue alterations • Monitor disease progression • Assess efficacy and response
  • 6. In Vivo Imaging – The Future is Now!
  • 7. In Vivo Imaging – Don’t Choose, Fuse!
  • 8. Advantages of MRI in Toxicology • Non invasive - Permits longitudinal in vivo imaging to follow disease in the same animal (better statistics, less animals required) • Can acquire numerous digital slices from whole fixed organs in any plane without destroying the specimen • High soft tissue contrast as well as good bone visualization • Provides a means to obtain quantitative data Provides complimentary information to conventional pathology - Better practice, safer drugs/products
  • 9. MRI – A Psychological Barrier • Expensive equipment • Expensive maintenance • Special facility required (shielded room) • Safety issues (no metals around) • Hard to operate • For “MR gurus” only - High level of expertise required
  • 10. Shift Happens – Compact MRI for Everyone • Compact • Quiet • Affordable • Easy to use • Safe • No special facility • Maintenance-free
  • 11. MRI Made Easier • Complicated Software… No more • Tons of Parameters to Optimize… No more • One Touch MRI - Ask. Touch. Answer
  • 12. MRI Terminology • By changing the frequency, duration and timing of applied magnetic fields and radio frequency (rf) pulses, MRI can provide what are basically “MRI stains” • Most common “MRI stains” (Types of contrast) - T1 and T2
  • 14. Any Plane Can Be Imaged axialsagittal coronal
  • 15. MRI Data Presentation – Individual Slices
  • 16. MRI Data Presentation – Slice Through Animation
  • 17. MRI Data Presentation – See Through 3D Rendering (MIP)
  • 18. Segmentation – Volume Calculation
  • 19. MRI-based histology – “Smart sections” Or “Smart histology”
  • 20. MRI-based Histology - Smart Sections Added Value for Lesion Evaluation • Localize the lesions • Count the lesions • Measure lesions volume • Longitudinal in vivo follow-up in the same animal • Information about homogeneity of the lesions
  • 21. Methods • All scans performed on a M-series compact MRI by Aspect Imaging • Animals • Anesthetized with isoflurane • Heated • Physiological monitoring • Fixed samples • In any fixative solution • Fluorinert
  • 22. Preclinical Models to be Presented
  • 23. Models That Will Be Presented • Detection of preneoplastic lesions in the liver • Toxicity follow-up in the kidney • Assessment of subcutaneous local tolerability • Testing the efficacy of anti-cancer drug in brain tumor model • Evaluating the efficacy of lung antifibrotic potential of a drug; • Combining the Compact MR capacity in the assessment of cancerous potential of novel therapeutic stem cells
  • 24. Focal Hepatic Lesions • Model: Mdr-/- mouse develops multiple focal hepatic lesions • Objective: Detect and measure volume of multiple focal lesions
  • 25. Detection of Multiple Focal Lesions in Mouse Liver In vivo MRI hepatic lesions liver kidney ip. fat sc. fat hepatic lesion resolution 270 mm; slice thickness 1mm; acquisition time 3.5 min
  • 26. Multiple Focal Lesions in Mouse Liver ex vivo MRI resolution 156 mm; slice thickness 0.7 mm; acquisition time 35 min
  • 27. Segmentation of Lesions Based on ex vivo MRI
  • 28. Quantification of Lesions Based on ex vivo MRI • 15 distinctive lesions were detected • The smallest lesion detected had a diameter of 0.6 mm • The largest lesion had a diameter of 4.8 mm • Total liver mass 2593 mm3 • Total lesion mass 60.3 mm3 (2.3%)
  • 29. Segmentation of Lesions Based on ex vivo MRI
  • 30. Classification of Liver Lesions as Focal Fatty Changes by Histopathology
  • 31. Summary and Comment • In vivo and ex vivo MRI evaluation were effective in identifying the location and measuring the volume of focal changes in the liver • This approach using in vivo MRI would allow for following lesion development over time • In this study the MRI was done after lesions were fully developed, however, longitudinal studies using in vivo MRI would easily be feasible in this model
  • 32. Rhabdomyolysis -Induced Acute Kidney Injury (AKI) in Mouse Mice Model of Glycerol-Induced AKI IM 50% Glycerol CB6F1 Mice 0 3 8 15 MRI + Blood samples Days Mice Model of Glycerol-Induced AKI IM 50% Glycerol CB6F1 Mice 0 3 8 15 MRI + Blood samples Days
  • 33. Control vs. Affected Kidney in vivo MRI Control Affected cortex medulla Day 3 • Loss of contrast • Enlarged kidneys resolution 234 mm; slice thickness 1mm; acquisition time 10 min
  • 34. Following Disease Progression in vivo MRI Day 0 Day 3 Day 8 Day 15 Contrast and size recoveredContrast lost and kidney enlargement
  • 35. Control vs. Affected Kidney ex vivo MRI Control Affected cortex medulla papila Loss of contrast resolution 117 mm; slice thickness 0.5 mm; acquisition time 56 min
  • 36. MRI and Histology – Control Kidney cortex X 200 medulla X 200 Ex-vivo
  • 37. MRI and Histology – Affected Kidney cortex X 200 medulla X 200 Ex-vivo
  • 38. Summary of Findings and Comment • In vivo and ex vivo MRI were effective in identifying alterations in the cortex and medulla Histopathology: Maximal extent of cortical necrosis and medullary hyaline cast formation • In vivo and ex vivo MRI confirmed organ recovery. Histopathology: The previously necrotic tubules were replaced by regeneration
  • 39. Local Safety of Subcutaneous Formulations • Model: In this study, subcutaneous lesions were analyzed by MRI 2 weeks after a 24-hour continuous infusion of different formulations • Objective of the experiment: This was a feasibility study for application of the ex vivo MRI in order to evaluate the subcutaneous toxic effects induced at the injection site of test compounds
