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Published in: European Radiology 7/2016

01-07-2016 | Breast

Correlation between conductivity and prognostic factors in invasive breast cancer using magnetic resonance electric properties tomography (MREPT)

Authors: Soo-Yeon Kim, Jaewook Shin, Dong-Hyun Kim, Min Jung Kim, Eun-Kyung Kim, Hee Jung Moon, Jung Hyun Yoon

Published in: European Radiology | Issue 7/2016

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Abstract

Purpose

To investigate the correlation between conductivity and prognostic factors of invasive breast cancer using magnetic resonance electric properties tomography (MREPT).

Methods

This retrospective study was approved by the Institutional Review Board, and verbal informed consent was obtained prior to breast MRI. This study included 65 women with surgically confirmed invasive breast cancers measuring 1 cm or larger on T2-weighted fast spin echo (FSE). Phase-based MREPT and the coil combination technique were used to reconstruct conductivity. Simple and multiple linear regression analysis were used to find an independent factor associated with conductivity.

Results

In total tumours, tumours with HER-2 overexpression showed lower conductivity than those without, and HER-2 overexpression was independently associated with conductivity. In 37 tumours 2 cm or larger, tumours with high mitosis or PR positivity showed higher conductivity than those without, and high mitosis and PR positivity were independently associated with conductivity. In 28 tumours 1–2 cm in size, there were no differences in conductivity according to the prognostic factors.

Conclusion

Conductivity values measured using MREPT are associated with the HER-2 overexpression status, and may provide information about mitosis and the PR status of invasive breast cancers 2 cm or larger.

