Abstract
Background
The diagnostic value of breast vascular maps using contrast-enhanced MR imaging has recently been explored. We propose a semiautomatic method to obtain breast vascular maps and to measure the number of blood vessels in the breast.
Methods
From January 2011 to December 2013, 188 patients underwent breast contrast-enhanced MRI; patients with unilateral and histopathologically confirmed breast lesions were included in this study; 123 patients had malignant lesions and 65 patients had benign tissue diagnoses. Breast semiautomatic vascular map detection was performed using Hessian matrix-based method and morphologic operators. Blood vessels detection was compared with radiologic interpretation findings to evaluate algorithm goodness. Increase in vascularity associated with ipsilateral cancer was also assessed. Chi square test was used to observe statistically significant difference.
Results
A total of 1315 blood vessels were identified using semiautomatic procedure; 1034 were correctly classified (78.7 %), 261 (19.8 %) were incorrectly classified, and 20 (1.5 %) were missing. A significant association was found between one-sided increased breast vascularity and ipsilateral malignancy (p < 0.001).
Conclusions
In conclusion, detection of vascularity increase as risk factor for developing breast cancer could be performed with semiautomatic vascular mapping of contrast-enhanced MR imaging.
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References
Peters NH, Borel Rinkes IH, Zuithoff NP, Mali WP, Moons KG, Peeters PH. Meta-analysis of MR imaging in the diagnosis of breast lesions. Radiology. 2008;246:116–24.
Schmitz AC, Peters NH, Veldhuis WB, et al. Contrast-enhanced 3.0-T breast MRI for characterization of breast lesions: increased specificity by using vascular maps. Eur Radiol. 2008;18:355–64.
Wright H, Listinsky J, Quinn C, et al. Increased ipsilateral whole breast vascularity as measured by contrast-enhanced magnetic resonance imaging in patients with breast cancer. Am J Surg. 2005;190:576–9.
Mahfouz AE, Sherif H, Saad A, et al. Gadolinium-enhanced MR angiography of the breast: is breast cancer associated with ipsilateral higher vascularity. Eur Radiol. 2001;11:965–9.
Carriero A, Di Credico A, Mansour M, et al. Maximum intensity projection analysis in magnetic resonance of the breast. J Exp Clin Cancer Res. 2002;21:77–81.
Sardanelli F, Iozzelli A, Fausto A, et al. Gadobenate dimeglumine enhanced MR imaging breast vascular maps: association between invasive cancer and ipsilateral increased vascularity. Radiology. 2005;235:791–7.
Sardanelli F, Fausto A, Menicagli L, Esseridou A. Breast vascular mapping obtained with contrast-enhanced MR imaging: implications for cancer diagnosis, treatment, and risk stratification. Eur Radiol. 2007;17:48–51.
Verardi N, Di Leo G, Carbonaro LA, Fedeli MP, Sardanelli F. Contrast-enhanced MR imaging of the breast: association between asymmetric increased breast vascularity and ipsilateral cancer in a consecutive series of 197 patients. Radiol Med. 2012;118(2):239–50.
Lin M, Chen JH, Nie K, Chang D, Nalcioglu O, Su MY. Algorithm-based method for detection of blood vessels in breast MRI for development of computer-aided diagnosis. J Magn Reson Imag. 2009;30(4):817–24.
Otsu N. A threshold selection method from gray-level histograms. IEEE Trans Syst Man Cybern. 1979;9(1):62–6.
Pratt WK. Digital image processing. New York: Wiley; 1991.
Lam L, Seong-Whan L, Ching YS. Thinning methodologies-a comprehensive survey. IEEE Trans Pattern Anal Mach Intell. 1992;14(9):869–85.
de Boor C. A practical guide to splines. New York: Springer; 1978.
Lee ETY. Choosing nodes in parametric curve interpolation. Comput Aided Des. 1989;21:363–70.
Westenberg JJ, van der Geest RJ, Wasser MN, van der Linden EL, van Walsum T, van Assen HC, de Roos A, Vanderschoot J, Reiber JH. Vessel diameter measurements in gadolinium contrast-enhanced three-dimensional MRA of peripheral arteries. Magn Reson Imag. 2000;18(1):13–22.
Kul S, Cansu A, Alhan E, Dinc H, Reis A, Çan G. Contrast-enhanced MR angiography of the breast: evaluation of ipsilateral increased vascularity and adjacent vessel sign in the characterization of breast lesions. AJR Am J Roentgenol. 2010;195(5):1250–4.
Ethical standards
All enrolled patients gave their informed consent prior to their inclusion in the study. Approval for this study was granted by the local ethics committee.
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All authors of manuscript have no conflict of interest.
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Fusco, R., Sansone, M., Filice, S. et al. Breast contrast-enhanced MR imaging: semiautomatic detection of vascular map. Breast Cancer 23, 266–272 (2016). https://doi.org/10.1007/s12282-014-0565-8
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DOI: https://doi.org/10.1007/s12282-014-0565-8