The high prevalence and mortality of cerebrovascular disease has led to the development of several methods to measure cerebral blood flow (CBF) in vivo. One of these, arterial spin labeling (ASL), is a quantitative magnetic resonance imaging (MRI) technique with the advantage that it is completely non-invasive. The quantification of CBF using ASL requires correction for a tissue specific parameter called the brain-blood partition coefficient (BBPC). Despite regional and inter-subject variability in BBPC, the current recommended implementation of ASL uses a constant assumed value of 0.9 mL/g for all regions of the brain, all subjects, and even all species. The purpose of this dissertation is 1) to apply ASL to a novel population to answer an important clinical question in the setting of Down syndrome, 2) to demonstrate proof of concept of a rapid technique to measure BBPC in mice to improve CBF quantification, and 3) to translate the correction method by applying it to a population of healthy canines using equipment and parameters suitable for use with humans. Chapter 2 reports the results of an ASL study of adults with Down syndrome (DS). This population is unique for their extremely high prevalence of Alzheimer’s disease (AD) and very low prevalence of systemic cardiovascular risk factors like atherosclerosis and hypertension. This prompted the hypothesis that AD pathology would lead to the development of perfusion deficits in people with DS despite their healthy cardiovascular profile. The results demonstrate that perfusion is not compromised in DS participants until the middle of the 6th decade of life after which measured global CBF was reduced by 31% (p=0.029). There was also significantly higher prevalence of residual arterial signal in older participants with DS (60%) than younger DS participants (7%, p = 0.005) or non-DS controls (0%, p < 0.001). This delayed pattern of perfusion deficits in people with DS differs from observations in studies of sporadic AD suggesting that adults with DS benefit from an improved cardiovascular risk profile early in life. Chapter 3 introduces calibrated short TR recovery (CaSTRR) imaging as a rapid method to measure BBPC and its development in mice. This was prompted by the inability to account for potential changes in BBPC due to age, brain atrophy, or the accumulation of hydrophobic A-β plaques in the ASL study of people with DS in Chapter 2. The CaSTRR method reduces acquisition time of BBPC maps by 87% and measures a significantly higher BBPC in cortical gray matter (0.99±0.04 mL/g,) than white matter in the corpus callosum (0.93±0.05 mL/g, p=0.03). Furthermore, when CBF maps are corrected for BBPC, the contrast between gray and white matter regions of interest is improved by 14%. This demonstrates proof of concept for the CaSTRR technique. Chapter 4 describes the application of CaSTRR on healthy canines (age 5-8 years) using a 3T human MRI scanner. This represents a translation of the technique to a setting suitable for use with a human subject. Both CaSTRR and pCASL acquisitions were performed and further optimization brought the acquisition time of CaSTRR down to 4 minutes which is comparable to pCASL. Results again show higher BBPC in gray matter (0.83 ± 0.05 mL/g) than white matter (0.78 ± 0.04 mL/g, p = 0.007) with both values unaffected by age over the range studied. Also, gray matter CBF is negatively correlated with age (p = 0.003) and BBPC correction improved the contrast to noise ratio by 3.6% (95% confidence interval = 0.6 – 6.5%). In summary, the quantification of ASL can be improved using BBPC maps derived from the novel, rapid CaSTRR technique.

