3T apparent diffusion coefficient value as an imaging biomarker to assess the prognostic factors of

来源 :中华放射学学术大会2016、中华医学会第23次全国放射学学术大会暨中华医学会第24次全国影像技术学术大会 | 被引量 : 0次 | 上传用户:shiguanglai
下载到本地 , 更方便阅读
声明 : 本文档内容版权归属内容提供方 , 如果您对本文有版权争议 , 可与客服联系进行内容授权或下架
论文部分内容阅读
  Objective: The purpose of this study is to evaluate if the potential of the ADC values obtained at 3.0T quantitative DWI imaging could be a biomarker of invasive ductal carcinoma and assess the relationships between ADCs and prognostic factors.Materials and method: From January 2012 to January 2014,all consecutive patients with diagnosed breast cancer confirmed by histological examination and underwent breast 3.0T MRI in our hospital were enrolled in this study.The MRI protocol included both dynamic contrast enhanced and a diffusion weighted imaging sequence with b values of 0 and 600 s/mm2.The ADC values were measured in each index lesions by two radiologists respectively.The relationship between ADC values and tumor size,axillary lymph node metastases,hormonal receptors,and HER2 were analyzed by using T-test.We also compared ADC values in five different tumor subgroups(Luminal A,Luminal B1,Luminal B2,HER2+,Triple negative)defined by combinations of immunohistochemical features using One-way analysis of variance.Results: The final study sample was consisted of 97 patients with 97 pathologically confirmed invasive ductal carcinoma(IDC)lesions not otherwise specified.The mean ages of 97 patients was 55.67±8.57 years,range from 33-72.Significant statistical difference of mean ADC of tumors between the two groups(size≥2cm,size<2cm)was showed(1.15±0.14 mm2/s versus 1.02±0.11 mm2/s,p=0.031).Mean ADC value of axillary lymph node statues between metastasis positive(1.16±0.08 mm2/s)and negative(1.02±0.18 mm2/s)showed significant difference(p=0.023).Mean ADC value of ER positive lesions(1.01±0.15 mm2/s)was significant lower than that of ER negative lesions(1.12±0.19 mm2/s,p=0.041).Mean ADC value of PR positive lesions(1.07±0.18 mm2/s)was significant lower than that of PR lesions(1.12±0.19 mm2/s,p=0.024).Mean ADC of Ki-67 <15%index lesions(1.14±0.18 mm2/s)showed no significant statistical difference from that of Ki-67>15%index lesions(1.11±0.17 mm2/s,p= 0.73).However there was no significant difference between HER2-positive(1.11±0.18 mm2/s)and negative of lesions(1.07±0.17mm2/s,p=0.051).Mean ADC values for Luminal A,Luminal B1,Luminal B2,HER2+,and Triple negative were 0.95±0.07×10-3 mm2/s,0.99±0.11×10-3 mm2/s,1.12±0.15×10-3 mm2/s,1.27±0.11×10-3 mm2/s,1.31±0.71×10-3 mm2/s,respectively.The mean ADC of Triple Negative was the highest in five groups.The mean ADC of Luminal A was the lowest in the five groups.The mean ADC values of Triple Negative was significantly different between other groups(Luminal A,Luminal B1,Luminal B2)(p<0.001),whereas that of no significant difference between Triple Negative and HER2+groups(p=0.275).The mean ADC values of Luminal A was significantly different between other groups(Luminal B2,HER2+,Triple Negative)(p<0.001),whereas that of no significant statistical different between Luminal A and Luminal B1 groups(p=0.109).Conclusions: The ADC values of breast cancer obtained on 3.0T DWI could be associated with important biological features of tumors,which may bear prognostic significance.ADC values detected on 3.0 T DWI showed potential as a new noninvasive imaging biomarker that might be helpful in predicting the biological properties of breast cancers.
其他文献
目的 分析儿童不典型骨肉瘤的临床、影像及病理学特征,以提高其诊断水平.方法 回顾性分析4例经病理证实的儿童不典型骨肉瘤资料并结合文献深入分析其临床、影像和病理学表现.4例均行X线平片,3例行MRI检查,2例行CT检查,其中1例同时行CT检查和MRI检查.
Purpose Aim to investigate the incidence and risk factors associated with AKI in HCC patients received TACE treatment.Methods This study enrolled 380 HCC patients who received a total of 453 TACE trea
近些年来肝癌的发病率在全球呈上升趋势.而且据预测,未来十年也讲仍然保持这一现状.肝癌也是我国的一个重大问题,中国的肝癌病例站全世界总是得百分之五十五.原发性肝癌(primary hepatic carcinoma)是严重威胁人类生命和健康的重要疾病,为我国恶性肿瘤第二位死因,5年生存率不足5%.目前肝癌的主要治疗手段是手术、介入栓塞化疗及肝移植等.总之,原发性肝癌是一个全球范围内常见的恶性肿瘤之一
目的:对评估乳腺癌患病风险的标志物磁共振背景实质强化(BPE)进行定量研究.由于以前的BPE量化研究与BPE定性评估缺乏相关性.本实验通过标准化BPE定性评估验证3D BPE量化方法.方法:选择180例磁共振成像患者(从2014年12月—2016年3月),采用严格的入组标准.选取最具代表性BPE量化分级(微弱、轻度、中度、显著)的84例患者.采用盲法进行分析,在平扫和增强图像上勾画乳腺纤维腺体组织
Objective: To explore WM diffusion changes across the whole brain in patients with CIS and MS,this study utilized the tractbased spatial statistics(TBSS)method based on DTI to assess whether and how d
目的 观察分析垂体柄阻断综合征的MRI表现特点.方法 回顾性分析经临床、实验室检查证实的垂体柄阻断综合征患者5例,所有病例均行3.0T MRI检查.结果 垂体柄阻断综合征表现为垂体柄缺如、中断或明显变细,垂体后叶异位,同时可合并垂体前叶发育不良.其中1例患者初诊时垂体后叶异位呈T1WI等信号,复诊时呈高信号.结论 垂体柄的损伤可能是进行性加重的.垂体磁共振成像检查是确诊垂体柄阻断综合征最重要和最直
Purpose: To investigate the feasibility of using CT texture analysis(CTTA)to differentiate between low-versus high-grade urothelial carcinoma.Methods: A total of 105 patients with histologically prove
目的:对介入手术室医院感染的因素,并探讨相应的对策.方法:选取2014年10月-2015年10月介入手术室病例500例作为对照组,对这500例病例出现医院感染的几率以及因素进行分析;选取2015年1月-2016年1月介入手 术室病例500例作为实验组,在此期间实施医院感染控制对策;对比2组介入手术室医院感染的发生机率. 结果:导致出现介入手术室医院感染的主要原因包括介入手术室不合理布局、医院感染管
Objective:To investigate the relationship between magnetic resonance imaging(MRI)manifestations and level of consciousness,and find regions or networks which can act as biomarkers for consciousness le
目的 评价MR电影成像(Cine MR enterography,Cine MRE)对于小肠病变诊断的价值.方法 采用FIESTA、SS-FSE、LAVA C+等常规静态小肠MR序列以及Cine MRE序列对小肠进行MR成像扫描,分析单纯采用FIESTA、SS-FSE、LAVA C+等常规静态小肠MR序列与增加Cine MRE序列后对于小肠疾病诊断有无显著差异.结果 增加Cine MRE后对于肠壁