Introduction. ILAR 42 (3): 187.
Nuclear magnetic resonance (NMR) spectroscopy and imaging, often referred
to as magnetic resonance imaging (MRI),
has been a useful clinical tool for over 20 years and is being used
more frequently in animal research. Another noninvasive imaging
technique is electron paramagnetic resonance (EPR) imaging. EPR is
based on principles similar to NMR, and it detects paramagnetic
species. EPR images may be used to overlay functional information onto
anatomical maps. EPR applications can complement other
noninvasive imaging techniques such as positron emission tomography
(PET). PET images the distribution of compounds labeled with
positron-emitting radionuclides. Although used clinically and experimentally,
PET has often been limited to larger species such as
primates. Development of high-resolution dedicated animal PET scanners
has been critical in utilizing PET in rodent-based research.
Ultrasonagraphy has many research applications, and evolving technology
has allowed its use and application in rodent research.
Transgenic mice have exerted a tremendous impact on biomedical and
laboratory animal science. Many of the imaging technologies
mentioned above have been useful in rodent applications because they
are noninvasive and allow for longitudinal studies in small animals
rather than relying on euthanasia and tissue harvesting at various
timepoints. The same concepts apply to larger animals as well in that
noninvasive imaging technology can replace techniques that may have
required necropsy as an endpoint. In pre-clinical drug research,
these technologies may provide insight into techniques or surrogate
markers important in clinical trials. The main barrier or limitation for
these noninvasive technologies will be the time required to capture
images. Ultrasound lends itself best to "high-throughput"
applications, as NMR (MRI), EPR, and PET involve extended image acquisition
time and have the added burdens of expense and
equipment operating skill.
Questions:
1. What do the following acronyms stand for? NMR, MRI, EPR, PET.
2. T/F Ultrasonography is not covered by the OSHA noise standards.
3. What are some common advantages of NMR, MRI, EPR, PET, and ultrasonagraphy?
4. What are some disadvantages of NMR, MRI, EPR, and PET? What advantage
does ultrasonography over these techniques?
Answers:
1. NMR - nuclear magnetic resonance; MRI - magnetic resonance imaging;
EPR - electron paramagnetic resonance; PET - positron
emission tomography.
2. False. If the frequency is <20 kHz, it is covered by the OSHA
noise standard.
3. Noninvasive, allows for longitudinal studies in small animals.
4. Disadvantages of NMR, MRI, EPR, PET - extended image acquisition
time, expense, equipment operating skill that exceeds the
level normally found in a research facility. Advantage of ultrasonography
- lends itself best to "high-throughput" applications, less time
required for image acquisition compared to other techniques.
Nuclear magnetic resonance spectroscopy and imaging in animal
research. ILAR 42 (3): 189.
Nuclear magnetic resonance (NMR) spectroscopy and imaging can be used
to investigate, noninvasively biological processes including protein solutions,
single cells, isolated perfused organs and tissues in vivo. It is also
possible to combine different NMR techniques enabling metabolic, anatomical,
and physiological information to be obtained in the same experiment. This
review article describes basic NMR principles, advantages, disadvantages
and potential uses. Atomic nuclei are charged and spin to form a magnetic
dipole similar to a single magnet. Normally atomic dipoles are randomly
oriented resulting in no magnetic field. However, when placed in a strong
magnetic field the dipoles align resulting in a net magnetic field moment.
When a second magnetic field is applied and turned off, the dipoles quickly
realign to the first magnetic field and generate a radiofrequency signal
when surrounded by a detector coil. This signal forms the basis of MR imaging
and spectroscopy. To be effective, however, the second applied magnetic
field (excitation field) must oscillate at the same frequency at the atomic
nuclei; this condition is called the 'resonance condition', hence the name
'nuclear magnetic resonance'. The radiofrequency signal generated decays
(called 'relaxation') at a rate that differs for different materials. So,
by placing a sample in a magnetic field and by applying a second magnetic
field, information can be obtained regarding intrinsic nuclear content
and the environment of those nuclei. Nuclei in different chemical environments
will resonate at different frequencies, an effect called 'chemical shift'.
