L’objectif de ce travail fut de développer et d’appliquer des technologies avancées de mélange et d’émulsification pour la préparation de nanovecteurs de morphologies complexes potentiellement utilisables en tant que produits pharmaceutiques. Premièrement, un procédé de nanoprécipitation assisté par micromélangeur fut utilisé pour obtenir et contrôler la taille de nanoparticules de PMMA chargées en Kétoprofène (100-200 nm). Combiné avec un appareil de séchage par pulvérisation, des nanoparticules sèches purent être obtenues dont les propriétés physico-chimiques furent proches de celles des particules non séchées. Ce microprocédé de nanoprécipitation permit également d’encapsuler des nanoparticules d’oxyde de fer (6 nm) dans des nanoparticules de PMMA de 200 nm avec une fraction massique de 60%. Pour augmenter la fraction solide de ces nanosuspensions et obtenir des particules sphériques de tailles plus petites (100 nm), une méthode de nanoémulsification basée sur un fort écoulement élongationnel fut employée. Deuxièmement, des émulsions et nanohydrogels doubles encapsulant un médicament hydrophile modèle dans leur cœur aqueux furent obtenus par couplage d’un microfluidiseur commercial pour l’obtention de l’émulsion primaire et d’une méthode d’émulsification basse énergie (émulsification spontanée) pour la double émulsification. La taille des nanovecteurs doubles a pu être variée grâce au rapport massique surfactant/huile (SOR) dans la gamme 80-80 nm. La colocation de deux sondes fluorescentes, placées dans le cœur et dans l’écorce, a pu être confirmée par microscopie confocale en fluorescence. La méthode d’émulsification spontanée fut également employée pour produire des nanolipogels (60 nm) chargées ou non de nanoparticules d’oxyde de fer et d’or (6 nm). / The aim of this work was to develop and apply advanced technologies in mixing and emulsification for the preparation of morphologically-complex nanocarriers for potential uses in pharmaceutics. Firstly, a micromixer- assisted nanoprecipitation process was used to get and to easily tune the size of Ketoprofen-loaded PMMA nanoparticles (100-200 nm). Combined with a commercial spray dryer, dry-state drug-loaded polymeric nanoparticles (NPs), which main physicochemical properties were close to those of non spray-dried NPs, were successfully produced. This nanoprecipitation microprocess also allowed encapsulating 6 nm iron oxide NPs into 200 nm PMMA nanoparticles with a weight ratio of 60%. To increase the solid content of the above nanosuspension and get spherical polymeric NPs of smaller sizes (100 nm), an elongational-flow nanoemulsification method was used. Secondly, double nanoemulsions/nanohydrogels encapsulating a hydrophilic model drug in the aqueous core droplets/hydrogel were obtained by the combination of a commercial microfluidizer for the primary emulsion and a low energy emulsification method (spontaneous emulsification) for the double emulsification. The size of the double nanocarriers was varied by means of the surfactant to oil ratio (SOR) in the range 80 to 180 nm. Colocation of two fluorescent probes located in the core and in the shell was confirmed by fluorescence confocal microscopy. The spontaneous emulsification method was also employed to produce nanolipogels whose size could be tuned down to 60 nm. These nanolipogels were also loaded with iron oxide nanoparticles (6 nm) or gold nanoparticles (6 nm).

Ce travail portant sur l’imagerie tomodensitométrique double énergie de la ventilation a permis d’établir les points suivants :• L’irradiation d’un examen thoracique acquis en double énergie peut être abaissée à celle d’un examen acquis en simple énergie, grâce à l’utilisation de la reconstruction itérative.• L’analyse qualitative du parenchyme pulmonaire en imagerie double énergie doit se faire sur les reconstructions monochromatiques 50-55keV.• L’atténuation théorique maximale du Krypton dosé à 80% est modérément inférieure à celle du Xénon dosé à 30%.• La décomposition des matériaux en tomodensitométrie double énergie simple source est possible sur le Xénon et le Krypton.• L’utilisation d’un produit de contraste gazeux n’a pas d’impact significatif sur le Workflow en routine clinique.• Le Krypton est cliniquement sûr à la dose de 80%.• La technique ne permet pas de détecter le Krypton au-delà de la carène de manière satisfaisante, probablement en raison d’une concentration en gaz atteinte insuffisante.• Le recalage élastique augmente les performances diagnostiques de détection de la bronchiolite oblitérante par rapport à une simple analyse visuelle. / This work on dual energy CT ventilation imaging has established the following:• The radiation dose of a dual energy chest CT can be reduced to that of a single energy examination through the use of iterative reconstruction.• The qualitative analysis of the lung parenchyma should be made on the 50-55keV monochromatic reconstructions.• The maximum theoretical attenuation obtained with 80% Krypton is moderately inferior to that of 30% Xenon.• Dual energy material decomposition of Xenon and Krypton is efficient with a single source technique.• The use of a gaseous contrast agent has no significant impact on the workflow in the clinical setting.• The Krypton is safe at 80% concentration.• The technique does not satisfactorily detect Krypton beyond the carina, probably due to insufficient gas concentration.• The elastic registration increases the diagnostic performance of bronchiolitis obliterans syndrome detection, compared to a simple visual analysis.