  • 40. Subcutaneous Drug Injection Into Pig Skin MRI vs. Histology MRI (T1) Histology
  • 41. H&E Histopathology Blue = Multifocal areas of fat necrosis & associated inflammation Red = Normal adipose tissue
  • 42. Segmentation and Quantification of Affected Volume Ex vivo MRI Affected Volume 2200 mm3
  • 43. Summary and Comment • Ex vivo MRI was effective in identifying the location and quantifying the extent of subcutaneous necrosis and inflammation caused by different formulations • Applying this method on fixed tissues samples derived from different dose formulations provides a quantitative determination of relative irritancy of different injected formulations
  • 44. Longitudinal Growth of a Brain Tumor • Model: Gl-261 glioma cells stereotactically injected into the right brain hemisphere of CB6F1 mice • Objective: Longitudinal evaluation of tumor growth
  • 45. Longitudinal Evaluation of Tumor Growth in vivo MRI Day 15 Day 17 Day 20 axial coronal resolution 156 mm; slice thickness 1 mm; acquisition time 13 min
  • 46. Ex Vivo MRI vs Histology Day 15 Day 20
  • 47. Summary and Comment • In vivo and ex vivo MRI evaluation provided a way to follow the time-related growth of an induced tumor in the brain and to determine the volume of the tumor • This model demonstrates the utility of using MRI for longitudinal studies and would be useful for testing the efficacy of anti-cancer drugs
  • 48. Rat Lung Fibrosis • Model: Single intratracheal instillation of bleomycin into 6 week-old Sprague Dawley rats • Objective: Monitor lung fibrosis in rats using in vivo and ex vivo MRI as a tool for following temporal progression of the pathological process
  • 49. Rat Lung Control vs. Fibrosis in vivo MRI control fibrotic Day 11 Post Instillation resolution 274 mm; slice thickness 1.2 mm; acquisition time 4.5 min
  • 50. Control vs. Fibrosis – Ex vivo MRI Control Fibrosis Day 11 Post Instillation
  • 51. Fibrotic Rat Lung – Volume Quantification Based on ex vivo MRI Connective Tissue: 1267 mm3 Normal Tissue: 1396 mm3 Day 11 Post Instillation 3D rendering 3D rendering + segmentation
  • 52. Histology – Masson’s Trichrome controlfibrosis High magnificationLow magnification
  • 53. Summary and Comment • In vivo MRI provides a longitudinal evaluation of pulmonary disease progression and regression • Ex vivo MRI in combination with histology provides a quantitative assessment of the components of the interstitial thickening • Based on the ability to quantify the extent of disease, different therapeutic modalities can be compared for their effectiveness
  • 54. Compact MRI for the Assessment of Tumorigenicity Following Intrathecal Transplantation of Human Embryonic Stem Cells (hESC) in Mice
  • 55. Materials and Methods • Two mice injected with the vehicle control and 3 injected with hESC • Injection within the inter-vertebral (L5 to L6) grove. • Daily clinical evaluation • In vivo MRI at 2 occasions (days 25 & 48) • Sacrifice on day 55, followed by formalin fixation, ex vivo MRI, and histopathology
  • 56. Spinal Teratoma - Segmented ROI Color Voxels Volume mm³ teratoma red 1927 82.6201 In vivo Ex vivo
  • 57. Spinal Rendering and Segmentation of the Spinal Cord
  • 58. Brain Teratoma – in vivo & ex vivo MRI Segmentation vs. Histology In vivo Ex vivo Histology ROI Color Voxels Volume mm³ tumor magenta 20539 9.79376
  • 59. 3D Rendering of the Brain – Pink Areas are the Teratoma
  • 60. Malignant Teratoma in the Spinal Cord
  • 61. Results and Conclusions • Paresis developed in mice injected with the hESC • In vivo MRI located abnormal areas in the spinal column and brain • Histopathology confirmed Malignant Teratoma • In Conclusion: The MRI technique can be used for time course observations for testing the carcinogenic potential of novel stem cells intended for clinical use.
  • 62. MRI-based Histology – Smart Sections Added Value for Lesion Evaluation • Localize the lesions • Count the lesions • Measure lesions volume • Longitudinal in vivo follow-up in the same animal • Information about homogeneity of the lesions
  • 63. Regulatory Perspectives… • Citing from Dr. Bob Maronpot’s view concerning the future use of imaging data in conventional pre-clinical studies submission to the FDA (i.e., this view was stated in Regulatory Forum Opinion Piece: Imaging Applications in Toxicologic Pathology – Recommendations for Use in Regulated Nonclinical Toxicity Studies. • “…We just have to take the stance that imaging as an adjunct to conventional histopathology makes the histopathology that much better and allows for better sampling. The imaging also provided three-dimensional quantitative data. I suspect providing imaging along with conventional histopathology could have positive regulatory consequences ... Once FDA starts getting that sort of information, it may evolve to become a desirable component of a submission. “
  • 64. • Brief introduction to MRI Technology and Terminology • Concept of MRI-based Histology • Presentation of Various Preclinical Models • Conclusion Presentation Summary
  • 65. Dr. Abraham Nyska DVM, Dipl. ECVP, Fellow IATP Q&A SESSION: To ask a question, click the Q&A Button, type your question and click send. Any questions that are not addressed during the live webinar will be answered following the event. Thank you for participating! Please contact Scintica Instrumentation for additional information: Phone: +1 (519) 914 5495 info@scinticainstrumentation.com