A technique called the Fourier transform is used to identify the frequencies
of the signal, generating an NMR spectrum which can be used to determine
the chemical content and structure of the sample. Small freely moving molecules
typically yield narrow signals and vice-versa. Thus tissues, cells, membranes,
molecules and metabolites (ATP, etc.) can be identified. Imaging is achieved
by applying a linear magnetic gradient across the magnetic fields. When
the linear gradient is applied, different parts of the sample are in different
magnetic fields and produce different signals. A mathematical technique
called 'projection-reconstruction' can be used to create an image of the
sample. The greatest advantage of NMR or MR techniques is their lack of
invasiveness. Both biochemical and spatial information can be obtained
without destroying the sample. No ionizing radiation is produced. Computer
assisted tomography uses x-rays, while positron emission tomography (PET)
involves radioactive tracers. A wide range of biological processes can
be investigated. Glucose metabolism can be evaluated in isolated neuronal
cells in culture or in the brain in vivo. NMR spectroscopy can significantly
reduce the number of animals required for a specific time points because
animals can be re-evaluated over many time points. The greatest disadvantage
is the intrinsic insensitivity of the method. Animal tissue is 70% water.
Signals from water will always be detectable at two orders of magnitude
or greater than other nuclei. Thus, compounds in submilimolar and micromolar
concentrations cannot practically be detected. No known intrinsic risks
are associated with high magnetic fields; however, the presence of the
magnetic field can affect equipment in animal areas. Most MR techniques
are motion sensitive, thus anesthesia is usually essential. The most commonly
used NMR sensitive nuclei are 31P-, 13C-, and 1H-NMR. The 31P- spectra
are a valuable tool for tissue bioenergics over time. There is a growing
interest in the use of NMR for noninvasive evaluation of tissue metabolism
in transgenic mice. The 13C- spectra can be used to monitor the transfer
of 13C-labeled carbons from substrates into metabolites as in glycogen
metabolism. 1H-NMR spectography has been applied primarily in the brain,
prostrate, perfused cells and tumors. MR imaging on animal models provides
exquisite pictures of soft tissues and can be used to discern a wide variety
of pathologies. MR images can be sensitized to other physical processes
and lead to the generation of temperature maps, current density maps, and
pH maps. The development of so called 'functional MRI has lead to a flurry
of activity in neuroscience. Signal changes can be observed in the brain
in local tissues that undergo activation, including visual, verbal, acoustic
and emotional stimulation.
Questions:
1. How many magnets are needed, minimally, to produce an image?
2. What is the greatest advantage/disadvantage of NMR spectroscopy?
3. What are the most commonly used NMR sensitive nuclei?
Answers:
1. 3
2. Advantage: noninvasiveness; Disadvantage: insensitivity
3. 31P-, 13C-, and 1H-NMR
Electron paramagnetic resonance for small animal imaging applications.
ILAR 42 (3): 209.
Electron paramagnetic resonance (EPR) is similar to nuclear magnetic
resonance (NMR). Both detect resonance absorption: EPR detects species
with unpaired electrons, such as free radicals; and NMR detects nuclei
with non-zero nuclear spin, such as 1-H, 31-P, and 13-C. Because of low
natural abundance of of paramagnetic species (free radicals), exogenous
paramagnetic species, such as nitroxide radicals, or trityl-based stable
free radicals must be administered to the animal. Toxicity of these "spin
probes" is minimal, and they are well-tolerated in small animals. Image
data from electron paramagnetic resonance imaging (EPRI) contains both
spatial distribution (i.e. anatomic location) of the spin probes, and spectral
information, allowing information such as tissue oxygen status and redox
status of different tissues to be extracted. This modality is potentially
useful for the study of tumor hypoxia, tissue heterogenicity with respect
to oxygen and redox status, and vascular deficiencies in vivo.
Questions:
1. Name two paramagnetic species that can be administered to animals.
2. Which of the following statements is not true about EPR and NMR?
a. EPR detects species with unpaired electrons, which are naturally
abundant in tissue.
b. NMR does not require the use of spin probes.
c. EPR is useful for the study of tumor hypoxia.
d. NMR and EPR both detect resonance absorption.
Answers:
1. nitroxide radicals and trityl-based free radicals
2. a
Use of positron emission tomography in animal research. ILAR
42 (3): 219.
PET allows noninvasive measurement of many different biological processes
and permits longitudinal calculations of animal models. The use of non-invasive
imaging techniques, like PET, can reduce the overall number of laboratory
animals utilized, as well as provide valuable information in-vivo.
