The present invention relates to a method and device for molecular dynamic monitoring of in vivo response to disease treatment. More specifically, the present invention uses an MRI to do so, along with and optical module.
Many biomolecular and physiological processes are based on chemical reaction pathways producing radical pair intermediaries. Examples of the importance of the radical pair mechanism in biology and medicine are too numerous to mention but include many enzymatic reactions, disease action and even therapies (through the use of appropriate drugs), such as photodynamic therapy in cancer treatment. Recent theories even indicate that the aging process could be related to strong contributions of the radical pair mechanism in the cell biochemistry.
These radical pairs are sensitive to magnetic fields, affecting the energy level configurations of the intermediaries and/or products of the biochemical reactions, at the fine and hyperfine structure levels through the Zeeman effect and singlet-triplet intersystem crossing dynamics. These changes in energy level configuration affects the optical emissions that can potentially be produced during the process (either spectral signature, amplitude perturbation or time dependent properties) offering an opportunity to optically probe or control the process at close to real time.
A magneto-optic effect, MOE, refers to a perturbation of an optical emission imparted by application of a magnetic field. As illustrated in
The electron spin of the radical pair determines whether the pair is in a singlet or triplet configuration. Radical pairs produced from singlet recombinations will often react to form stable products on a very short time-scale (<1 ns) and are not susceptible to magnetic field effects on optical emissions (Scaiano, Cozens et al. 1994). On the other hand, triplet radical pairs are much longer-lived species and are more likely to be affected by a weak external magnetic field.
Nielsen et al., US 2008/0230715 A1 describes how to use spatially inhomogeneous weak magnetic fields (in the few hundreds of mT) with an optical molecular contrast agent described simply as a “donor-acceptor” complex to enhance optical molecular imaging, in a similar fashion to photoacoustic tissue imaging. The magnetic field inhomogeneity affects the donor-acceptor complex by modifying its singlet-triplet population ratio, modifying the fluorescence-to-phosphorescence ratio at a spatially-localized point of the subject under study. This, in essence, circumvents the impact of scattering on the optical signal and potentially enables high spatial resolution diffuse optical tomography. By modifying the spatial profile of the magnetic field, one can scan the subject under study to provide a whole tomographic dataset. Nielsen et al. specifically mentions several times that the apparatus extracts “structural” information. However, Nielsen et al. do not teach how to use the magneto-optical technique as a mean to capture physiological information.
Long, U.S. Pat. No. 7,519,411 B2 describes how magnetic fields can be used to affect reaction dynamics of photosensitive compounds in the context of cancer photodynamic therapy. It is mentioned that fluorescence-to-phosphorescence ratios can be used as indicator of the favoured chemical reaction pathway of PDT (Type I or Type II). The Type II pathway is highly favoured in an oxygen-rich environment, while the Type I is favoured in hypoxic regions. The Type I pathway is based on the radical pair mechanism and thus sensitive to magnetic field effects. The optical signal is thus affected differently by the magnetic field in each case and this difference can be linked to the environmental nature of the photoreactive process (in this case, local concentration of molecular oxygen). Long never specifically mentions the use of weak magnetic fields, but does mention ranges of B-field sensitivity of a number of reaction types such as triplet-triplet annihilation in strong fields (˜7T), uncharged radical pairs sensitivity to weak or medium fields (<0.5 T) and charged anion-cation radical pairs in weak fields (˜0.01T).
It is an object of the present invention to provide a method and apparatus to use magneto-optical information in an imaging concept integrating an optical device inside a standard MRI scanner to provide physiological information in disease diagnosis and treatment monitoring.
In accordance with one aspect of the invention, there is provided a method of hybridizing magnetic and optical fields for providing physiological imaging of an organism. The method comprises the steps of:
In accordance with another aspect of the invention, there is provided an apparatus for providing physiological information from an organism in disease diagnosis and treatment monitoring, for use in an MRI instrument, the apparatus operates on the concept of hybridized magneto-optical sensitivity. The MRI includes an MRI scanner and a controller for controlling the MRI scanner. The MRI scanner provides a magnetic field of at least 0.5T. The apparatus further includes a front end built of non-magnetic components, comprising light guides for illuminating a region of interest (ROI) and for collecting light emitted at said ROI; and a back-end comprising a light source for injecting light into said light guides; a light detector for receiving light collected at said ROI; and a processing and control unit for processing said light collected at said ROI.
The present invention will be better understood after having read a description of a preferred embodiment thereof, made in reference to the following drawings, in which:
The present invention concerns the use of magneto-optical effects to probe or monitor a biochemical/physiological process in vivo. This has been demonstrated in the prior art, in the case of photodynamic therapy, using a straightforward system combining a highly sensitive optical device using weak magnetic fields (less than 500 mT). The potential of the technique for PDT and other medical treatment applications combined with the now ubiquitous availability of MRI in clinical environments and micro-MRI in preclinical laboratories offers the possibility of a relatively simple hybridized optical-MRI device to be developed and used, based on magneto-optic effect occurring in a strong magnetic field (typically greater than 1 T). Furthermore, an MRI can operate in various field modulation modes, providing more complex time-varying magnetic fields configurations than basic static fields.
Typically, the MRI scanner is used to establish diagnostic and follow therapy effectiveness through morphology of tissues. Therapy monitoring in this case is dependent on the tissue structure in the MRI dataset. For example, in cancer, treatments will be monitored by looking at the tumour size, tissue cellular characteristic (necrotic, haemorrhaging, amount of stroma, etc.) and blood perfusion, through functional MRI.
