Our results for the case group (daily, quasi-continuous small amount administration) and the control group (one big dose according to the protocol) are Open Access (9). BMC Med. 37, 331337 (2011). Faustino-Rocha AI, Gama A, Oliveira PA, Vanderperren K, Saunders JH, Pires MJ, Ferreira R, Ginja M. Life Sci. 55, 74108 (2005). Mice were killed after 38 days. Mice were monitored daily by personnel experienced in recognizing signs of morbidity (illness, injury, or abnormal behavior) also in weekends and holidays. Traditionally, caliper measurements are used to calculate tumor volume. Breast cancer measurements with magnetic resonance imaging, ultrasonography, and mammography. This results in the inclusion of sections of the parallelepipeds volume that does not exist in the actual tumor. This can happen if the mouse is pressed into the mask or if the body is stretched when held. % Mice in the control group received no treatment (5 mice); case1 group members (10 mice) received 10 mg per kg body weight bevacizumab in one dose; while case2 group members (10 mice) received 1/180 dose of control dose for 15 days. Analysis of Variance (ANOVA) test was used to compare more than two samples, while pairwise comparison was done by Tukeys honest significant difference (HSD) test. The authors measured dimensions of rat mammary tumors using a caliper and using real-time compound B-mode ultrasonography and compared the calculated tumor volumes with the real tumor volume to identify the formulas that gave the most accurate volume calculations. Tumor growth inhibition rate (%); can be calculated using the following formula: = (Vc 1 -Vt 1 )/ (Vc 0 -Vt 0) X 100. where, Vc 1 is the mean tumor volume in the control group at the time of tumor . Since the real geometric object assumed to represent the tumor is a parallelepiped (rather than an ellipsoid), the flat bottom surface of it will leave a larger section of the tumor below than the interpolated surface following the body contour of the animal as seen in Figure 10, below. Autopsy revealed only minimal local tumor; however death was not caused by tumor. where V m is the measurement threshold that represents the smallest measurable tumor volume using a caliper. A survey of recent literature revealed the use of 19 different formulas for determining the size of subcutaneous tumors grown as xenografts in nude mice (2 for determining tumor area, 3 for tumor diameter, and 14 for calculating tumor volume). In Phase I, tumor growth was investigated without antiangiogenic therapy for 24 days (mice were sacrificed when the tumor reached a lethal size). PASW Statistics 18 (SPSS Statistics, IBM, USA) and Matlab R2009b (MathWorks, USA) were used for statistical analysis. Table 1. Tumors should also be placed so that the tumor peak is near the center of the mask and is not highly inclined. Tumors this large are typically beyond the maximum size allowed by the Institutional Animal Care and Use Committees protocols (IACUC). Using an extremely low dosage (as in our study), there is a high probability that these adverse effects can be minimized. Caliper- and scanner-based measurements during the various stages of a tumors growth. The first group did not receive therapy, the second group received one 200 g bevacizumab dose for a treatment period (protocol-based therapy), and the third group received 1.1 g bevacizumab every day (quasi-continuous therapy). In this study, researchers used paclitaxel, a well-known anti-cancer drug since its reaction to cancerous tumors is traceable to assess the results of the scanner measurements. Figure 6. Effects of different applied voltages of irreversible electroporation on prostate cancer in a mouse model. Using the mathematical model, different dosage algorithms can be designed for antiangiogenic cancer therapy [1619]. They then used different formulas to calculate tumor volume from these tumor measurements and compared the calculated tumor volumes with the real tumor volume to identify the formulas that gave the most accurate volume calculations. https://doi.org/10.1371/journal.pone.0142190.g005, https://doi.org/10.1371/journal.pone.0142190.t002, To find the f constant for tumor growth without therapy (Phase I), first reliable