Shanghai Journal of Stomatology ›› 2026, Vol. 35 ›› Issue (1): 7-12.doi: 10.19439/j.sjos.2026.01.002

• Original Articles • Previous Articles     Next Articles

Application of T1-T2 dual-mode cobalt manganese oxide nanoparticle MRI contrast agent in the diagnosis of oral squamous cell carcinoma

Xu Hongtao1, Cheng Han1, Li Fangjie2, Zheng Chongyang1, Huang Xiaojuan1, Zhang Zhiyuan1   

  1. 1. Department of Oromaxillofacial Head and Neck Oncology, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine; College of Stomatology, Shanghai Jiao Tong University; National Center for Stomatology; National Clinical Research Center for Oral Diseases; Shanghai Key Laboratory of Stomatology; Shanghai Research Institute of Stomatology. Shanghai 200011;
    2. Department of Oral and Maxillofacial Surgery, The First Affiliated Hospital of Huzhou University. Huzhou 313000, Zhejiang Province, China
  • Received:2025-01-23 Revised:2025-03-24 Online:2026-03-12 Published:2026-03-12

Abstract: PURPOSE: To develop an efficient and low-toxicity T1-T2 dual-mode magnetic resonance (MR) nano-contrast agent (cobalt manganese oxide @hyaluronic acid, CMO@HA) as a safe and effective strategy for the diagnosis of oral squamous cell carcinoma (OSCC). METHODS: CMO@HA was synthesized via a multi-step process and characterized for its morphology and composition using transmission electron microscopy(TEM) and X-ray diffraction (XRD). MR imaging of CMO@HA suspensions at various concentrations was performed to acquire T1- and T2-weighted images and relaxation times. The longitudinal and transverse relaxivities were calculated using linear regression analysis. A xenograft mouse model was established to evaluate the in vivo tumor imaging performance of CMO@HA. Biocompatibility was assessed through CCK-8 cell viability assays, live-dead cell staining and HE staining of major organs. RESULTS: CMO@HA was successfully synthesized with an average particle size of approximately 12 nm and a zeta potential of -16.6 mV. In MRI, CMO@HA solutions exhibited concentration-dependent T1-T2 dual-enhanced imaging characteristics, with longitudinal and transverse relaxivities of 1.005 (mmol/L)-1s-1 and 11.84 (mmol/L)-1s-1, respectively. In the xenograft mouse model, intratumoral injection of CMO@HA resulted in an enhancement of T1-weighted and T2-weighted signals at the tumor site by (46.98±14.51)% and (26.04±6.9)%, respectively. Biocompatibility assessments revealed that after co-incubation with 100 μg/mL CMO@HA, the cell viability remained at 98%, live-dead staining results showed no significant differences compared to the control group. During a 7-day observation period, CMO@HA-treated mice exhibited stable body weights comparable to the control group, and no pathological damage or liver and kidney dysfunction was observed in major organs. CONCLUSIONS: CMO@HA is a nano-contrast agent with excellent T1-T2 dual-mode MR imaging enhancement capabilities and favorable biocompatibility. It significantly improves the imaging contrast between tumor and normal tissues, providing a viable imaging solution for early diagnosis of OSCC.

Key words: Oral squamous cell carcinoma, Tumor imaging, Cobalt manganese oxide nanoparticles, MRI contrast agent

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