Key Points

In all tumours, HER-2 overexpression was independently associated with conductivity.
In tumours ≥ 2 cm, high mitosis and PR positivity were associated with conductivity.
Conductivity is associated with the HER-2 overexpression status of invasive breast cancers.
Appendix
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Literature
1.
go back to reference Gabriel S, Lau R, Gabriel C (1996) The dielectric properties of biological tissues: II. Measurements in the frequency range 10 Hz to 20 GHz. Phys Med Biol 41:2251CrossRefPubMed Gabriel S, Lau R, Gabriel C (1996) The dielectric properties of biological tissues: II. Measurements in the frequency range 10 Hz to 20 GHz. Phys Med Biol 41:2251CrossRefPubMed
2.
go back to reference Hancu I, Roberts JC, Bulumulla S, Lee SK (2014) On conductivity, permittivity, apparent diffusion coefficient, and their usefulness as cancer markers at MRI frequencies. Magnetic Resonance in Medicine e-published 19 Jun 2014 Hancu I, Roberts JC, Bulumulla S, Lee SK (2014) On conductivity, permittivity, apparent diffusion coefficient, and their usefulness as cancer markers at MRI frequencies. Magnetic Resonance in Medicine e-published 19 Jun 2014
3.
go back to reference Katscher U, Voigt T, Findeklee C, Vernickel P, Nehrke K, Dossel O (2009) Determination of electric conductivity and local SAR via B1 mapping. Med Imaging IEEE Trans 28:1365–1374CrossRef Katscher U, Voigt T, Findeklee C, Vernickel P, Nehrke K, Dossel O (2009) Determination of electric conductivity and local SAR via B1 mapping. Med Imaging IEEE Trans 28:1365–1374CrossRef
4.
go back to reference Katscher U, Abe H, Ivancevic M, Djamshidi K, Karkowski P, Newstead G (2013) Towards the investigation of breast tumor malignancy via electric conductivity measurement ISMRM, pp 4180 Katscher U, Abe H, Ivancevic M, Djamshidi K, Karkowski P, Newstead G (2013) Towards the investigation of breast tumor malignancy via electric conductivity measurement ISMRM, pp 4180
5.
go back to reference Shin JW, Kim S-Y, Kim MJ, Kim D-H (2015) Initial study on in-vivo conductivity mapping of breast cancer using MRI. J Magn Reson Imaging 42:371–378 Shin JW, Kim S-Y, Kim MJ, Kim D-H (2015) Initial study on in-vivo conductivity mapping of breast cancer using MRI. J Magn Reson Imaging 42:371–378
6.
go back to reference Katscher U, Kim D-H, Seo JK (2013) Recent progress and future challenges in MR electric properties tomography. Computational and mathematical methods in medicine 2013 Katscher U, Kim D-H, Seo JK (2013) Recent progress and future challenges in MR electric properties tomography. Computational and mathematical methods in medicine 2013
7.
8.
go back to reference Fitzgibbons PL, Page DL, Weaver D et al (2000) Prognostic factors in breast cancer: College of American Pathologists consensus statement 1999. Arch Pathol Lab Med 124:966–978PubMed Fitzgibbons PL, Page DL, Weaver D et al (2000) Prognostic factors in breast cancer: College of American Pathologists consensus statement 1999. Arch Pathol Lab Med 124:966–978PubMed
9.
go back to reference Rosen PP, Groshen S, Saigo PE, Kinne DW, Hellman S (1989) Pathological prognostic factors in stage I (T1N0M0) and stage II (T1N1M0) breast carcinoma: a study of 644 patients with median follow-up of 18 years. J Clin Oncol 7:1239–1251PubMed Rosen PP, Groshen S, Saigo PE, Kinne DW, Hellman S (1989) Pathological prognostic factors in stage I (T1N0M0) and stage II (T1N1M0) breast carcinoma: a study of 644 patients with median follow-up of 18 years. J Clin Oncol 7:1239–1251PubMed
10.
11.
go back to reference Seo JK, Kim M-O, Lee J et al (2012) Error analysis of nonconstant admittivity for MR-based electric property imaging. Med Imaging IEEE Trans 31:430–437CrossRef Seo JK, Kim M-O, Lee J et al (2012) Error analysis of nonconstant admittivity for MR-based electric property imaging. Med Imaging IEEE Trans 31:430–437CrossRef
12.
