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Characterisation of Fibrosis in Chemically-induced Rat Mammary Carcinomas Using Multi-modal Endogenous Contrast MRI on a 1.5T Clinical Platform

Overview
Journal Eur Radiol
Specialty Radiology
Date 2017 Oct 18
PMID 29038934
Citations 1
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Abstract

Objectives: To determine the ability of multi-parametric, endogenous contrast MRI to detect and quantify fibrosis in a chemically-induced rat model of mammary carcinoma.

Methods: Female Sprague-Dawley rats (n=18) were administered with N-methyl-N-nitrosourea; resulting mammary carcinomas underwent nine-b-value diffusion-weighted (DWI), ultrashort-echo (UTE) and magnetisation transfer (MT) magnetic resonance imaging (MRI) on a clinical 1.5T platform, and associated quantitative MR parameters were calculated. Excised tumours were histologically assessed for degree of necrosis, collagen, hypoxia and microvessel density. Significance level adjusted for multiple comparisons was p=0.0125.

Results: Significant correlations were found between MT parameters and degree of picrosirius red staining (r > 0.85, p < 0.0002 for k and δ, r < -0.75, p < 0.001 for T and T, Pearson), indicating that MT is sensitive to collagen content in mammary carcinoma. Picrosirius red also correlated with the DWI parameter fD* (r=0.801, p=0.0004) and conventional gradient-echo T* (r=-0.660, p=0.0055). Percentage necrosis correlated moderately with ultrashort/conventional-echo signal ratio (r=0.620, p=0.0105). Pimonidazole adduct (hypoxia) and CD31 (microvessel density) staining did not correlate with any MR parameter assessed.

Conclusions: Magnetisation transfer MRI successfully detects collagen content in mammary carcinoma, supporting inclusion of MT imaging to identify fibrosis, a prognostic marker, in clinical breast MRI examinations.

Key Points: • Magnetisation transfer imaging is sensitive to collagen content in mammary carcinoma. • Magnetisation transfer imaging to detect fibrosis in mammary carcinoma fibrosis is feasible. • IVIM diffusion does not correlate with microvessel density in preclinical mammary carcinoma.

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Bochner F, Fellus-Alyagor L, Ketter D, Golani O, Biton I, Neeman M Br J Cancer. 2020; 123(2):216-225.

PMID: 32390007 PMC: 7374547. DOI: 10.1038/s41416-020-0878-7.

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