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

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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.

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Acknowledgements

The scientific guarantor of this publication is Eun-Kyung Kim. The authors of this manuscript declare no relationships with any companies whose products or services may be related to the subject matter of the article. This study was supported by the Basic Science Research Program of the National Research Foundation of Korea funded by the Ministry of Science, ICT & Future Planning, Republic of Korea (grant 2013R1A1A3013165). The funders had no role in study design, data collection and analysis, decision to publish or preparation of the manuscript. We thank Ha Yan Kim, statistician of the Biostatistics Collaboration Unit, Medical Research Center, Yonsei University, College of Medicine, Seoul, Korea for her help with the statistical analysis. Institutional Review Board approval was obtained. Written informed consent was waived by the Institutional Review Board. Verbal informed consents were obtained from all patients prior to breast MRI. Some study subjects or cohorts have not been previously reported. Methodology: prospective, diagnostic or prognostic study, performed at one institution.

Author information

Authors and Affiliations

  1. Department of Radiology and Research Institute of Radiological Science, Severance Hospital, Yonsei University College of Medicine, 50-1 Yonsei-ro, Seodaemun-gu, 120-752, Seoul, Korea

    Soo-Yeon Kim, Min Jung Kim, Eun-Kyung Kim, Hee Jung Moon & Jung Hyun Yoon

  2. Department of Electrical and Electronic Engineering, Yonsei University, Seoul, Korea

    Jaewook Shin & Dong-Hyun Kim

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  1. Soo-Yeon Kim
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  2. Jaewook Shin
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  4. Min Jung Kim
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Correspondence to Min Jung Kim.

Appendix 1

Appendix 1

Phase-based electric properties tomography (EPT) for conductivity reconstruction

Electric conductivity can be reconstructed from RF magnetic field (B) information using the Helmholtz equation assuming a local constant for conductivity. The radiofrequency (RF) magnetic field (B) is a complex number and can be decomposed into its magnitude and phase components and into the clockwise and anti-clockwise rotational components as:

(A1)

B m is the magnitude of B and φ B is the phase of B. B 1m + represents the magnitude of the clockwise transmit RF field and B 1m - represents the magnitude of anti-clockwise receive RF field. φ represents the phase of the corresponding RF field.

When the spatial variations of B 1m + and B 1m - are negligible (i.e., ε + and ε - are close to zero), EPT based on the RF phase only is possible and can be simplified as [12] :

$$ \sigma \approx \frac{1}{2{\mu}_0\omega }{\nabla}^2\left({\varphi}_{+}+{\varphi}_{-}\right)=\frac{1}{2{\mu}_0\omega }{\nabla}^2{\varphi}_{\pm }. $$
(1)

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Kim, SY., Shin, J., Kim, DH. et al. Correlation between conductivity and prognostic factors in invasive breast cancer using magnetic resonance electric properties tomography (MREPT). Eur Radiol 26, 2317–2326 (2016). https://doi.org/10.1007/s00330-015-4067-7

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  • DOI: https://doi.org/10.1007/s00330-015-4067-7

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