Monitoring of Tumor Growth and Vascularization with Repetitive Ultrasonography in the Chicken Chorioallantoic-Membrane-Assay.
Abstract Background: The chorioallantoic-membrane (CAM)-assay is used for versatile experimentation and eligible for the analysis of tumor angiogenesis, development and metastasis. In contrast to rodent xenograft models, the CAM-assay does not require breeding of immunodeficient strains for tumor experimentation due to native immunodeficiency. This allows xenografts to grow on the non-innervated CAM without pain or impairment for the embyo.Taking into account the variability of multidirectional tumor growth, limited size monitoring capability is a major disadvantage of the CAM-assay as the enclosure of the tumor in ovo by the eggshell only allows for two-dimensional monitoring from above. The small size and the eggshell’s shielding effect further challenge established imaging techniques. We report the eligibility of ultrasonographic imaging for repetitive monitoring of tumor growth and vascularisation in the CAM-assay.Methods: Chicken eggs were placed in an incubator and cut open laterally on day three. On day seven a three-dimensional tumor was placed onto the CAM. Ultrasonographic imaging was then repetitively performed starting from day twelve. On day 14 the tumor was excised, fixed and histologically analyzed using light microscopy.Results: Tumor volume and vascularization were repetitively visualized using a commercial ultrasonographic scanner, allowing a longitudinal monitoring of tumor growth and tumor angiogenesis. Findings in ultrasonographic imaging significantly correlated with results obtained in histological analysis. Conclusion: Ultrasonography is cost efficient and widely available. It allows repetitive in ovo imaging and thereby enables visualization of tumor development. This increases the applicability of the CAM-assay as an alternative to xenograft rodent models in tumor research.