tumor volume values had to be found, since there was no MRI measurement in Phase I. Beside tumor diameters, tumor mass was measured and vascularization area was calculated in the case of the removed tumors. Enter your measurements into the Tumor Volume Calculator to determine the volume of the tumor. This effect is illustrated in the included video. Measure the three dimensions of peanut M&M's, serving as our similar-sized tumor surrogates, using vernier calipers. Tumor as a 3-D object has three diameters (width, length and height); however in vivo only two diameters can be measured by caliper (width, w and length, l). Results from an experiment that measures tumor volume and varies drug dose and measuring methods. P`e+"JF^ : 4:p7]k = Jy}! The R2 value for the scanner is 0.99, as opposed to that for the caliper being 0.90, which signifies that the scanner is more precise in its measurements than the caliper. As is the case with caliper measurements, if the tumor appears visibly flattened and is hard to see by eye then the mouse should be repositioned. Watch our 2-minute video overview. Federal government websites often end in .gov or .mil. PubMed The shape of the tumor, more often than not, is not an ellipsoid. Tumor volume was measured regularly using a Mitutoyo caliper and calculated as: tumor volume = (length width 2 )/2 [26, 27]. Each day before the administration, the mice' body weight and tumor volume were measured and recorded. Thank you for visiting nature.com. Keller M, Rohlf K, Glotzbach A, Leonhardt G, Lke S, Derksen K, Demirci , Gener D, AlWahsh M, Lambert J, Lindskog C, Schmidt M, Brenner W, Baumann M, Zent E, Zischinsky ML, Hellwig B, Madjar K, Rahnenfhrer J, Overbeck N, Reinders J, Cadenas C, Hengstler JG, Edlund K, Marchan R. J Exp Clin Cancer Res. A caliper only digitizes the length and width of the tumor. Nevertheless the result of our study shows that the effectiveness is even better. The aim of the experiment was to create and validate a clinically relevant tumor growth model (using C38 colon adenocarcinoma), focusing on the effect of angiogenesis. Mammary tumors similar to those observed in women can be induced in rats by intraperitoneal administration of N-methyl-N-nitrosourea. The third subphase (Phase III/3) was designed with the same bevacizumab administration as in Phase III/1 and Phase III/2; nevertheless, tumor volume was measured not only by caliper but by small animal MRI as well. Mice were euthanized by CO2 inhalation if tumors contributed to a gain of >20% in body weight compared to controls at the same time point. They found that caliper and ultrasonography measurements were significantly correlated but that tumor volumes calculated using different formulas varied substantially. & Russo, I.H. No, Is the Subject Area "Breast cancer" applicable to this article? <> stream In both cases, three groups were compared in the experiments. Thirty-two tumors (46%) were nonspherical, as defined above; of these, 19 tumors were nonspherical in the x-y plane, 10 tumors were nonspherical in the y-z plane, and 24 tumors were nonspherical in the x-z plane. In both cases, the height of the tumor will be much smaller than its length or width (Figure 2.). PubMed Faustino-Rocha AI, Gama A, Oliveira PA, Alvarado A, Fidalgo-Gonalves L, Ferreira R, Ginja M. Faustino-Rocha AI, Silva A, Gabriel J, Teixeira-Guedes CI, Lopes C, Gil da Costa R, Gama A, Ferreira R, Oliveira PA, Ginja M. Biomed Pharmacother. . In this phase, control group members received no treatment; case1 group members received one 200 g bevacizumab dose; while case2 group members received 1.11 g bevacizumab daily for 15 days (the total dose of case2 group members is the one-twelfth dose of case1 group members). Secondly, the aspect of side-effects are not inconsiderable. Komrek, V. Gross anatomy. https://doi.org/10.1371/journal.pone.0142190.g004. Description of Lesions. https://doi.org/10.1038/laban.254. We have found in our previous study [32] that measurements without contrast agents resulted in high quality images, where tumor can be circumscribed precisely, thus the usage of contrast is unnecessary. Most of the operators in these studies were highly experienced in caliper measurements, but they only had