Basic Overview of PET: A compound labeled with a positron-emitting
radionuclide is introduced in the body, usually by IV injection. When the
radionuclide atoms decay, a positron (the antiparticle to the electron
with the same mass but with opposite electric charge) is emitted from the
nucleus, and travels a short distance (a few tenths of a mm) before undergoing
an annihilation reaction with an electron in the tissue. The annihilation
of the two particles results in the simultaneous emission of back to back
gamma rays, each of which carry 511keV of energy. These gamma rays can
then be detected by a positron emission tomography scanner. The scanner
consists of a position- sensitive scintillation detector, connected to
a photomultiplier tube. The later collects the flash of light which is
released when the gamma rays are deposited. Data collected from a PET scanner
is not directly in the form of a tomograpic image but instead, must first
be reconstructed using the well-established methods of computed tomography.
PET advantages and disadvantages:
Advantages Disadvantages
Availability of positron-emitting C isotopes Short half life requires
immediate imaging
Short half life requires on-site cyclotron
Quantitative measurements of radionuclides
Increased sensitivity Dual radionuclide studies not possible
PET Use in Animal Research: The fist dedicated animal PET scanners
were introduced in the early 1990's, primarily for larger lab animals (brain
imaging of NHP's). The recent advances made in mouse genomics have produced
significant motivation to extend PET techniques to the imaging of smaller
animals. In order to accomplish this, (1) the spatial resolution must be
improved, (2) the scanner technology must be advanced to a small, compact,
cost efficient model, and (3) the PET radionuclides must be made readily
available without the need for an on-site cyclotron. During the mid-late
1990's, several different scanners were developed and studied. In order
to reach the sub mm resolution needed for small animal PET scanners, substantial
improvements in both spatial resolution and overall sensitivity must be
met.
Applications of PET in Animal Research: One of the major roles of PET
in animal research has been in the field of neuroreceptor imaging, which
depends heavily on radiolabeled tracers. One of the key limitations to
PET in animal research is that the synthesis of these new probes can take
many months-years to develop. Thus, the development of a "universal probe"
that could monitor many different molecular processes would speed up this
process. Alternatively, the "reporter gene approach" could be utilized.
The later is the process by which a set of cells is altered to express
a gene product which leads to an enzyme or receptor that is capable of
trapping a radiolabeled probe. Two examples of reporter genes for PET imaging
are herpes simplex type 1 virus thymidine kinase and the dopamine type
2 receptor.
Future Challenges of PET in Animal Research: (1) Necessity of immobilization
of the animal during the study; (2) Necessity of direct arterial blood
sampling during the study for delivery of tracer tracking; (3) General
cost and tracer access.
Questions:
1. True of False: PET relies on the unique decay characteristics of
positron-emitting radionuclides?
2. True or False: PET imaging requires a collimator?
3. True or False: Gamma Camera imaging requires a collimator?
4. Gamma rays emitted during PET carry an energy of?
A. 500 meV
B. 550 meV
C. 600 meV
D. 511 meV
E. 411 meV
Answers:
1. True
2. False
Ultrasound imaging: principles and applications in rodent research.
ILAR 42 (3): 233.
This article, while focused primarily on rodent applications, provides
an excellent summary of traditional ultrasound concepts as well as an overview
of new ultrasound technologies. One of the key advantages to ultrasound
is its non-invasive nature which can be used to refine experimental techniques
that would otherwise require more invasive techniques. The basic principles
of ultrasound are described below. Basic Imaging Principles Ultrasound
waves have frequencies greater than 20,000 cycles/sec (Hz) with diagnostic
ultrasound utilizing frequencies of 2-15 MHz (106 cycles/sec). Intravascular
ultrasound systems utilize frequencies of up to 30 MHz and ultrasound biomicroscopy
(UBM) systems operate at up to 100 MHz. The sound waves are transmitted
through soft tissues relative to the impedance of each tissue. The acoustic
impedance of each tissue is the product of the transmission velocity of
sound and the tissue density. For most soft tissues, the velocity of sound
is around 1540 m/sec so the impedence is primarily dependent on tissue
density. Tissues with varying densities create an impedance mismatch which
results in reflection of sound waves - the greater the difference in densities,
the more waves that are reflected to the transducer resulting in a brighter
area on the image. Bone tissue transmits sounds very rapidly while air
and air-filled structures transmit sound very slowly. In areas where bone
or air interface with soft tissue, the degree of impedance mismatch is
increased resulting in a large reflection of the sound waves. The increased
reflection results in decreased sound wave penetration and can cause artifacts
in the image. Some basic terminology associated with ultrasound is summarized
below: Resolution - resolution refers to the ability to accurately distinguish
between two closely related structures or events. The ability to resolve
very small objects is critical when dealing with rodents where the left
ventricle chamber of a mouse is only 2 to 3 mm in diameter. Resolution
is further divided into spatial and temporal resolution. Spatial resolution
- refers to the ability to resolve objects in distance - further broken
down into axial and lateral resolution. Axial resolution - the ability
to distinguish 2 separate but closely positioned structures that are parallel
to the US beam. This is dependent on both sound wave pulse length and frequency.
