Document Detail


1H MR spectroscopy of invasive ductal carcinoma: correlations with FDG PET and histologic prognostic factors.
MedLine Citation:
PMID:  20410429     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: The purpose of this article is to assess the histologic prognostic relevance of choline levels obtained using (1)H MR spectroscopy with a 1.5-T MR unit in patients with invasive breast cancer and to compare the observed choline levels with the standardized uptake value obtained using FDG PET. MATERIALS AND METHODS: Single-voxel (1)H MR spectroscopy and PET/CT were performed for 50 patients with invasive ductal carcinoma (1.5-3 cm in size). The normalized choline signal was calculated using an external standard method. RESULTS: Proton MR spectroscopy detected the presence of choline in 44 cases. The average normalized choline signal was 1.1 (range, 0-3.9). The average standardized uptake value was 6.5 (range, 1.1-23). The correlation (r) between the normalized choline signal and the standardized uptake value was 0.52 (p < 0.0001). The normalized choline signal was significantly correlated with nuclear grade (p = 0.0002), triple-negative breast cancer status (p = 0.0009), and estrogen receptor negativity (p = 0.007). The standardized uptake value was significantly correlated with nuclear grade (p = 0.0002), estrogen receptor negativity (p = 0.002), and triple-negative breast cancer status (p = 0.009). No significant differences were found between the progesterone receptor-positive and negative groups or between the human epidermal growth factor receptor 2-positive and negative groups. CONCLUSION: The choline levels obtained using (1)H MR spectroscopy with a 1.5-T unit were well correlated with the standardized uptake value obtained using PET/CT and with the histologic prognostic parameters (nuclear grade, estrogen receptor status, and triple-negative lesion status).
Authors:
Mitsuhiro Tozaki; Kazuei Hoshi
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  AJR. American journal of roentgenology     Volume:  194     ISSN:  1546-3141     ISO Abbreviation:  AJR Am J Roentgenol     Publication Date:  2010 May 
Date Detail:
Created Date:  2010-04-22     Completed Date:  2010-05-24     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7708173     Medline TA:  AJR Am J Roentgenol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1384-90     Citation Subset:  AIM; IM    
Affiliation:
Division of Diagnostic Imaging, Breast Center, Kameda Medical Center, 929 Higashi-cho, Kamogawa, Chiba 296-8602, Japan. e-tozaki@keh.biglobe.ne.jp
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Breast Neoplasms / diagnosis*,  epidemiology*,  metabolism
Carcinoma, Ductal, Breast / diagnosis*,  epidemiology*,  metabolism
Female
Fluorodeoxyglucose F18 / diagnostic use*
Humans
Japan / epidemiology
Magnetic Resonance Spectroscopy / methods*
Middle Aged
Positron-Emission Tomography / utilization
Prevalence
Prognosis
Protons / diagnostic use
Radiopharmaceuticals / diagnostic use
Reproducibility of Results
Sensitivity and Specificity
Statistics as Topic
Tumor Markers, Biological / analysis*
Chemical
Reg. No./Substance:
0/Protons; 0/Radiopharmaceuticals; 0/Tumor Markers, Biological; 63503-12-8/Fluorodeoxyglucose F18

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