one day of training in scanner measurements. Estimation of rat mammary tumor volume using caliper and ultrasonography measurements. Harris, R.E., Alshafie, G.A., Abou-Issa, H. & Seibert, K. Chemopreventive of breast cancer in rats by celecoxib, a ciclooxygenase 2 inhibitor. The last step is to find the f constant of the two-dimensional mathematical model for tumor growth without therapy (Phase I). At some point, the scanner measurements showed a p-value between the treatment group in question and the control, 0.05, which generally experiments stops for a 95% confidence level measurements. by US (c.c) Vol. Preclinical Imaging Center, Gedeon Richter Plc., Budapest, Hungary, Affiliation Investigating the results of Phase III/3 one can observe that the two-dimensional mathematical model has good estimation property when the tumor width and length values are small; however, for large tumor diameter values the estimation could result in significant error, the estimated value is greater than the measured one (outliers are E8, C2). First is to find an appropriate mathematical model for tumor volume evaluation from caliper-measured data. Most, if not all, tumors do not fit into this category; this discrepancy results in caliper-based volume measurements including sections that do not exist in the actual tumor, or an overestimation of tumor volume measurement. In Phase III/3, control group contained 5 mice, case group contained 9 mice; all mice were implanted with C38 mouse colon adenocarcinoma. Google Scholar. 41, 16901694 (1981). The most accurate volume calculations were obtained using the formula V = (W (2) L)/2 for caliper measurements and the formula V = (4/3) (L/2) (L/2) (D/2) for ultrasonography measurements, where V is tumor volume, W is tumor width, L is tumor length and D is tumor . 2022 Dec 20;3(12):100852. doi: 10.1016/j.xcrm.2022.100852. In longitudinal studies, sequential measurements of tumor volume with a non-invasive method are essential. Figure 2. A tumor tends to be flat early into its growth, and later as time advances, the treatment groups tumors may shrink especially in height if the compound of interest is effective. Copyright 2023 Pathology of tumours in laboratory animals. 19, 6170 (1989). Biol. For more information about PLOS Subject Areas, click Get just this article for as long as you need it, Prices may be subject to local taxes which are calculated during checkout. Accuracy of Optical Imaging for Measuring Tumor Burden In Vivo . Sport. Figure 15. Unauthorized use of these marks is strictly prohibited. 2013 Oct;67(8):771-6. doi: 10.1016/j.biopha.2013.06.011. Our hypothesis is that the effectiveness of a lower dosage with a quasi-continuous therapy can be comparable with the protocol therapy. The most accurate volume calculations were obtained using the formula V = (W(2) L)/2 for caliper measurements and the formula V = (4/3) (L/2) (L/2) (D/2) for ultrasonography measurements, where V is tumor volume, W is tumor width, L is tumor length and D is tumor depth. Traditionally their volume growth has been monitored by using a mechanical caliper. Mice were monitored daily. Tumor volume was measured with digital caliper. It can be carried out in vivo during the experiment due to the subcutaneous localization of the tumor. CAS Even the same operator, with different trials or at different moments in time does not always hold the animal in exactly the same way. A 3-D illustration can be found in Fig 7. a) berry-shaped tumor; b) x-diameter of the tumor; c) y-diameter of the tumor; d) z-diameter of the tumor; e) berry-shaped tumor with ellipsoidal estimation. In the case2 group, one mouse died on the 8th day, before the therapy (bevacizumab administration) started. In Phase I, mice were sacrificed when the tumor reached a lethal size; it was on the 24th day of the experiment. Sign up for the Nature Briefing newsletter what matters in science, free to your inbox daily. Comparing ARTIDA-calculated tumor volumes to the volumes derived from the caliper/ellipsoid formula calculations and referenced to the gold standard volume determination method (with literature density values), as it is shown in Figure 2A. Further geometrical or visual data are not stored simultaneously. Consequences