This dissertation deals with quantitative perfusion analysis of MRI contrast-enhanced image time sequences. It focuses on two so far separately used methods -- Dynamic contrast-enhanced MRI (DCE-MRI) and Dynamic susceptibility contrast MRI (DSC-MRI). The common problem of such perfusion analyses is the unreliability of perfusion parameters estimation. This penalizes usage of these unique techniques on a regular basis. The presented methods are intended to improve these drawbacks, especially the problems with quantification in DSC in case of contrast agent extravasation and instability of the deconvolution process in DCE using advanced pharmacokinetic models. There are a few approaches in literature combining DCE and DSC to estimate new parameters of the examined tissue, namely the relaxivity of the vascular and of the interstitial space. Originally, in this scheme, the 2CXM DCE model was used. Here various models for DCE analysis are tested keeping in mind the DCE-DSC combination. The ATH model was found to perform better in this setting compared to 2CXM. Finally, the ATH model was used in alternating DCE-DSC optimization algorithm and then in a truly fully simultaneous DCE-DSC. The processing was tested using simulated and in-vivo data. According to the results, the proposed simultaneous algorithm performs better in comparison with sequential DCE-DSC, unleashing full potential of perfusion analysis using MRI.

Magnetic resonance imaging is a routine and powerful diagnostic technique capable of providing detailed information about the structure and composition of the tissues. This diploma thesis is concerned with the mechanisms of contrast origin and contrast modifications by molecular and nanoparticle contrast agents. First sections of the thesis summarize basic knowledge about pulse sequences and it aims to provide an overview on MRI contrast agent with a special emphasis on paramagnetic gadolinium contrast agents and superparamagnetic nanoparticles. The main purpose of this study is to develop the software called MRICalc, which is able to optimize contrast in MRI images. Based on analysis of signal formula of typical pulse sequences, MRICalc is able to propose the parameters of the pulse sequence for compartment-specific enhancement of the contrast. User chooses from the list of the samples and after calculation he obtains the values of echo time, repetition time and flip angle, all of which simultaneously seem to create the appropriate setting to enhance the contrast. MRICalc also allows to plot contrast function with respect to the chosen parameter. Software, including its graphical user interface, is designed in Python. The sample consists from solution of CuSO4 and distilled water was designed to verify the correct function of MRICalc. Sulphate represents a contrast agent. Preclinical MR system Bruker BioSpec 94/30 USR located at Institute of Scientific Instruments of the ASCR, v.v.i was used to measure contrast curve of FLASH pulse sequence, which is a typical representative of gradient echo. Results of the measurement were compared to the theoretical model provided by MRICalc.

The task of this thesis is to study the subject of perfusion analysis based on dynamic imaging with T2/T2* contrast. The focus was on the acquisition commonly used for DSC-MRI and especially in the acquisition pulse sequences that use images with different echo time, so called Multi-echo sequence. Principles of dynamic measurement by magnetic resonance imaging, the role of contrast agents and their influence on the relaxation times are described. It also describes the problems perfusion analysis, measurement and mathematical modeling parameters entering to the convolution dependency for getting perfusion parametersIn the experimental part is developed automatic algorithm to gain curves relaxation time T2 *. Next, the synthetic data are created and tested robustness estimate perfusion parameters against noise. In the next phase of work there are compared real scanned objects with using a conversion with T2 * and free of T2*. In the last phase of work is compared influence of length of used echo times on concentration curves and after perfusion analysis influence on resulting perfusion parameters.