Liver cancer ranks the third most common cause of cancer related mortality worldwide. Radiomicrosphere therapy (RMT), a form of radiation therapy, involves administration of Yttrium-90 (90Y) microspheres to the liver via the hepatic artery. 90Y microspheres bremsstrahlung SPECT/CT or PET/CT imaging could potentially identify an extrahepatic uptake. An early detection of such an uptake, thus, could initiate preventative measures early on. However, the quantitative accuracy of bremsstrahlung SPECT/CT images is limited by the wide and continuous energy spectrum of 90Y bremsstrahlung photons. 90Y PET/CT imaging is also possible but limited by the extremely small internal pair production decay. These limitation lead to inaccurate quantitation of microsphere biodistribution especially in small tumors. SPECT/CT and PET/CT acquisition of a Jasczak phantom with eight spherical inserts filled with 90Y3Cl solution were performed to measure the quantitative accuracy of the two imaging modalities. 90Y microsphere SPECT/CT data of 17 patients who underwent RMT for primary or metastatic liver cancer were acquired. Technetium-99m macroaggregated albumin (99mTc-MAA) SPECT/CT scans were also collected, but available for only twelve of the patients. SPECT/CT images from phantoms were used to determine the optimal iteration number for the iterative spatial resolution recovery algorithm. Methods for image based calculation of calibration factors for activity estimation from the patient and phantom 90Y bremsstrahlung SPECT/CT images were developed. Tumor areas were segmented using an active contour method. The 99mTc-MAA and 90Y microsphere SPECT/CT images were co-registered a priori for correlation analysis. Comparison of uptake on 99mTc-MAA and 90Y microsphere SPECT/CT images was assessed using tumor to healthy liver ratios. Furthermore, a three dimensional absorbed dose estimation algorithm was developed using the voxel S-value method. Absorbed doses within the tumor and healthy part of the liver were investigated for correlation with administered activity. Improvement in contrast to noise ratio and contrast recovery coefficients (QH) on patient and phantom 90Y bremsstrahlung SPECT/CT images as well as PET/CT images were achieved. Total activity estimations in liver and phantom gave mean percent errors of -4 ± 12% and -23 ± 41% for patient and phantom SPECT/CT studies. The pre and post-treatment images showed significant correlation (r = 0.9, p < 0.05) with mean TLR of 9.2 ± 9.4 and 5.0 ± 2.2 on 99mTc-MAA and 90Y microspheres SPECT/CT respectively. The correlation between the administered activity and tumor absorbed dose was weak (r = 0.5, p > 0.05), however, healthy liver absorbed dose increased with administered activity (r = 0.8, p < 0.05).

Ongoing developments in the field of medical imaging modalities have pushed the frontiers of modern medicine and biomedical engineering, prompting the need for new applications to improve diagnosis, treatment and prevention of diseases. Biomedical data visualization and modeling rely predominately on manual processing and utilization of voxel and facet based homogeneous models. Biological structures are naturally heterogeneous and in order to accurately design and biomimic biological structures, properties such as chemical composition, size and shape of biological constituents need to be incorporated in the computational biological models. Our proposed approach involves generating a density point cloud based on the intensity variations in a medical image slice, to capture tissue density variations through point cloud densities. The density point cloud is ordered and approximated with a set of cross-sectional least-squares B-Spline curves, based on which a skinned B-Spline surface is generated. The aim of this method is to capture and accurately represent density variations within the medical image data with a lofted surface function. The fitted B-Spline surface is sampled at uniformly distributed parameters, and our preliminary results indicate that the bio-CAD model preserves the density variations of the original image based point cloud. The resultant surface can thus be visualized by mapping the density in the parametric domain into color in pixel domain. The B-Spline function produced from each image slice can be used for medical visualization and heterogeneous tissue modeling. The process can be repeated for each slice in the medical dataset to produce heterogeneous B-Spline volumes. The emphasis of this research is placed on accuracy and shape fidelity needed for medical operations.

Radioactive seed implant brachytherapy is a common radiotherapy treatment method for prostate cancer. In current clinical practice, a seed consists of a single isotope, such as 125I or 103Pd. A seed containing a mixture of two isotopes has been proposed for prostate cancer treatment. This study investigates a method for defining a prescription dose for new seed compositions based on matching the biological equivalent dose (BED) of a reference plan. Ten prostate cancer cases previously treated using single isotope seeds (5 using 125I seeds and 5 using 103Pd seeds) were selected for this study. Verification of the method was done by calculating prescription doses for 103Pd and 125I seeds. A prescription dose for a 50/50 hybrid seed was calculated. Number and location of seeds remained invariant within each case. The BED distributions for hybrid and single isotope seed plans were generated and matched to the BED distribution generated off of the optimized plans. For the 125I isotopes, the dose necessary to cover 90% of the prostate with a BED of 110 Gy is 145 Gy. For the same BED coverage, the dose for 103Pd and 50/50 hybrid seed is 120 Gy and 137 Gy respectively. A method is introduced for obtaining prescription doses for new brachytherapy sources. The method was verified by obtaining doses for 125I and 103Pd isotopes which match clinical prescription doses. The method developed is robust enough to calculate prescription doses in any region of interest, for any seed type, and for any isotope as long as the BED coverage remains invariant with respect to the treatment plan. Numerical calculations were performed to derive analytical conversions of total dose to BED for 50/50, 75/25 and 25/75 hybrid seeds. These analytical conversions are faster than the original numerical methods employed allowing for real-time BED optimization for hybrid seeds. Varying seed distribution was seen not to influence the analytical conversions. It was observed that when total dose remained invariant while individual isotope contributions varied, the value of BED varied. The BED variance was seen to be the smaller at larger BED values (~2% at 100 Gy). Using the conversions derived in this paper, BED based optimization for hybrid seeds are now performable. However, these conversions should only be used in high dose regions due to high uncertainty in the low regime.