In order for 2 structures to be differentiated, the pulse length must be
shorter than the distance between the objects. As the frequency of the
sound waves increases, the pulse length dereases thus improving axial resolution.
Lateral resolution - the ability to distinguish 2 separate but closely
positioned structures that are perpendicular to the US beam. This is dependent
on both beam width and frequency. The beam width can be minimized by focusing
the sound waves produced by the transducer. As the beam width narrows,
lateral resolution increases. Lateral resolution can also be increased
by increasing the frequency. Because both axial and lateral resolution
improve with increasing frequencies, the higher frequency transducers (5
MHz and higher) are used for rodent imaging. The trade-off is that as frequency
increases, the depth of penetration decreases. This presents less of a
problem with rodents than with other species but does result in potential
issues when UBM is utilized Temporal - the ability to resolve 2 distinct
events in time. This is dependent on the number of image frames that can
be acquired per second. The more image frames that can be collected, the
better the temporal resolution. Temporal resolution is particularly important
when using ultrasound to obtain cardiac images for rodents because of their
high heart rates. Commercially available US units can acquire frame rates
of 120 to 600 Hz Equipment The basic ultrasound equipment is listed below.
Central Processing unit (CPU) or computer - this component controls the
majority of the US functions including input to the transducer and monitor
and reception of input from the transducer. This unit also enables data
analysis and allows quantitative measurements to be obtained. Most newer
US models can be upgraded using software technology negating the need to
purchase additional equipment. Transducer - the transducer generates transmitted
sound waves and receives reflected waves. It contains piezoelectric crystals
that vibrate when exposed to electrical currents thus producing sound waves.
When reflected sound waves are received, the crystals generate an electrical
impulse that is processed by the CPU and relayed as an image to the monitor.
Transducers are generally hand-held instruments but they are also available
in the form of a catheter tip and in stationary arm format. It is recommended
to use the highest frequency transducer that will provide adequate depth
penetration. Monitor - this unit allows the images obtained via the transducer
to be displayed visually Data storage system - this unit allows for the
storage of collected data. In the past videotape or paper print-outs were
used; however, most systems now use digital storage systems allowing for
easier archiving and retrieval. Imaging Formats B-mode - this is the most
commonly used 2-D imaging mode that allows operators to obtain longitudinal
and cross-sectional views of organs. This mode is mostly used to obtain
information on organ structure, motion and function. B-mode imaging has
been used in mice and rats to evaluate cardiac structure and function,
renal function, provide guidance for biopsies and injections and is used
as guidance for the other modes. M-mode - this refers to motion mode imaging
which is most commonly used in cardiac imaging (echocardiography). This
format is uses a single beam transmitted through the organ with the image
displayed over time (y-axis represents depth, x-axis represents time).
M-mode imaging requires decreased beam widths and increased acquisition
of frames. This mode is generally used to evaluate heart chamber dimensions.
These measurements can be used to quantitate left ventricular function
and other cardiac parameters. Spectral Doppler - The doppler mode is based
on the doppler effect whereby there is a shift in soundwave frequency when
reflected by a moving object (e.g., blood cells). The higher the velocity
of the object, the more dramatic the shift. However, the doppler effect
is also dependent on the alignment of the transducer with respect to the
object. As the alignment diverges from parallel, the shift is attenuated.
Thus, the US beam should be oriented as close to parallel as possible in
relation to the direction of the flow or movement of interest. Spectral
Doppler is used to display the velocity within a region of a vessel over
time which results in a velocity profile. Spectral Doppler can be further
classified as pulsed or continuous wave both of which are used to evaluate
cardiac and peripheral vasculature function. pulsed flow doppler - This
refers to the use of a single transducer to both send and receive sound
waves. Pulsed flow enables more precise determination of a velocity profile
for a specific region but the maximum flow velocity that can be detected
is limited. continuous flow doppler - This refers to the use of separate
transducers ? one to produce sound waves and a second to receive reflected
sound waves. Continuous flow can detect higher flow velocities than pulsed
flow but has decreased resolution. Doppler color flow - This technique
employs a color-coded display showing velocity and direction of the flow.