go back to reference Voigt T, Katscher U, Doessel O (2011) Quantitative conductivity and permittivity imaging of the human brain using electric properties tomography. Magn Reson Med 66:456–466CrossRefPubMed Voigt T, Katscher U, Doessel O (2011) Quantitative conductivity and permittivity imaging of the human brain using electric properties tomography. Magn Reson Med 66:456–466CrossRefPubMed
13.
go back to reference Balidemaj E, Lier AL, Crezee H, Nederveen AJ, Stalpers LJ, Berg CA (2014) Feasibility of Electric Property Tomography of pelvic tumors at 3T. Magnetic Resonance in Medicine e-published 28 April 2014 Balidemaj E, Lier AL, Crezee H, Nederveen AJ, Stalpers LJ, Berg CA (2014) Feasibility of Electric Property Tomography of pelvic tumors at 3T. Magnetic Resonance in Medicine e-published 28 April 2014
14.
go back to reference Elston C, Ellis I (1991) Pathological prognostic factors in breast cancer. I. The value of histological grade in breast cancer: experience from a large study with long‐term follow‐up. Histopathology 19:403–410CrossRefPubMed Elston C, Ellis I (1991) Pathological prognostic factors in breast cancer. I. The value of histological grade in breast cancer: experience from a large study with long‐term follow‐up. Histopathology 19:403–410CrossRefPubMed
15.
go back to reference Cutler SJ, Freeman C, Black MM, Mork T, Harvei S (1969) Further observations on prognostic factors in cancer of the female breast. Cancer 24:653–667CrossRefPubMed Cutler SJ, Freeman C, Black MM, Mork T, Harvei S (1969) Further observations on prognostic factors in cancer of the female breast. Cancer 24:653–667CrossRefPubMed
16.
go back to reference Koo JS, Jung W, Shin E et al (2009) Impact of grade, hormone receptor, and HER-2 status in women with breast cancer on response to specific chemotherapeutic agents by in vitro adenosine triphosphate-based chemotherapy response assay. J Korean Med Sci 24:1150–1157CrossRefPubMedPubMedCentral Koo JS, Jung W, Shin E et al (2009) Impact of grade, hormone receptor, and HER-2 status in women with breast cancer on response to specific chemotherapeutic agents by in vitro adenosine triphosphate-based chemotherapy response assay. J Korean Med Sci 24:1150–1157CrossRefPubMedPubMedCentral
17.
go back to reference Goldhirsch A, Wood W, Coates A, Gelber R, Thürlimann B, Senn H-J (2011) Strategies for subtypes—dealing with the diversity of breast cancer: highlights of the St Gallen International Expert Consensus on the Primary Therapy of Early Breast Cancer 2011. Ann Oncol 22:1736–1747CrossRefPubMedPubMedCentral Goldhirsch A, Wood W, Coates A, Gelber R, Thürlimann B, Senn H-J (2011) Strategies for subtypes—dealing with the diversity of breast cancer: highlights of the St Gallen International Expert Consensus on the Primary Therapy of Early Breast Cancer 2011. Ann Oncol 22:1736–1747CrossRefPubMedPubMedCentral
18.
go back to reference Holland R, Connolly JL, Gelman R et al (1990) The presence of an extensive intraductal component following a limited excision correlates with prominent residual disease in the remainder of the breast. J Clin Oncol 8:113–118PubMed Holland R, Connolly JL, Gelman R et al (1990) The presence of an extensive intraductal component following a limited excision correlates with prominent residual disease in the remainder of the breast. J Clin Oncol 8:113–118PubMed
19.
go back to reference Allred DC, Clark GM, Molina R et al (1992) Overexpression of HER-2/neu and its relationship with other prognostic factors change during the progression of in situ to invasive breast cancer. Hum Pathol 23:974–979CrossRefPubMed Allred DC, Clark GM, Molina R et al (1992) Overexpression of HER-2/neu and its relationship with other prognostic factors change during the progression of in situ to invasive breast cancer. Hum Pathol 23:974–979CrossRefPubMed
20.
go back to reference Sha L, Ward ER, Stroy B (2002) A review of dielectric properties of normal and malignant breast tissue SoutheastCon, 2002. Proc IEEE 457–462 Sha L, Ward ER, Stroy B (2002) A review of dielectric properties of normal and malignant breast tissue SoutheastCon, 2002. Proc IEEE 457–462
