High resolution in vivo characterization of apparent diffusion coefficient at the tumor-stromal boundary of breast carcinomas: a pilot study to assess treatment response using proximity-dependent diffusion-weighted imaging

J Magn Reson Imaging. 2014 May;39(5):1308-13. doi: 10.1002/jmri.24283. Epub 2013 Oct 8.

Abstract

Purpose: To evaluate diffusion changes in the breast tumor-stromal boundary and adjacent tissue in response to neoadjuvant chemotherapy using high resolution diffusion-weighted imaging (HR-DWI).

Materials and methods: Seven patients with invasive breast cancer were imaged with HR-DWI before and early during treatment. The mean apparent diffusion coefficient (ADC) was plotted in 1-mm increments around the tumor boundary. Early change in ADC was measured for tumor, tumor boundary, and stromal regions, and the relationship to treatment response was evaluated using Spearman's correlation.

Results: Statistically significant correlations between treatment response and early changes in ADC were found for: (i) whole tumor (ρ = 0.93, 95% confidence interval [CI] = (0.58, 0.99), P = 0.003); (ii) tumor rim (ρ = 0.75, 95% CI = (-0.007, 0.96), P = 0.05); and (iii) boundary transition region (ρ = 0.86, 95% CI = (0.29, 0.98), P = 0.01). Early change in ADC of distal stroma had a marginally statistically significant positive correlation to treatment response (ρ = 0.71, 95% CI = (-0.084, 0.95), P = 0.07).

Conclusion: Proximity-dependent evaluation of HR-DWI data in the breast tumor-stromal boundary and adjacent tissue may provide information about response to therapy.

Keywords: DWI; MRI; breast cancer; neoadjuvant chemotherapy.

Publication types

  • Clinical Trial
  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Algorithms*
  • Antineoplastic Combined Chemotherapy Protocols / administration & dosage*
  • Breast Neoplasms / drug therapy*
  • Breast Neoplasms / pathology*
  • Bridged-Ring Compounds / administration & dosage
  • Chemotherapy, Adjuvant
  • Diffusion Magnetic Resonance Imaging / methods*
  • Doxorubicin / administration & dosage
  • Female
  • Humans
  • Image Enhancement / methods*
  • Image Interpretation, Computer-Assisted / methods*
  • Neoplasm Invasiveness
  • Pilot Projects
  • Reproducibility of Results
  • Sensitivity and Specificity
  • Taxoids / administration & dosage
  • Treatment Outcome

Substances

  • Bridged-Ring Compounds
  • Taxoids
  • taxane
  • Doxorubicin