It can be used to evaluate valve competency and regurgitation in the heart
and is also used in evaluating turbulence in peripheral vessels. Ultrasound
Biomicroscopy (UBM) - Also referred to as high- or very high-frequency
US imaging, this technique uses ultrasound technology to visualize tissues
with microscopic resolution. UBM uses single element transducers in the
30 - 100 MHz range to acquire images using 2-D, B-Mode and Doppler images.
These systems have axial resolutions ranging from 19 to 60 um and lateral
resolutions between 60 and 250 um. Because of the high frequencies utilized,
UBM has low temporal resolution and limited depth penetration thus cardiac
imaging capabilities are limited. To date, UBM has been used in ocular
applications such as imaging of the cornea and anterior chamber, evaluation
of the cornea for disease or trauma and imaging of anterior chamber tumors.
Dermal applications include measuring of skin thickness, evaluation of
wound healing and assessment of dermal blood flow. Contrast-enhanced Ultrasound
imaging - This technique utilizes microbubbles that are filled with inert
gases. The gas filled microbubbles cause increased sound wave reflections
which results in enhanced imaging. These agents have been used to enhance
2-D nd spectral and color-flow Doppler images. The microbubbles, which
can be ruptured on exposure to high energy sound waves, have also been
used in the targeted delivery of substances to specific organs. Transesophageal
Echocardiography (TEE) - This technique is commonly used in humans as it
allows better access for cardiovascular imaging with decreased interference
from the lungs and other tissues. The commercially available systems are
currently too large for use in rodents; however, a system utilizing a 10
French catheter has recently been adapted for use in rabbits. A high frequency
(20 - 30 MHz) intravascular transducer has been used to obtain transesophageal
images in rats and mice but currently the technology is limited in these
species due to the decreased temporal resolution of these systems.
Questions:
For questions 1 -3, select the word in parentheses that correctly completes
the sentence.
1. Lateral resolution increases as beam (width/length) decreases.
2. Axial resolution increases as the sound wave pulse length (increases/decreases).
3. As sound wave frequency increases, resolution (increases/decreases).
4. Diagnostic ultrasound, intravascular ultrasound, and Ultrasound
biomicroscopy operate at frequencies of _______, _________, and __________,
respectively
a. 100 MHz, 50 MHz and 10 MHz
b. 5-15 MHz, 30 MHz and 100 MHz
c. 30 MHz, 10 MHz and 100 MHz
d. 10 MHz, 100 MHz and 1000 MHz
5. Match the following applications with the appropriate ultrasound
technology
1. Measuring velocity of blood flow through the heart
2. Measuring end diastolic volume of the left venricle
3. Measuring flow velocities through ocular vessels as small as 40
um.
4. Delivering substances to target organs
5. View the gross structure of organs
a. M-mode ultrasound
b. B-mode ultrasound
c. Ultrasound Biomicroscopy
d. Contrast enhanced ultrasound
e. Doppler mode ultrasound
Answers:
1. Lateral resolution increases as beam WIDTH decreases.
2. Axial resolution increases as the sound wave pulse length DECREASES.
3. As sound wave frequency increases, resolution INCREASES.
4. b.
5. 1e, 2a, 3c, 4d, 5b
Challenges in small animal noninvasive imaging. ILAR 42 (3):
248.
The current status and challenges of small animal noninvasive imaging
are briefly reviewed. Topics covered are: noninvasive imaging role in
postmortem situations, efficiently characterizing small animal phenotypes
as well as pathology, data interpretation under anesthetized conditions
and five imaging technologies are discussed briefly: magnetic resonance
imaging and spectroscopy, ultrasound, computer-assisted tomography, positron
emission tomography, and optical imaging.
Screening, using imaging modalities, could become an integral part
in the study of the "functional genomics" of the mouse over the next
decade. However, the methodology to evaluate the physiology or phenotype
of the mouse and other small mammal models is still developmental at best.
The idea is to evaluate numerous structures and organ systems simultaneously
without necessarily targeting one system and the ability to look at large
populations of animals frequently required in genetic studies, especially
in the area of mutagenesis. Due to the inherent surveillance nature of
most noninvasive imaging techniques, these approaches are ideal tools for
discovery in evaluating the phenotype of a mouse as they are for discovery
of disease in a human patient.