21.
go back to reference Surowiec AJ, Stuchly SS, Barr JR, Swarup A (1988) Dielectric properties of breast carcinoma and the surrounding tissues. Biomed Eng IEEE Trans 35:257–263CrossRef Surowiec AJ, Stuchly SS, Barr JR, Swarup A (1988) Dielectric properties of breast carcinoma and the surrounding tissues. Biomed Eng IEEE Trans 35:257–263CrossRef
22.
go back to reference Joines WT, Zhang Y, Li C, Jirtle RL (1994) The measured electrical properties of normal and malignant human tissues from 50 to 900 MHz. Med Phys 21:547–550CrossRefPubMed Joines WT, Zhang Y, Li C, Jirtle RL (1994) The measured electrical properties of normal and malignant human tissues from 50 to 900 MHz. Med Phys 21:547–550CrossRefPubMed
23.
go back to reference Eyuboglu B, Pilkington T, Wolf PD (1994) Estimation of tissue resistivities from multiple-electrode impedance measurements. Phys Med Biol 39:1CrossRefPubMed Eyuboglu B, Pilkington T, Wolf PD (1994) Estimation of tissue resistivities from multiple-electrode impedance measurements. Phys Med Biol 39:1CrossRefPubMed
24.
go back to reference Cherepenin V, Karpov A, Korjenevsky A et al (2001) A 3D electrical impedance tomography (EIT) system for breast cancer detection. Physiol Meas 22:9CrossRefPubMed Cherepenin V, Karpov A, Korjenevsky A et al (2001) A 3D electrical impedance tomography (EIT) system for breast cancer detection. Physiol Meas 22:9CrossRefPubMed
25.
26.
go back to reference Poplack SP, Paulsen KD, Hartov A et al (2004) Electromagnetic Breast Imaging: Average Tissue Property Values in Women with Negative Clinical Findings 1. Radiology 231:571–580CrossRefPubMed Poplack SP, Paulsen KD, Hartov A et al (2004) Electromagnetic Breast Imaging: Average Tissue Property Values in Women with Negative Clinical Findings 1. Radiology 231:571–580CrossRefPubMed
27.
go back to reference Poplack SP, Tosteson TD, Wells WA et al (2007) Electromagnetic Breast Imaging: Results of a Pilot Study in Women with Abnormal Mammograms 1. Radiology 243:350–359CrossRefPubMed Poplack SP, Tosteson TD, Wells WA et al (2007) Electromagnetic Breast Imaging: Results of a Pilot Study in Women with Abnormal Mammograms 1. Radiology 243:350–359CrossRefPubMed
28.
go back to reference Elias SG, Adams A, Wisner DJ et al (2014) Imaging features of HER2 overexpression in breast cancer: a systematic review and meta-analysis. Cancer Epidemiology Biomarkers & Prevention Elias SG, Adams A, Wisner DJ et al (2014) Imaging features of HER2 overexpression in breast cancer: a systematic review and meta-analysis. Cancer Epidemiology Biomarkers & Prevention
29.
go back to reference Arpino G, Weiss H, Lee AV et al (2005) Estrogen receptor–positive, progesterone receptor–negative breast cancer: association with growth factor receptor expression and tamoxifen resistance. J Natl Cancer Inst 97:1254–1261CrossRefPubMed Arpino G, Weiss H, Lee AV et al (2005) Estrogen receptor–positive, progesterone receptor–negative breast cancer: association with growth factor receptor expression and tamoxifen resistance. J Natl Cancer Inst 97:1254–1261CrossRefPubMed
30.
go back to reference Yerushalmi R, Woods R, Ravdin PM, Hayes MM, Gelmon KA (2010) Ki67 in breast cancer: prognostic and predictive potential. Lancet Oncol 11:174–183CrossRefPubMed Yerushalmi R, Woods R, Ravdin PM, Hayes MM, Gelmon KA (2010) Ki67 in breast cancer: prognostic and predictive potential. Lancet Oncol 11:174–183CrossRefPubMed
31.
32.
go back to reference Weidner N, Moore DH II, Vartanian R (1994) Correlation of Ki-67 antigen expression with mitotic figure index and tumor grade in breast carcinomas using the novel “paraffin”-reactive MIB1 antibody. Hum Pathol 25:337–342CrossRefPubMed Weidner N, Moore DH II, Vartanian R (1994) Correlation of Ki-67 antigen expression with mitotic figure index and tumor grade in breast carcinomas using the novel “paraffin”-reactive MIB1 antibody. Hum Pathol 25:337–342CrossRefPubMed
33.