La micro-tomodensitométrie à rayons X (dite micro-CT, CT = Computed Tomography), est une technique d’imagerie de haute résolution qui consiste d’une part à mesurer l’absorption des rayons X par les tissus, et d’autre part de reconstruire les images et les structures anatomiques en 3 dimensions par traitement informatique. L’agent de contraste est une substance capable d’améliorer la visibilité des structures d’un organe ou d’un liquide organique in vivo. Ce travail de thèse a eu pour objectif le développement d’agents de contraste iodés sous formes de nano-émulsions pour des applications précliniques en imagerie biomédicale. Nous nous sommes proposés d’étudier d’une part des nano-émulsions iodées afin d’avoir une longue rémanence vasculaire in vivo, une meilleure biocompatibilité et d’autre part de mettre au point une synthèse et une formulation plus simples que celles des agents de contraste nanoparticulaires commercialisés. Trois différentes huiles iodées ont été synthétisées et utilisées comme partie contrastante dans les nano-émulsions. Enfin, les nano-émulsions de l’α-tocophérol iodé nous ont permis d’atteindre l’objectif de cette thèse. Ces nano-émulsions iodées ont montré une très bonne biocompatibilité et combinent à la fois les propriétés d’un agent de contraste à longue rémanence vasculaire et un agent de contraste spécifique du foie. / The X-ray microtomography (called mico-CT, CT = Computed Tomography) is a high-resolution X-ray tomography, uses X-rays to create cross-sections of a 3D-object that later can be used to recreate a virtual model without destroying the original model. The contrast agent is a substance used to enhance the contrast of structures or fluids within the body in medical imaging. The purposes of the thesis were the development of iodine-containing nano-emulsion based contrast for preclinical applications in biomedical imaging. We proposed to study blood pool contrast agents based on iodine-containing nano-emulsions and to develop simpler procedure for the preparation of these iodine-containing nano-emulsions. Three different iodinated oils were synthesized and used as the contrasting part in the nano-emulsions. Finally, nano-emulsions of iodinated α-tocopherol have been enabled us to achieve the purpose of the thesis. These iodinated nano-emulsions demonstrated very good biocompatibility and showed prolonged and significant contrast enhancement in both bloodstream and liver tissues.

Gadolinium-based contrast agents (GBCAs) are in widespread use to enhance magnetic resonance angiography images for evaluating vascular pathology. However, there are safety concerns and limitations regarding the use of GBCAs. It has been shown that the magnetic resonance imaging (MRI) signal intensity (T1-weighted images) in some of the brain's tissues is higher for patients who had multiple exposures to GBCAs compared to patients who had never had exposure to GBCAs. This implies that GBCAs are not sufficiently removed from body such that GBCAs may potentially have long-term effects on the human body. These potential safety concerns have led to an increased interest in alternative contrast agents. Methemoglobin (metHb) and oxygen-free hemoglobin (HHb) are two forms of hemoglobin with paramagnetic properties. It has been shown that the T1-weighted signal intensity of blood is changed during MRI scans for metHb and HHb, leading to enhanced contrast of MRI images. The ability of metHb and HHb to change the signal intensity has led to the idea that they can be used as effective contrast agents. MetHb can be made by exposing oxyhemoglobin (oxyHb) to nitric oxide (NO) and HHb can be made by removing the oxygen from hemoglobin using nitrogen (N2). In this study, a new gas delivery system was developed to make metHb and HHb. The new gas delivery system was developed to have greater experimental control compared to the PermSelect hollow-fiber module that was used in preliminary studies to make metHb. The same system can be used to make HHb. Initial experiments showed significant amounts of undesired nitrite (NO2-) formation during metHb formation due to the presence of contaminants in the NO gas source. To minimize this problem, flow of NO from the gas source was bubbled in a sodium hydroxide solution in order to reduce the NO2- concentration. Following metHb formation, continuous delivery of NO also led to the formation of ferrous nitrosyl hemoglobin (HbIINO). MRI studies showed that HbIINO can also increase the signal intensity of an MRI image. It is unknown as to whether metHb, HHb, or HbIINO would be a stronger and more appropriate contrast agent and to what extent the T1-weighted signal is affected by the concentration. This study evaluated T1-weighted images of blood samples over a range of metHb and HHb concentrations, as well as HbIINO concentrations. Comparison of T1 values showed that metHb is the strongest contrast agent and that HHb is a relatively weak contrast agent. This study showed for the first time that HbIINO can provide a contrast effect, although not as strong as metHb but stronger than HHb. With metHb providing a viable contrast between 10-20%, metHb has the potential to be a safe and effective contrast agent since it can be naturally converted back to hemoglobin.

No description available.