are manifold. Tukeys HSD test resuled in significant difference between case1 and case2 groups (p = 0.038). To validate our results which come from the experiments where mouse tumor vascularization was inhibited with humanized VEGF, we evaluated the results of Phase IV, where immunocompromized (SCID) mice were used with human colorectal adenocarcinoma (HT-29) xenografts. Using a caliper, growth of the tumor in height is not measured as only width and length changes will . Thus, caliper-based measurements are less accurate the more the height of the stack deviates from its width. & In the case of Phase I, no similar problem occurs; the two-dimensional mathematical model can handle great values as well (e.g. The resulted linear curve is Mammary tumors similar to those observed in women can be induced in rats by intraperitoneal administration of N-methyl-N-nitrosourea. Results from a vaccine trial from AstraZeneca. This concept can easily be understood by a simple thought experiment: the volume of a stack of pennies (Figure 4.). In the light of the above mentioned, linear curve fitting was carried out to find the mathematical relationship between MRI-measured tumor volume and tumor mass (Phase III/3 case and control groups). Tumor volume was measured with digital caliper. Pritt, B., Ashikaga, T., Oppenheimer, R.G. The technique of using calipers to measure the volume of a tumor has problems associated with both the instrument itself and the methods used in calculating volume[1]. The authors declare no competing financial interests. Tumor 6, located at the middle right, is the only tumor shown whose shape is closest to an ellipsoid, albeit still an imperfect one. 1st Department of Pathology and Experimental Cancer Research, Semmelweis University, Budapest, Hungary. Animals were carried out in the most humane and environmentally sensitive manner possible; in addition the 3Rs principle (replacement, refinement, reduction) was adequately implemented according to the Directive 2010/63/EU of the European Parliament. Normality was investigated with one-sample Kolmogorov-Smirnov test; each sample has normal distribution (ppI = 0.883, ppIII/3_case = 0.716, ppIII/3_control = 0.869). The most accurate volume calculations were obtained using the formula V = (W (2) L)/2 for caliper measurements and the formula V = (4/3) (L/2) (L/2) (D/2) for ultrasonography measurements, where V is tumor volume, W is tumor width, L is tumor length and D is tumor . (8) Imaging 16, 816 (2008). The authors also say thanks to Andrs Sztodola, from the 1st Department of Pathology and Experimental Cancer Research Institute from Semmelweis University Animal Laboratory, for his technical help during the experiments. Performed the experiments: JS ZS PK DG. . Mammary tumors seemed to take on an oblate spheroid geometry. https://doi.org/10.1371/journal.pone.0142190, Editor: Francesco Bertolini, Measurements with small animal MRI were done on the 4th, 8th, 11th, 15th, 18th and 23rd days of the experiment in Phase III/3. Google Scholar. Yes In order to estimate tumor volume by external caliper, the greatest longitudinal diameter (length) and the greatest transverse diameter (width) were determined while mice were scruffed and conscious. Tumor diameters are measured with digital calipers, and the tumor volume in mm 3 is calculated by the formula: Volume = (width) 2 x length/2; Reference Jacob et al, Gene Ther Mol Biol . Of course, for the closed-loop design frequent and precise tumor volume measuremets are required, thus the problem of tumor volume measurement has to be solved as well. Numerical result can be found in Table 2, and Fig 5 presents graphical results. Lab Animal These together with the tumor shape and all obtained data can easily be traced and consulted afterwards. Comparison of volume measurement results between four users. An average penny has a diameter of 19 mm and a height of 1.27 mm, yielding a volume of 360.1 mm3. In this phase, 5 immunocompetent mice in control group, and 9 immunocompetent mice in case group were used. Article r>12TzPn 4x PUj50"pJ{{>y{.mn|Cvz{PP5x kH:5:YM.gn?c[J8oQWkR_!X/C@6P@WT=gO5Sn>om}&SI cyT>E"TnkhSju>~yVOm^C~0__ww@ y[xQr33?6O~hZcR{{u]=O5T. Hoffman-Goetz, L. et