1. Impact of brain tumors and radiotherapy on the presence of gadolinium in the brain after repeated administration of gadolinium-based contrast agents: an experimental study in rats
- Author
-
Gregor Jost, Thomas Frenzel, Janina Boyken, and Hubertus Pietsch
- Subjects
Gadolinium DTPA ,Gliosarcoma ,Gadolinium ,medicine.medical_treatment ,Brain tumor ,chemistry.chemical_element ,Contrast Media ,Blood–brain barrier ,Contrast agents ,030218 nuclear medicine & medical imaging ,03 medical and health sciences ,0302 clinical medicine ,medicine ,Animals ,Radiology, Nuclear Medicine and imaging ,Diagnostic Neuroradiology ,medicine.diagnostic_test ,business.industry ,Brain Neoplasms ,Brain ,Magnetic resonance imaging ,Neoplasms, Experimental ,medicine.disease ,Primary tumor ,Magnetic Resonance Imaging ,Hyperintensity ,Rats, Inbred F344 ,Rats ,Radiation therapy ,medicine.anatomical_structure ,chemistry ,Blood-Brain Barrier ,Neurology (clinical) ,Cardiology and Cardiovascular Medicine ,Nuclear medicine ,business ,030217 neurology & neurosurgery - Abstract
Purpose To investigate the impact of blood-brain barrier (BBB) alterations induced by an experimental tumor and radiotherapy on MRI signal intensity (SI) in deep cerebellar nuclei (DCN) and the presence of gadolinium after repeated administration of a linear gadolinium-based contrast agent in rats. Methods Eighteen Fischer rats were divided into a tumor (gliosarcoma, GS9L model), a radiotherapy, and a control group. All animals received 5 daily injections (1.8 mmol/kg) of gadopentetate dimeglumine. For tumor-bearing animals, the BBB disruption was confirmed by contrast-enhanced MRI. Animals from the tumor and radiation group underwent radiotherapy in 6 fractions of 5 Gray. The SI ratio between DCN and brain stem was evaluated on T1-weigthed MRI at baseline and 1 week after the last administration. Subsequently, the brain was dissected for gadolinium quantification by inductively coupled plasma-mass spectrometry. Statistical analysis was done with the Kruskal-Wallis test. Results An increased but similar DCN/brain stem SI ratio was found for all three groups (p = 0.14). The gadolinium tissue concentrations (median, nmol/g) were 6.7 (tumor), 6.3 (radiotherapy), and 6.8 (control) in the cerebellum (p = 0.64) and 17.8/14.6 (tumor), 20.0/18.9 (radiotherapy), and 17.8/15.9 (control) for the primary tumor (p = 0.98) and the contralateral hemisphere (p = 0.41) of the cerebrum, respectively. Conclusion An experimental brain tumor treated by radiotherapy or radiotherapy alone did not alter DCN signal hyperintensity and gadolinium concentration in the rat brain 1 week after repeated administration of gadopentetate. This suggests that a local BBB disruption does not affect the amount of retained gadolinium in the brain.
- Published
- 2019