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Comment on ‘Imaging tumor hypoxia by magnetic resonance methods’

Published online by Cambridge University Press:  23 November 2011

Syed F. Akber
Affiliation:
Radiological Physicist, Cleveland, Ohio, USA
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Abstract

Type
Commentary
Copyright
Copyright © Cambridge University Press 2012

I enjoyed reading the paper of Pacheco-Torres et al.Reference Pacheco-Torres, Lopez-Larrubia, Ballesteros and Cerdan1 The authors have provided pO2 values of some human organs and a few cancerous tissues. Using pO2 values, a new perspective can be assessed.

In Figure 1, we plotted the T1 against the pO2 in six healthy tissue and three neoplastic tissue (Table 1) and yielded a good correlation (R 2 = 0.74). The T1 values are abstracted from Damadian et alReference Damadian, Zaner, Hor and and DiMaio2. The neoplastic tissue not only has low pO2 values but also has higher T1 value. This is consistent with the findings of AkberReference Akber3 and O’Connor et alReference O’Connor, Naish and Parker4.

Figure 1. Correlation between water proton spin lattice relaxation time and median oxygen tension

Table 1. Median pO2 values along with organ weight, and spin lattice relaxation time (T1) in normal and neoplastic tissues

In Figure 2, we plotted the pO2 values with organ weight and yielded a good correlation of 0.72. AkberReference Akber5 showed that T1 correlates well with organ weight in human organs as well as in animal organs.

Figure 2. Correlation between median oxygen tension and organ weight.

It is indeed interesting to note that T1 and pO2 yield a linear relationshipReference Akber3. The T1 value of the whole organ would provide a base value of pO2. Changes in T1 value in an organ would provide a sensitive index of the onset of hypoxia. For example, in normal breast tissue, the T1 value is 367 ms and pO2 value is 52 mm Hg, whereas in neoplastic breast tissue the T1 value is 1,080 ms and pO2 value is 9 mm Hg. In three cancerous tissues (Table 1), they yielded higher T1 value than any normal organs. It is also interesting to note that as the organ weight increases by assembling many cells of different functions, pO2 decreases (Figure 2).

Respectfully submitted

Syed F. Akber, PhD, DABR

Radiological Physicist

Cleveland, Ohio, USA

References

Pacheco-Torres, P, Lopez-Larrubia, P, Ballesteros, P, Cerdan, S.Imaging tumor hypoxia by magnetic resonance methods. NMR in Biomedicine 2011; 24:116.CrossRefGoogle ScholarPubMed
Damadian, R, Zaner, K, Hor, D, and DiMaio, T.Human tumors detected by nuclear magnetic resonance. PNAS 1974; 71:14711473.CrossRefGoogle ScholarPubMed
Akber, SF.Correlation between oxygen tension and spin lattice relaxation rate in tumors. Eur J Radiology 1989; 9:5659.Google ScholarPubMed
O’Connor, JPB, Naish, JH, Parker, GJM et al. Preliminary study of oxygen Enhanced longitudinal relaxation in MRI: A potential novel biomarker of oxygen changes in solid tumors. Int J Rad Oncol Biol Phys 2009; 75:12091215.CrossRefGoogle ScholarPubMed
Akber, SF.Organ weight: a new tissue parameter to assess water proton spin lattice relaxation time. Med Hypotheses 1997; 48:101105.Google ScholarPubMed
Figure 0

Figure 1. Correlation between water proton spin lattice relaxation time and median oxygen tension

Figure 1

Table 1. Median pO2 values along with organ weight, and spin lattice relaxation time (T1) in normal and neoplastic tissues

Figure 2

Figure 2. Correlation between median oxygen tension and organ weight.