Dynamic contrast-enhanced (albumin-Gd-DTPA) magnetic resonance imaging, performed
during 2 weeks of daily administration of an inhibitor of tyrosine kinase
receptors (SU6668) in an HT-29 colon carcinoma model, revealed the onset of a
hyper-enhancing rim, not observed in untreated tumours. To account for tissue
heterogeneity in the quantitative analysis, we segmented tumours into three
subunits automatically identified by cluster analysis of the enhancement curves
using a k-means algorithm. Transendothelial permeability (Kps) and fractional
plasma volume (fPV) were calculated in each subunit. An avascular and necrotic
region, an intermediate zone and a well-vascularised periphery were reliably
identified. During untreated tumour growth, the identified sub-regions did not
substantially change their enhancement pattern. Treatment with SU6668 induced
major changes at tumour periphery where a significant increase of Kps and fPV was
observed with respect to control tumours. Histology revealed a sub-capsular layer
composed of hyper-dense viable tumour cells in the periphery of untreated
tumours. The rim of viable neoplastic cells was reduced in treated tumours, and
replaced by loose connective tissue characterised by numerous vessels, which
explains the observed hyper-enhancement. The present data show a peripheral
abnormal development of cancer-associated stroma, indicative of an adaptive
response to anti-angiogenic treatment.