Abstract
X-ray computed tomography is a reliable technique for the detection and longitudinal monitoring of pulmonary nodules. In preclinical stages of diagnostic or therapeutic development, the miniaturized versions of the clinical computed tomography scanners are ideally suited for carrying out translationally-relevant research in conditions that closely mimic those found in the clinic. In this Protocol, we provide image acquisition parameters optimized for low radiation dose, high-resolution and high-throughput computed tomography imaging using three commercially available micro-computed tomography scanners, together with a detailed description of the image analysis tools required to identify a variety of lung tumor types, characterized by specific radiological features. For each animal, image acquisition takes 4–8 min, and data analysis typically requires 10–30 min. Researchers with basic training in animal handling, medical imaging and software analysis should be able to implement this protocol across a wide range of lung cancer models in mice for investigating the molecular mechanisms driving lung cancer development and the assessment of diagnostic and therapeutic agents.
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Data availability
The main data discussed in this protocol are available in the supporting primary research papers (https://doi.org/10.1126/scitranslmed.aaw7999 and https://doi.org/10.1038/s41467-021-26214-x). The raw datasets are too large to be publicly shared but are available for research purposes from the corresponding authors upon reasonable request. Additional data and software handling information for CT analysis are available here: https://doi.org/10.6084/m9.figshare.22355029.v2.
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Acknowledgements
We dedicate this work to Francois Lassailly, who was instrumental in setting up the In Vivo Imaging Facility at the Francis Crick Institute. We thank E. de Bruin (AstraZeneca) for providing images from EGFR mutation model. We thank N. Corps (Skyscan, Bruker), S. Belenkov and J. Sharkey (PerkinElmer) and M. Kovacs (Mediso) for providing technical assistance with the respective scanners and software. We thank the Francis Crick Institute Biological Research facilities for technical assistance. This work was supported by the Francis Crick Institute, which receives its core funding from Cancer Research UK (FC001039), the UK Medical Research Council (FC001039) and the Wellcome Trust (FC001039).
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M.Z.T. developed and tested the protocol in the PET/CT scanner. M.Z.T., C.M. and T.S. developed and tested the protocol in two micro-CT scanners. M.Z.T., C.M. and T.S. acquired and analyzed the data. M.Z.T. wrote the manuscript, and C.M. and T.S. provided technical details. T.K., A.B. and J.D. supervised the study. All authors edited the manuscript and approved the final version.
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J.D. has acted as a consultant for AstraZeneca, Jubilant, Theras, BridgeBio and Vividion, and has funded research agreements with BMS and Revolution Medicines. None of the other authors of this manuscript has a financial interest related to this work.
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Key references using this protocol
Castellano, E. et al. Cancer Cell 24, 617–630 (2013): https://doi.org/10.1016/j.ccr.2013.09.012
Molina-Arcas, M. et al. Sci Transl Med 11, eaaw7999 (2019): https://doi.org/10.1126/scitranslmed.aaw7999
van Maldegem, F. et al. Nat. Commun. 12, 5906 (2021): https://doi.org/10.1038/s41467-021-26214-x
Extended data
Extended Data Fig. 1 Highlighting and binary thresholding of individual lung tumors using Analyze software.
a–e, Screenshots showing how to draw ROI around the tumour using the tool called ‘Draw wall’ (a) and adjust the binary threshold values to display the tumour area as white pixels with a black outline (b) as presented in 3D volume rendered (c), sagittal (d) and coronal images (e).
Extended Data Fig. 2 Isolation and extraction of individual lung tumours using Analyze software.
a–c, Images from 3D volume rendered (a), sagittal (b) and coronal panels (c) showing the tumour attached to the background. d–h, Screenshots showing how to use the tool called ‘Object Separator’ (d) and erase unwanted highlighted areas manually to isolate tumour nodule from the background (e) as presented in volume rendered (f), sagittal (g) and coronal images (h).
Extended Data Fig. 3 Binary thresholding and highlighting of trachea and heart using Analyze software.
a–d, Images from 3D volume rendered (a), sagittal (b) and coronal (c) panels showing part of binary thresholded trachea after adjusting the threshold values (d). e, Screenshot showing how to highlight two regions of the heart by marking and scrolling through the frames with the tool called ‘Draw’.
Extended Data Fig. 4 Calculating signal intensity of trachea, heart and air for automatic lung segmentation with Analyze software.
a, Calculation of the mean signal intensity of trachea and heart by setting parameters. b–d, Images showing step-by-step instructions to calculate signal intensity of air inside the lung starting with creating a calibration curve with results from the trachea and the heart (b), loading Image algebra from selected lung scan (c) and then dragging image into Input picture (arrow) followed by filling equation from the calibration curve for Output and naming output image with underscore (_) at the end (d). e, Image showing how to segment the lung from the background by setting threshold in region grow.
Extended Data Fig. 5 Troubleshooting of the 3D lung volume rendering using CTAn software.
a–e, Unrepresentative structures in 3D lung volume rendering (a) can be avoided by removing fat tissue (circle) (b), gas shadow from stomach (circle) (c), motion artifacts from the ribs (black arrow) (d) and the spine (black arrow) (e) from the ROI of lung.
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Zaw Thin, M., Moore, C., Snoeks, T. et al. Micro-CT acquisition and image processing to track and characterize pulmonary nodules in mice. Nat Protoc 18, 990–1015 (2023). https://doi.org/10.1038/s41596-022-00769-5
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DOI: https://doi.org/10.1038/s41596-022-00769-5
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