The present invention thus proposes the use of hybridized magneto-optic effects produced from an MRI instrument to invoke changes in the optical emission intensity, lifetime, and spectral splitting of a fluorescent or phosphorescent signal from an optically-sensitive drug or other biocompatible compound. The preferred embodiment is an optical apparatus embedded in an MRI platform intended and designed to generate and detect magneto-optic effects from within the strong (on the order of 0.7 to 3 T) magnetic field of the parent MRI construct. This enables near real-time tracking of the photo-induced chemical, physical, kinetic or pharmaceutical response of the injected compound through the magneto-optic effect, to monitor the treatment progress or efficiency or both. This result provides information on the status of the treatment providing feedback that the end-user can act upon (i.e. make a decision to change dosing parameters or change the other therapeutic modalities). For example, in the case of a photodynamic drug, dynamic information about local tissue oxygenation levels is required in order to optimize the photo toxicity treatment program closer to real time, or indicate a critical time-point for switching to ionizing radiation therapy or antiangiogenic therapy. This is a current issue in PDT, currently hindering its wider scale use in the clinical field.
It is of note that the invention proposes to use the magnetic field of the MRI and the optical signal from the compound in a synergistic fashion to evaluate physiology. This is different to Nielsen's goal of using an inhomogeneous magnetic field to select a particular optical signal value spatially and extract structural information, thereby using the magnetic field to improve instrumental performance and enhance optical data. Although the compound can be designed as a targeting optical contrast agent, Nielsen does not describe probing physiology with the combination of the magnetic and optical fields.
The present invention makes use of an optically-activated drug or other biocompatible compound that reemits luminescence and that produces radical pairs according to the biochemical environment characteristics. This optically-activated molecule can also associate to a free radical naturally present in the tissue to form a radical pair, assuming favourable conditions exist (adapted molecular structure of the photo activated compound, presence of the target free radical in sufficient concentration locally, etc.).
The optical device add-on allows optical activation of a drug compound within the patient and subsequent detection of luminescence from the drug from within the MRI scanner. The luminescence signal can be described by a number of “optical parameters”, e.g. luminescence intensity, lifetime, spectral properties, spectral band shape, etc. By looking at variations of one or a combination of these parameters as the magnetic field is changed provides the information on physiology as a means to monitor the state of a disease or treatment.
The variation of the optical parameter as a function of the B-field strength is defined as the magneto-optical response. Nielsen does present such curves in his patent but limits them to fluorescence intensity. in contrast, the present invention teaches to look at the variation of the entire magneto-optical response curve as a function of a specific physiologically-relevant parameter like, but not limited to, pO2 (local oxygen concentration in the tissues). This is different from Nielsen who teaches the use of the fluorescence-to-phosphorescence intensity ratio or half-life (lifetime) ratio as a “processing filter” to spatially select the relevant photons. In the case of the present invention, the technique uses a measurement of the optical parameter of choice (e.g. fluorescence lifetime) for at least two values of the magnetic field.
Changes in the magneto-optical response curve can be extracted from a number of processing techniques such as: difference between MO effect saturation at high fields and values at B=0, slope of the variation of the optical parameter at a specific B-field value vs the physiological parameter value, or other.
Multipoint measurements of the optical parameter can allow building a spatial map of the physiological parameter. Combining this with the MRI dataset can allow adaptation of the technique to 3D tomography, using appropriate reconstruction algorithms, where the MRI dataset can be used as a priori information.
In summary, a process for implementing measurements according to one embodiment of the invention can be summarized as follows.
1) Establish the magneto-optical response curve for a number of the specific physiologically-relevant parameter values (here we use local oxygen concentration in tissues, pO2, see
2) use a criterion of measurement to distinguish the physiology parameterized response curve (here we use the B-field saturation value of the selected optical parameter relative to the absence of field value, delta-Psat,
3) Map the correspondence of delta-Psat vs pO2(x) for each measurement point. This produces a 2D distribution map (an image,
To build the magneto-optical response curve for various values of the physiologically-relevant parameter, one can characterize the photoactivated compound into a separate measurement apparatus using a variable low-field magnet, similar to the apparatus described by Long. Alternatively, one can use magnetic shielding of some sort with the MRI scanner, use a low field scanner or use the MRI scanner fringe field, or a combination thereof.
Conceptualization of the measurement process includes the following steps:
Photodynamic Therapy (PDT) is a good example of a potential application of this concept. While PDT offers very good promise as a targeted cancer treatment modality, many attempts to use PDT in the clinic have been hindered by the complex dosimetry problem (particularly in deep tissues), a lack of an accepted definition of dose, and a suitable technique to measure/monitor doses in vivo. As explained by Long, PDT operates by two oxygen-dependent pathways that lead to photo toxicity in tumour cells (
While MOEs have been explored in a variety of model photo induced charge transfer systems (i.e. donor-acceptor complexes), the phenomenon had, until recently, not been well-realized for any biomedical application (Bhattacharyya and Chowdhury 1993; Petrov, Borisenko et al. 1994). Currently, the concept of using such magneto-optical effects has been demonstrated in model biological systems in vitro (cell phantoms). (Mermut, Noiseux et al. 2008; Noiseux, Mermut et al. 2008; Mermut, Diamond et al. 2009).
The present invention thus concerns an apparatus for carrying out the process described above. In a preferred embodiment, the invention more specifically concerns an optical device add-on to a standard MRI scanner (
What follows is a description of a preferred embodiment of the apparatus according to the invention. A person skilled in the art will appreciate that this description is not limitative, and further refinements, additions and modifications can be effected without departing from the basic principles of the present invention.
Advantageously, the following hardware and software can further be used with the present invention:
This application claims benefit of U.S. Ser. No. 61/184,527, filed Jun. 5, 2009 and which application is incorporated herein by reference. To the extent appropriate, a claim of priority is made to the above disclosed application.
Number | Date | Country | |
---|---|---|---|
61184527 | Jun 2009 | US |