Assessment of multiparametric MRI in a human glioma model to monitor cytotoxic and anti-angiogenic drug effects.

Early imaging or blood biomarkers of tumor response is needed to customize anti-tumor therapy on an individual basis. This study evaluates the sensitivity and relevance of five potential MRI biomarkers. Sixty nude rats were implanted with human glioma cells (U-87 MG) and randomized into three groups: one group received an anti-angiogenic treatment (Sorafenib), a second a cytotoxic drug [1,3-bis(2-chloroethyl)-1-nitrosourea, BCNU (Carmustine)] and a third no treatment. The tumor volume, apparent diffusion coefficient (ADC) of water, blood volume fraction (BVf), microvessel diameter (vessel size index, VSI) and vessel wall integrity (contrast enhancement, CE) were monitored before and during treatment. Sorafenib reduced tumor CE as early as 1 day after treatment onset. By 4 days after treatment onset, tumor BVf was reduced and tumor VSI was increased. By 14 days after treatment onset, ADC was increased and the tumor growth rate was reduced. With BCNU, ADC was increased and the tumor growth rate was reduced 14 days after treatment onset. Thus, the estimated MRI parameters were sensitive to treatment at different times after treatment onset and in a treatment-dependent manner. This study suggests that multiparametric MR monitoring could allow the assessment of new anti-tumor drugs and the optimization of combined therapies.

Multistable representation of speech forms: a functional MRI study of verbal transformations.

We used functional magnetic resonance imaging (fMRI) to localize the brain areas involved in the imagery analogue of the verbal transformation effect, that is, the perceptual changes that occur when a speech form is cycled in rapid and continuous mental repetition. Two conditions were contrasted: a baseline condition involving the simple mental repetition of speech sequences, and a verbal transformation condition involving the mental repetition of the same items with an active search for verbal transformation. Our results reveal a predominantly left-lateralized network of cerebral regions activated by the verbal transformation task, similar to the neural network involved in verbal working memory: the left inferior frontal gyrus, the left supramarginal gyrus, the left superior temporal gyrus, the anterior part of the right cingulate cortex, and the cerebellar cortex, bilaterally. Our results strongly suggest that the imagery analogue of the verbal transformation effect, which requires percept analysis, form interpretation, and attentional maintenance of verbal material, relies on a working memory module sharing common components of speech perception and speech production systems.