CONSIDERATIONS-
Scaling of target tissue- At one extreme the physiologically relevant
imaging volume is nearly fixed between mouse and humans. For example, in
visualizing the resistance arterioles or capillary network of the skeletal
muscle, the scale of the target vascular system is the same (150-10 mm).
The other extreme would be where an increase in resolution volume of several
orders of magnitude is required, similar to the overall scale of the animal.
For example, a measurement in the heart is the distribution of work and
blood flow across the heart wall, or the so-called transmural distribution.
In a human, this distribution requires a spatial resolution on the order
of 2 ´ 2 ´ 7 mm, whereas in the mouse heart, the resolution
must approach 0.2 ´ 0.2 ´ 1 mm. Thus, depending on the questions
addressed, the experiment must take into account the required resolution
for the physiological or anatomical measurement and not simply the scale
of the animal alone.
Postmortem Noninvasive Imaging
Advantages
In clinical studies many times the definitive phenotype, or disease,
is defined in an autopsy and noninvasive imaging of morphology can be conducted
at the highest level in a cadaver because no physiological motions are
present and imaging time is not as critical. Thus, a well designed system
for acquiring as much information as possible from postmortem animals may
provide many investigators with the morphological and biochemical information
they require in a timely and cost-effective manner. Noninvasive techniques
are also advantageous compared with conventional gross pathology procedures,
which require sectioning the animal and organs. This advantage is realized
in cost, speed of acquiring data, and the nondestructive technology permitting
follow-up postmortem studies as required.
Challenges
The development of the high throughput systems to evaluate hundreds
of animals for screening purposes. In addition, the automation of image
interpretation and analysis must keep up with this data flow as well as
just the ability to store and transfer these large data files. For example,
a single whole mouse image at a 50-mm isotropic resolution would
contain approximately 5 ´ 108 numbers. This is a remarkable amount
of data for a small animal and likely only obtainable on a postmortem study
due to the time required and physiological motion interference at this
high spatial resolution.
Live Animal Studies
The major advantage of noninvasive studies is the ability to conduct
studies on living animals without significant consequence to the animal
or its physiology. However, live animal imaging studies are very difficult
to perform because they generally require an anesthetized animal and animal
technical support to monitor the animal throughout the procedure and recovery.
In addition, the physiological motion, support issues, and limited time
available for the scanning generally compromise the quality of the imaging
data compared with postmortem studies. Studies requiring dynamic physiologic
data, Internal longitudinal controls, valuable animals, the ability to
monitor manipulations and the use of imaging as a screen for inclusion
in a another protocol are some examples of studies that necessitate the
imaging of live animals.
Anesthesia Procedures
Active restraint of animals is possible for ultrasound and some other
modalities. However, the physiological effects or reproducibility of the
physical and mental stress imposed on the animal is unclear, especially
in cardiovascular studies. Thus, most studies must be conducted under anesthesia.
A potentially confounding issue is transgenic animals in which the phenotype
might be expressed as an enhanced sensitivity to anesthesia. The anesthesia
regime must be picked to minimize the impact on the function of interest.
The mouse and other small mammals present a challenge to maintain a stable
anesthetic plane due to problems with mechanical ventilation and the difficulty
of online measures/adjustments of physiological function. Ventilation,
several significant anatomical and physiological considerations must be
understood about rodents before one can fully understand acid/base and
respiratory balance during imaging procedures. Thoracic compression is
an issue with rodents in causing ventilation/perfusion mismatching. Rodents
should be positioned at a slight incline, head above tail, to allow maximal
costal movement. Additionally, the plane of anesthetic is important, and
apnea must be avoided as much as is possible. Investigators can modify
standard electrocardiographic equipment with nonmagnetic leads for the
purposes of monitoring heart rate to assess depth of anesthetic. Also of
importance is that while large animals tend to adjust minute volume by
increasing tidal volume and decreasing respiratory rate per minute, rodents
tend to compensate in rate.
The simplest and most consistent anesthetic regime used in MRI and
PET procedures usually involves inhalation anesthetics and spontaneously
breathing animal models. These simple nonventilated animal protocols have
been very successful especially in studies that focus mostly on structure
and not physiological function.