go back to reference Joines WT, Jirtle RL, Rafal MD, Schaefer DJ (1980) Microwave power absorption differences between normal and malignant tissue. Int J Radiat Oncol Biol Phys 6:681–687CrossRefPubMed Joines WT, Jirtle RL, Rafal MD, Schaefer DJ (1980) Microwave power absorption differences between normal and malignant tissue. Int J Radiat Oncol Biol Phys 6:681–687CrossRefPubMed
34.
go back to reference Daveau C, Baulies S, Lalloum M et al (2014) Histological grade concordance between diagnostic core biopsy and corresponding surgical specimen in HR-positive/HER2-negative breast carcinoma. Br J Cancer 110:2195–2200CrossRefPubMedPubMedCentral Daveau C, Baulies S, Lalloum M et al (2014) Histological grade concordance between diagnostic core biopsy and corresponding surgical specimen in HR-positive/HER2-negative breast carcinoma. Br J Cancer 110:2195–2200CrossRefPubMedPubMedCentral
35.
go back to reference Molino A, Micciolo R, Turazza M et al (1997) Ki‐67 immunostaining in 322 primary breast cancers: Associations with clinical and pathological variables and prognosis. Int J Cancer 74:433–437CrossRefPubMed Molino A, Micciolo R, Turazza M et al (1997) Ki‐67 immunostaining in 322 primary breast cancers: Associations with clinical and pathological variables and prognosis. Int J Cancer 74:433–437CrossRefPubMed
36.
go back to reference Wintzer HO, Zipfel I, Schulte‐Mönting J, Hellerich U, von Kleist S (1991) Ki‐67 immunostaining in human breast tumors and its relationship to prognosis. Cancer 67:421–428CrossRefPubMed Wintzer HO, Zipfel I, Schulte‐Mönting J, Hellerich U, von Kleist S (1991) Ki‐67 immunostaining in human breast tumors and its relationship to prognosis. Cancer 67:421–428CrossRefPubMed
37.
go back to reference Gasparini G, Dal Fior S, Pozza F, Bevilacqua P (1989) Correlation of growth fraction by Ki-67 immunohistochemistry with histologic factors and hormone receptors in operable breast carcinoma. Breast Cancer Res Treat 14:329–336CrossRefPubMed Gasparini G, Dal Fior S, Pozza F, Bevilacqua P (1989) Correlation of growth fraction by Ki-67 immunohistochemistry with histologic factors and hormone receptors in operable breast carcinoma. Breast Cancer Res Treat 14:329–336CrossRefPubMed
38.
go back to reference Leonardi E, Girlando S, Serio G et al (1992) PCNA and Ki67 expression in breast carcinoma: correlations with clinical and biological variables. J Clin Pathol 45:416–419CrossRefPubMedPubMedCentral Leonardi E, Girlando S, Serio G et al (1992) PCNA and Ki67 expression in breast carcinoma: correlations with clinical and biological variables. J Clin Pathol 45:416–419CrossRefPubMedPubMedCentral
39.
go back to reference Locker A, Birrell K, Bell J et al (1992) Ki67 immunoreactivity in breast carcinoma: relationships to prognostic variables and short term survival. Eur J Surg Oncol J Eur Soc Surg Oncol Br Assoc Surg Oncol 18:224–229 Locker A, Birrell K, Bell J et al (1992) Ki67 immunoreactivity in breast carcinoma: relationships to prognostic variables and short term survival. Eur J Surg Oncol J Eur Soc Surg Oncol Br Assoc Surg Oncol 18:224–229
40.
go back to reference SONG YS, PARK CM, LEE SM et al (2014) Reproducibility of Histogram and Texture Parameters Derived from Intravoxel Incoherent Motion Diffusion-weighted MRI of FN13762 Rat Breast Carcinomas. Anticancer Res 34:2135–2144PubMed SONG YS, PARK CM, LEE SM et al (2014) Reproducibility of Histogram and Texture Parameters Derived from Intravoxel Incoherent Motion Diffusion-weighted MRI of FN13762 Rat Breast Carcinomas. Anticancer Res 34:2135–2144PubMed
Metadata
Title
Correlation between conductivity and prognostic factors in invasive breast cancer using magnetic resonance electric properties tomography (MREPT)
Authors
Soo-Yeon Kim
Jaewook Shin
Dong-Hyun Kim
Min Jung Kim
Eun-Kyung Kim
Hee Jung Moon
Jung Hyun Yoon
Publication date
01-07-2016
Publisher
Springer Berlin Heidelberg
Published in
European Radiology / Issue 7/2016
Print ISSN: 0938-7994
Electronic ISSN: 1432-1084
DOI
https://doi.org/10.1007/s00330-015-4067-7

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