Inflammation

Imaging biomarkers of inflammation and treatment response across joints and organ systems.

Quantitative MRI of inflamed joints
DCE-MRI biomarkers support sensitive assessment of joint inflammation.

Bioxydyn has delivered multiple studies for pharmaceutical companies using quantitative imaging of inflammation in a wide range of diseases, including functional imaging of joints in rheumatoid arthritis and osteoarthritis and renal imaging in nephritis.

We use dynamic contrast-enhanced MRI (DCE-MRI) to quantify changes in perfusion and endothelial integrity in the presence of inflammation and during treatment. Bioxydyn has defined many of the standard approaches to the technique's implementation in clinical trials.

Ktrans change in inflamed joints
Ktrans changes in the joints of the hands and wrist during therapeutic intervention (example).

DCE-MRI involves standard clinical gadolinium-based contrast agents. The uptake and washout of the agent are interpreted with physiological modelling methods to provide imaging biomarkers of microvascular function and inflammation.

Bioxydyn uses the Ktrans quantitative biomarker, which can be readily compared between centres. Its relationship to the intensity of inflammation is based on sound, accepted science, is extremely sensitive to drug effects, and often requires only small patient numbers.

Kidney T2* map in lupus nephritis
T2* maps in the kidneys of an individual with lupus nephritis (example).

Bioxydyn is experienced in using MRI biomarkers of inflammation and fibrosis in kidney disease, including perfusion from ASL, relaxation time measurements (T1, T2, T2*), volume measurements, and diffusion MRI (ADC, FA). We are also experts in methods to measure hypoxic status (BOLD, oxygen-enhanced MRI) and pH (CEST).

Inflammation publications

Publications supporting inflammatory disease biomarkers, including mechanistic trials and DCE-MRI validation.

5 publications Refine by area, year, or keyword.
  • Quantitative magnetic resonance imaging in perianal Crohn's disease at 1.5 and 3.0 T: a feasibility study
    2021 Research Article

    Quantitative magnetic resonance imaging in perianal Crohn's disease at 1.5 and 3.0 T: a feasibility study

    Alyami A, Hoad CL, Tench C, Bannur U, Clarke C, Latief K, et al.

    Diagnostics (Basel) 11(11)

  • Dynamic contrast-enhanced MRI of synovitis in knee osteoarthritis: repeatability, discrimination and sensitivity to change in a prospective experimental study
    2021 Research Article

    Dynamic contrast-enhanced MRI of synovitis in knee osteoarthritis: repeatability, discrimination and sensitivity to change in a prospective experimental study

    MacKay JW, Nezhad FS, Rifai T, Kaggie JD, Naish JH, Roberts C, et al.

    Eur Radiol 31(8):5746-5758

  • MRI of the joint and evaluation of the granulocyte-macrophage colony-stimulating factor--CCL17 axis in patients with rheumatoid arthritis receiving otilimab: a phase 2a randomised mechanistic study
    2020 Clinical Trial
    Key Publication

    MRI of the joint and evaluation of the granulocyte-macrophage colony-stimulating factor--CCL17 axis in patients with rheumatoid arthritis receiving otilimab: a phase 2a randomised mechanistic study

    Genovese MC, Berkowitz M, Conaghan PG, Peterfy C, Davy K, Fisheleva E, et al.

    Lancet Rheumatol 2(11):e666-e676

    Why it matters: Phase 2a mechanistic study linking DCE-MRI biomarkers with therapeutic response.

  • Anti-granulocyte-macrophage colony-stimulating factor antibody otilimab in patients with hand osteoarthritis: a phase 2a randomised trial
    2020 Clinical Trial

    Anti-granulocyte-macrophage colony-stimulating factor antibody otilimab in patients with hand osteoarthritis: a phase 2a randomised trial

    Schett G, Bainbridge C, Berkowitz M, Davy K, Fernandes S, Griep E, et al.

    Lancet Rheumatol 2(10):e623-e632

  • 2017 Research Article

    Repeatability and response to therapy of dynamic contrast-enhanced MRI biomarkers in rheumatoid arthritis in a large multicentre trial setting

    Waterton JC, Ho M, Nordenmark LH, Jenkins M, DiCarlo J, Guillard G, et al.

    Eur Radiol 27(9):3662-3668

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