Since aggressive cancers are frequently hypermetabolic with angiogenic vessels, quantification of blood flow (BF) can be vital for cancer diagnosis. Our laboratory has developed a noncontact diffuse correlation tomography (ncDCT) system for 3-D imaging of BF distribution in deep tissues (up to centimeters). The ncDCT system employs two sets of optical lenses to project source and detector fibers respectively onto the tissue surface, and applies finite element framework to model light transportation in complex tissue geometries. This thesis reports our first step to adapt the ncDCT system for 3-D imaging of BF contrasts in human breast tumors. A commercial 3-D camera was used to obtain breast surface geometry which was then converted to a solid volume mesh. An ncDCT probe scanned over a region of interest on the breast mesh surface and the measured boundary data were used for 3-D image reconstruction of BF distribution. This technique was tested with computer simulations and in 28 patients with breast tumors. Results from computer simulations suggest that relatively high accuracy can be achieved when the entire tumor was within the sensitive region of diffuse light. Image reconstruction with a priori knowledge of the tumor volume and location can significantly improve the accuracy in recovery of tumor BF contrasts. In vivo ncDCT imaging results from the majority of breast tumors showed higher BF contrasts in the tumor regions compared to the surrounding tissues. Reconstructed tumor depths and dimensions matched ultrasound imaging results when the tumors were within the sensitive region of light propagation. The results demonstrate that ncDCT system has the potential to image BF distributions in soft and vulnerable tissues without distorting tissue hemodynamics. In addition to this primary study, detector fibers with different modes (i.e., single-mode, few-mode, multimode) for photon collection were experimentally explored to improve the signal-to-noise ratio of diffuse correlation spectroscopy flow-oximeter measurements.

In this work, we investigated the possible applications of Nd3+ ions doped lanthanium trifluoride (LaF3) nanocrystals as infrared constrast agents in the first and second biological windows of the electromagnetic spectrum, which extend from 700 to 1400 nm. For this, we use the three emissions of Nd3+ ions centered around 900, 1060, and 1330 nm, corresponding to transitions generated from the metastable state 4F3/2. In comparison with other fluorescent nanoparticles (NPs) used as biolables agents, such as semiconductor quantum dots and multiphotonic luminescent NPs, the Nd3+ doped LaF3 NPs present several advantages such as high fluorescence quantum efficiency and high chemical and spectral stabilities. We have demonstrated that, with the emission around 1060 nm is possible to obtain high brightness images of cancer cells and high penetration images of animal models (mices). Additionally, we have demonstrated that the emission around 900 nm has an appreciable thermal sensitivity that allows the use of such NPs as optical nanothermometers. As the Nd3+ concentration is increased to values around 25 mol%, this thermal sensitivity comes with a high conversion efficiency of light-to-heat, so that the NPs work as multifunctional agents capable of generating heat and measuring, simultaneously, induced local temperature. This has allowed the development of real time controlled thermal therapies of cancerous tumors in animal models (mices). / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior / Nesta tese avaliamos as possíveis aplicações de nanocristais de trifluoreto de lantânio (LaF3) dopados com íons de Nd3+ como agentes de contrastes infravermelho na primeira e segunda janelas biológicas do espectro eletromagnético, as quais se estendem de 700 a 1400 nm. Para isso usamos as três emissões de íons de Nd3+ centradas em torno de 900, 1060 e 1330 nm, correspondentes a transições geradas a partir do estado metaestável 4F3/2. Na comparação com outras nanopartículas (NPs) fluorescentes usadas como agentes de bio-contrastes, tais como, pontos quânticos de semicondutores e NPs multifotônicas luminescentes, as NPs de LaF3 dopadas com íons de Nd3+ apresentam diversas vantagens, tais como, alta eficiência quântica de fluorescência e altas estabilidades química e espectral. Nós demonstramos com a emissão em torno de 1060 nm que é possível obter imagens de alto brilho de células cancerígenas e imagens de alta penetração de modelos animais (ratos). Adicionalmente, demonstramos que a emissão em torno de 900 nm apresenta uma apreciável sensibilidade térmica que permite utilizar tais NPs como nanotermômetros ópticos. Quando a concentração de íons de Nd3+ é elevada para valores em torno de 25 mol%, esta sensibilidade térmica vem acompanhada de uma alta eficiência de conversão luz-calor, fazendo as NPs se comportarem como agentes multifuncionais capazes de gerar calor e medir, de forma simultânea, a temperatura local induzida. Isto tem permitido o desenvolvimento de terapias térmicas, controladas em tempo real, de tumores cancerígenos em modelos animais (ratos).