IMAGING MODALITIES
Magnetic Resonance Imaging (MRI) and Spectroscopy (MRS) MRI and MRS
are based on the detection of the oscillating magnetic field induced from
a special set of nuclides that posse a net spin in the presence of a strong
magnetic field MRI generally refers to the determination of the distribution
of one molecule, such as water or fat, within a tissue at high spatial
resolution. This information includes a diverse amount of information on
blood flow and oxygenation as well as macromolecular composition and motion,
tissue structure, temperature, contractile activity, nerve and muscle fiber
orientation, and edema. From these data, one can gather information ranging
from structure to the chemical composition of some elements. Physiological
information of blood flow, oxygenation, and volume is available along with
the metabolism that is supported by these processes. Finally, information
on the extracellular and intracellular milieu, including ion concentrations,
pH, and temperature, can also be obtained. MRS generally refers to maintaining
the spectral information in the magnetic signals from the nuclides, which
permits the determination of the molecules or metabolites containing a
given nuclide. The collection of this additional information in MRS along
with the fact that metabolites are generally at low concentration results
in the MRS experiment having a low SNR. These combined effects make any
images collected with MRS very poor in spatial and temporal resolution.
MRS maintains the spectral properties of the nuclides permitting the determination
of the chemical species with in tissues. The nuclear magnetic resonance
(NMR) spectral properties of a given metabolite are a function of the local
magnetic interactions within the molecule providing, in most cases, a unique
spectral fingerprint. Using this fingerprint, investigators can determine
the concentration of a given metabolite, noninvasively.
MRI and MRS methods have been successfully applied to the mouse and
rat due to the advantageous scaling factors that occur in magnetic resonance.
Small animals also permit the use of small magnetic resonance receiving
coils, which increase the sensitivity to the magnetic fields generated
by the nuclides. In other words, the closer a coil can be physically placed
to a target organ, the better the SNR of the measurement. Smaller subjects
also mean that smaller magnets with higher magnetic fields can be used.
It is apparent from the progress in small animal MRI and MRS studies that
much of the utility of these approaches in man will translate to the evaluation
of small animal physiology.
Ultrasound
Ultrasound relies on the modification of an induced acoustic wave traveling
through tissue. Ultrasound studies are conducted using a probe to project
sound into the animal and recording the time and magnitude of the reflected
sound wave using the same probe. The analysis of this acoustic echo permits
the imaging and measurement of tissue acoustic properties. Ultrasound is
used primarily for monitoring tissue structure and motion. The amount of
tissue characterization that can be accomplished with ultrasound is limited.
Ultrasound is not very useful in the developed brain with an intact skull.
Another limitation of ultrasound is the fact that the acquisition of data
is very user dependent in finding the appropriate acoustic "windows" for
access of internal organs and requires a skilled user. Despite these limitations,
ultrasound has been the mainstay in the evaluation of cardiac wall function,
blood flow, and valve performance as well as an important tool in monitoring
fetus development. The advantages of ultrasound include its ease of use,
portability, and relatively low cost compared with MRI, CT, and PET. Due
to its portability and the rapid frame rate that is relatively insensitive
to motion, it is conceivable that nonanesthetized imaging studies could
be conducted on restrained animals if the stress on the animal were not
too great or influenced the results significantly. Recently, the development
of bubble-based contrast agents has improved the amount and quality of
information in ultrasound imaging. Other important contributions have been
harmonic-based ultrasound echo permitting higher tissue and agent-generated
contrast and real-time three-dimensional ultrasound performed on small
animals which may also remove some of the operator limitations as well
as provide rapid whole animal studies. While ultrasound does scale appropriately
with small animals the SNR of uultrasound is roughly constant, because
the noise is a coherent "speckle" from internal reflections. Compared with
MRI, challenges in ultrasound imaging are tissue contrast and SNR. Specific
contrast agents may improve the utility of ultrasound beyond the structure/function
studies now under way in animals. Ultrasound remains one of the least expensive
and easiest to use of the imaging tools available for small animal evaluations
concerning heart function and soft tissue structure outside the brain.
Its ability to monitor fetal development under nonanesthetized conditions
is also a valuable asset to the evaluation of development in transgenic
animals.
CT
CT is basically a three-dimensional x-ray technique that is sensitive
to the x-ray absorption of the tissue. Contrast can be generated by the
differences in tissue absorption, with bone providing the most striking
intrinsic contrast, or by using contrast agents to enhance the vasculature
or specific tissues and conditions. The inherent SNR of CT is very high.
Smaller animals provide some advantage in CT by permitting the use of low
energy irradiation so that the size of the device can be greatly reduced,
decreasing price, ease of shielding, and siting within an animal facility.