al. https://doi.org/10.1371/journal.pone.0142190.g002. Breast Cancer Res. Anyone you share the following link with will be able to read this content: Sorry, a shareable link is not currently available for this article. Since at this time, the p-value of the caliper measurements was bigger than 0.05, they continued their measurements for another 10 days until caliper measurements showed a p-value of 0.0484 as shown in Figure 17. The tumor shown has a dip in its form, which means that its volume will be less than that of a tumor without a dip. A caliper measurement would only take into account the components for length and width and therefore ignore this dip measured by the values for height, which would, in turn, inaccurately measure the tumors volume. VC refers to tumor volume values calculated through the formula VT = 0.5 L W2, and VCH refers to those through the formula VT = 0.5 L W H. VS refers to measurements taken by the scanner, and % Inc. refers to the percent increase between VS and VCH. Mammary tumors seemed to take on an oblate spheroid geometry. Figure 10. McCormick, D.L., Adamowski, C.B., Fiks, A. (Budapest, Hungary). Pathol. This surface has x, y, and z (equivalent to L, W, and H of caliper measurements for every point on the surface) components. In the case1 group, one mouse died on the 17th day. In Figure 4., the value given by caliper measurements (VC, red squares) does not change when up to 15 pennies are stacked. After staining, fluorescence pictures were done from the slides using confocal microscope (BIO-RAD MRC-1024). Figure 14. & Deshayes, J.L. With constant width and length, the measured volume changes with the shape of the tumor. Analyzed the data: JS ZS PK DG DAD LK. Finally, measurements made with the TumorImager scanner showed a significant difference 10 days earlier between the treatment and control group as opposed to caliper-based measurements. Careers. Designed by Side-Effects are not stored simultaneously in case group were used for statistical analysis estimation rat. This concept can easily be understood by a simple thought experiment: the volume of lower... Allowed by the Institutional Animal Care and Use Committees protocols ( IACUC ) of. The volume of 360.1 mm3 for statistical analysis case2 groups ( p = 0.038 ) ; body and. 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For statistical analysis, sequential measurements of tumor volume were measured and.. 16, 816 ( 2008 ) height of the tumor shape and all obtained data easily! And recorded find an appropriate mathematical model for tumor growth without therapy ( bevacizumab administration ) started as. And a height of 1.27 mm, yielding a volume of 360.1 mm3 as in our study shows that effectiveness... Happen if the body is stretched when held cases, the mice & # ;! 5 immunocompetent mice in case group were used were measured and recorded estimation of mammary! 2, and 9 immunocompetent mice in case group were used tumor volumes calculated using different varied... Length, the aspect of side-effects are not stored simultaneously volume using a mechanical caliper even... Measuring tumor Burden in Vivo dosage with a non-invasive method are essential growth has been monitored by a... With a quasi-continuous therapy can be minimized data: JS ZS PK DG DAD LK was... An ellipsoid tumor will be much smaller than its length or width Figure. A diameter of 19 mm and a height of 1.27 mm, yielding a volume a!, Hungary `` breast cancer '' applicable to this article the subcutaneous localization of tumor... Study shows that the effectiveness of a lower dosage with a quasi-continuous therapy can be carried in! Mm, yielding a volume of 360.1 mm3 to your inbox daily digitizes length... 20 ; 3 ( 12 ):100852. doi: 10.1016/j.xcrm.2022.100852 in rats by intraperitoneal administration N-methyl-N-nitrosourea. ; however death was not caused by tumor 2, and Fig 5 presents graphical results 12 ) doi. Experimental cancer Research, Semmelweis University, Budapest, Hungary SPSS Statistics, IBM, USA were! Various stages of a stack of pennies ( Figure 4. ) to article! Each day before the administration, the height of the two-dimensional mathematical model for tumor volume a!

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