Cette thèse porte sur la synthèse et la caractérisation photophysique d'une série de composés neutres luminescents de platine (II) contenant un ligand tridentate dianionique chromophore N-donneur et un ligand auxiliaire monodentate. Les composés montrent un changement notable des propriétés de photoluminescence selon l'auto-assemblage en raison de la formation d'interactions intermoléculaires non covalentes faibles telles que metal-metal et π-π. Nous avons démontré comment les complexes de Pt (II) peuvent être auto-assemblés d'une manière contrôlée et précise en jouant sur les facteurs cinétiques et thermodynamiques, ainsi que la morphologie des différents ensembles étudiés. Ces approches ont conduit à des matériaux avec des propriétés améliorées et uniques tels que le mécano-chromisme, ainsi que l'absorption et l'émission de la lumière polarisée. Les composés étudiés et leurs assemblages sont utiles non seulement pour le développement de nouveaux matériaux fonctionnels supramoléculaires en équilibre et hors- équilibre, mais aussi pour des applications en bio-imagerie. / This thesis focuses on the synthesis and the photophysical characterization of a series of luminescent neutral Pt(II) compounds containing a tridentate dianionic N-donor chromophoric ligand and a monodentate ancillary moiety. The compounds exhibited notable change of the photoluminescence properties upon self-assembly due to the establishment of weak non-covalent intermolecular interactions – metal-metal and π-π. We demonstrated how Pt(II) complexes can be self-assembled in a controlled and precise manner by playing with kinetic and thermodynamic factors and the morphology of the different assemblies investigated. Such approaches led to materials with enhanced and unique properties such as mechanochromism and polarized light absorption and emission. The investigated compounds and their assemblies were useful for the development of novel functional supramolecular materials in and out of the equilibrium as well as for bioimaging application.

The efficient treatment of cancer with chemotherapy is challenged by the limited penetration of drugs into the tumor. Nanoparticles (10 – 100 nanometers) have emerged as a logical choice to specifically deliver chemotherapeutics to tumors, however, their transport into the tumor is also impeded owing to their bigger size compared to free drug moieties. Currently, monolayer cell cultures, as models for drug testing, cannot recapitulate the structural and functional complexity of in-vivo tumors. Furthermore, strategies to improve drug distribution in tumor tissues are also required. In this study, we hypothesized that hyperthermia (43°C) will improve the distribution of silica nanoparticles in three-dimensional multicellular tumor spheroids. Tumor spheroids mimic the functional and histomorphological complexity of in-vivo avascular tumors and are therefore valuable tools to study drug distribution. Ovarian cancer (Skov3) and uterine sarcoma (MES-SA/Dx5) spheroids were generated using the liquid overlay method. The growth ratio and cytotoxicity assays showed that the application of adjuvant hyperthermia with Doxorubicin (DOX) did not yield higher cell killing compared to DOX therapy alone. These results illustrated the role of spheroids in resistance to heat and DOX. In order to study the cellular uptake kinetics of nanoparticles under hyperthermia conditions, the experimental measurements of silica nanoparticle uptake by cells were fitted using a novel inverse estimation method based on Bayesian estimation. This was coupled with advection reaction transport to model nanoparticle transport in spheroids. The model predicted an increase in Area Under the Curve (AUC) and penetration distance (W1/2) that were validated with in-vitro experiments in spheroids. Based on these observations, a novel multifunctional theranostic nanoparticle probe was created for generating highly localized hyperthermia by encapsulating a Near Infrared (NIR) dye, IR820 (for imaging and hyperthermia) and DOX in Organically modified silica nanoparticles (Ormosil). Pegylated Ormosil nanoparticles had an average diameter of 58.2±3.1 nm, zeta potential of -6.9 ± 0.1 mV and high colloidal stability in physiological buffers. Exposure of the IR820 within the nanoparticles to NIR laser led to the generation of hyperthermia as well as release of DOX which translated to higher cell killing in Skov3 cells, deeper penetration of DOX into spheroids and complete destruction of the spheroids. In-vivo bio-distribution studies showed higher fluorescence from organs and increased plasma elimination life of IR820 compared to free IR820. However, possible aggregation of particles on laser exposure and accumulation in lungs still remain a concern.