Using current technology, full three-dimensional mouse images with 100
´ 100 ´ 100 mm resolution can be obtained in a few minutes
The high speed and high resolution of CT will clearly make it a valuable
tool in the screening of large mouse populations. The major limitation
of CT for use in small animals is the lack of information on tissue characterization
and physiological function. Of all of the methods, CT will likely provide
the greatest challenge in terms of data processing and data interpretation
PET
PET relies on detection of radioactive probes emitted in the body.
Imaging of this emission is performed using a combination of detector geometry
along with the timing of the emissions detection. PET is one of the most
sensitive imaging techniques and is capable of detecting small amounts
of radiolabeled material. The use of PET tracers and tracer chemistry is
rivaled only by MRI/MRS in information content in an imaging modality.
In addition to flow and metabolism markers similar in both PET and MRI,
the sensitivity of PET has resulted in a unique ability to monitor receptor
ligand interactions in humans and animals with remarkable success. One
of the major drawbacks of PET is the requirement for a local cyclotron
to generate the probes and synthesis unit to produce the biologically useful
probes but most major medical centers already have such facilities where
the tiny quantities required for small animal imaging can be easily obtained.
Because radioisotopes must be used in these studies, vascular access or
direct injection of the tracers into the organ of interest is required.
The major advantage of PET is high sensitivity without the penetration
limitations of optical techniques. The successful application of this approach
will depend on the development of appropriate probes that will determine
the specificity and sensitivity of the measurements.
Optical Imaging
Optical imaging is an extremely sensitive measurement that can detect
a single molecule using fluorescence techniques. Optical imaging is usually
performed in two modes: simple transmission absorption imaging and fluorescence
imaging. In simple transmission absorption imaging, either transmitted
or reflected light is used with tissue or optical probes, providing differential
absorption to generate useful tissue contrast.
The major limitation of light is the high absorption and scattering
that occur in biological tissues and limit the penetration of the light
through the body. However, in small animals the required path-length of
light is much shorter, which makes the use optics much more feasible. Using
multiphoton fluorescence with specific protein fluorescence probes, the
morphology and plasticity of neurons have been directly observed in rats.
Whole adult animal screening has recently been shown using whole body IR
fluorescence. The optical detection of molecular events is the most sensitive
molecular imaging tool available in vivo. Due to the small size of the
mouse and the ability to create optical markers for monitoring a wide variety
of gene functions or even simple physiological and anatomical questions,
it is clear that this approach will play a growing role in the noninvasive
evaluation of the mouse phenotype.
Summary
Most of the standard imaging modalities used scale favorably to the
size of a mouse or rat. These improvements in performance result in the
maintenance of the physiologically relevant information in these images
even though the size of the subjects has been reduced by several orders
of magnitude. Due to its high sensitivity and specificity coupled with
the ability to create genetically coded probes, optical imaging is likely
to play a growing role in small animal imaging.
Major challenges in this approach are the maintenance and monitoring
of an appropriate physiological state while conducting these studies. All
of the modalities must be further modified to optimize their performance
in the study of small animals; however, as noted in this review good progress
is being made. Potentially, the largest technical challenge involves handling
and processing the enormous amount of data provided by the approaches.
One of the advantages of studying small mammals is that large numbers can
be evaluated for genetic or mutant screening.
Imaging these large numbers will result in the mandatory development
of computational systems capable of handling these large data sets. In
addition, analysis of these data must be automated in some form to reduce
the need for the investigator to screen each of these images. These automated
image interpretation systems are also under development in the clinical
radiology community where useful approaches may already be undergoing evaluation.
With the growing interest in the function of genes in development and
function as well as the study of intact biological systems in mammals,
it is clear that these screening imaging tools will play a critical role.
Questions:
1. Match the imaging modality with its description
1.MRI and MRS
2. Ultrasound
3. CT
4. PET.
5. simple transmission optical imaging
A relies on detection of radioactive probes emitted in the body
B. relies on the modification of an induced acoustic wave traveling
through tissue.
C. detection of the oscillating magnetic field induced from a special
set of nuclides that posse a net spin in the presence of a strong magnetic
field
D. either transmitted or reflected light is used with tissue or optical
probes, providing differential absorption to generate useful tissue contrast.
E. three-dimensional x-ray technique that is sensitive to the x-ray
absorption of the tissue.
Answers not provided