L’accident vasculaire cérébrale (AVC) ischémique est une des premières causes de mortalité dans le monde, par conséquent il constitue un véritable enjeu de santé publique. Cette pathologie résulte de l’obstruction d’une artère cérébrale par un caillot et déclenche une inflammation, pouvant majorer les lésions tissulaires du cerveau. À ce jour les traitements anti-inflammatoires appliqués en clinique se sont révélés inefficaces. Il est donc indispensable de développer de nouvelles approches diagnostiques pour une meilleure compréhension des mécanismes biologiques impliqués dans cette pathologie. Dans ce contexte, nous avons proposé la conception d’une nanoplateforme hybride multimodale comme agent de contraste adapté à trois techniques d’imagerie médicale. Ces nanoparticules au cœur inorganique, composé de GdF3 augmentent sensiblement le contraste en IRM et leur opacité procure un rehaussement de contraste pour le Scanner Spectral à Comptage Photonique (SPCCT), une technique de développement récent. La troisième modalité, la microscopie biphotonique procure une haute résolution et une très grande sensibilité, tout en permettant d’obtenir des images en temps réel. Grâce à un chromophore adapté, greffé à la surface de la particule, cette modalité devient également accessible. Ces particules inorganiques sont synthétisées par une méthode solvothermale originale, développée par notre équipe. La surface des nanoparticules est ensuite modifiée par différents ligands polyéthylène glycol (PEG) fonctionnalisés, qui rendent les particules de GdF3 stables en milieu physiologique (comme le sang), biocompatibles et furtives. Enfin, un chromophore spécialement développé au sein de notre laboratoire, pour des applications d’absorption biphotonique, a été greffé à la surface de la particule. Le couplage du chromophore a été effectué via une réaction click azoture-alcyne, activée thermiquement (sans catalyse par Cu(I)). La toxicité des particules a été évaluée par deux techniques différentes, appliquées sur des cellules d’origine humaine. À l’issue de ces tests aucun effet cytotoxique n’a été observé. Après avoir démontré les propriétés multimodales de ces nanoobjets, des expériences précliniques in vivo ont été menées. Nous avons montré, que lors de l’observation du cerveau de souris la nanosonde augmente efficacement le contraste en SPCCT, IRM et produit un signal intense en microscopie 2-photons intravitale. Les particules se sont révélées particulièrement stables dans le sang : grâce à leur furtivité elles restent dans la circulation longtemps, ce qui favorise leur passage à travers la barrière hémato-enchéphalique lésée. Elles sont également phagocytées par les cellules immunitaires activées. La dynamique spatio-temporelle de ces cellules marquées par les nanoparticules a pu être imagée / Ischemic stroke, as one of the most common causes of death, represents an important health issue. The pathology consists of the occlusion of an artery in the brain leading to an acute inflammatory process. Post-stroke inflammation usually results in irreversible secondary brain tissue damage. To date, the clinical application of anti-inflammatory treatments has been either negative or inconclusive. For a better understanding of this complex physiological process and development of efficient treatment, there is an urgent need to develop performant in-vivo diagnostic tools. In that context, we proposed to design a multimodal hybrid nanoprobe for enhancing the contrast in three different clinical and pre-clinical imaging modalities. The ability of this probe to enhance contrast in MRI (Magnetic Resonance Imaging) and a recently developed spectral photon counting scanner computed tomography (SPCCT) is intrinsic to the inorganic GdF3 core. The inorganic nanoparticle size and morphology was optimized for the biological application. The third modality, two-photon imaging, provides high spatial resolution, high sensitivity, and allows real-time imaging. To make GdF3 nanoparticles visible by two-photon microscopy, a specially designed organic moiety is added to the nanoplatform. The inorganic nanoparticles are synthesized by the original solvothermal method developed in our group. Surface modifications with different PEG derivatives confer to the GdF3 nanoparticles high stability in physiological media (such as blood), biocompatibility, and stealth. The two-photon active chromophore synthesized in our laboratory is grafted to the particle surface via a thermally activated (catalyst-free) alkyne-azide click reaction. Toxicity of the nanoobjects has been assessed by using two different tests on four human-derived cells, and no cytotoxic effect of the particles was found. After the demonstration of the multimodality of the particles, pre-clinical in vivo experiments were performed. We evidenced that the particles successfully enhance SPCCT, MRI contrast in the brain of the small animal via a T2-effect and provide a high-intensity two-photon signal for in-vivo microscopy. Besides, the nanoparticles revealed to be stable and long-circulating in the blood, which favored their cross through the altered blood-brain barrier. Their phagocytose by activated immune cells offered the possibility to follow cell-trafficking

No description available.