Cobalt Ferrite has important, size-dependent magnetic properties. Consequently, an overview of particle size is important. Co-precipitation in air was the fabrication method used because it is comparatively simple and safe. The effects of three different reaction times including 1, 2, 3 hour(s) on particle size were compared. Also, the effectiveness of three different capping agents (Oleic Acid, Polyvinylpyrollidone (PVP), and Trisodium Citrate) in reducing aggregation and correspondingly particle size were examined. Using Welch’s analysis of variance (ANOVA) and the relevant post hoc tests, there was no significant difference (p=0.05) between reaction times of 1 hour and 2 hours, but there was a significant difference between reaction times of 2 hours and 3 hours. Potentially, because of increased coarsening for the 3 hour reaction time. PVP and Oleic Acid were shown to be effective in reducing aggregation; however, Citrate was not effective. Possibly, the synthesis procedure was inadequate.

L’objectif de cette thèse est l’élaboration de sondes à base de lanthanide pour la microscopie optique biphotonique. Cette technique d’imagerie complémentaire à l’IRM et au scanner permet une analyse rapide et facile de tissus épais. Afin de permettre l’observation en profondeur, l’absorption et l’émission de la sonde doit se situer dans la zone de transparence biologique [700 – 1200 nm]. L’absorption à deux photons (ADP) est un phénomène d’optique linéaire de troisième ordre par lequel l’état excité est atteint par absorption simultanée de deux photons. De fait, l’excitation à énergie moitié se situe dans la zone de transparence biologique. Les sondes envisagées combineraient les propriétés optiques uniques des lanthanides, telles que des bandes d’émission très étroites allant du visible à l’infrarouge et des durées de vie de luminescence longues, et les avantages de l’ADP, permettant une excitation dans l’IR et une résolution tridimensionnelle. Dans ce contexte, cette thèse décrit l’élaboration de complexes d’europium et d’ytterbium à ligands macrocycliques stables en milieu aqueux et dont la luminescence peut être sensibilisée à deux photons. Ces complexes ont permis l’imagerie de la vascularisation de cerveaux de souris par microscopie biphotonique dans le proche infrarouge. La seconde approche consiste à encapsuler un complexe luminescent dans des nanoparticules desilice formées par la technique sol-gel (collaboration A. Ibanez, institut Néel, Grenoble) afin de protéger le complexe du milieu biologique. Enfin la dernière approche consiste à greffer des complexes de lanthanides à la surface d’une particule de silice par chimie organométallique de surface. Ces travaux ont conduit à la formation de nano-objet très brillants dans le rouge et le proche infrarouge, détectables à l’échelle de l’objet unique par microscopie à deux photons. / Two Photon Scanning Laser Microscopy (TPSLM) has evolved as an emerging bio-imaging technique widely used in academic research and in medical diagnosis. This technique requires the design of bioprobes specially optimized for such purpose. A particular attention is actually devoted bio-probes featuring both two-photon absorption (TPA) and emission in the near infra-red (NIR) spectral range [700 – 1200 nm], also called biological window that is particularly promising for thick tissues imaging. In this context, europium complexes emitting in the red (615 nm) has been recently sensitized by two photon antenna effect and used for TPSLM in cells combining the advantages of lanthanide emission (sharp line and long lived) and those of TPA. Based on this preliminary results, this thesis describe the design of europium and ytterbium complexes which have an improved stability in water and good emission properties sensitized by TPA. Theses complexes allow the imaging of mice’s brain vascularisation in the NIR. An another approach to stabilize lanthanide complexes was also used by encapsulating theses fluorophores in silica nanoparticle (collaboration with A. Ibanez, Institut Néel, Grenoble). Then the last approach consists on the grafting of the chromophores on silica sphere using surface organometallic chemistry methods. The nanoparticles obtained by both way are really luminescent in the red or infrared and can be imaged as single nanoparticle by TPSLM.