Staging performance of whole-body DWI, PET/CT and PET/MRI in invasive ductal carcinoma of the breast

Autor: Marco Salvatore, Ciprian Catana, Mark Vangel, Angelo Luongo, Carlo Iannace, Bruce R. Rosen, Mazzeo Filomena, Alberto Signore, Luigi Mansi, Umar Mahmood, Onofrio A. Catalano, Andrea Soricelli, Marco Catalano, Niccolo Fuin, Dania Daye
Rok vydání: 2017
Předmět:
Adult
Cancer Research
medicine.medical_specialty
diffusion-weighted imaging
Breast Neoplasms
carcinoma
breast cancer
pet/ct
pet/mr
staging
adult
aged
breast neoplasms
carcinoma
ductal
breast

diffusion magnetic resonance imaging
female
fluorodeoxyglucose f18
humans
magnetic resonance imaging
middle aged
neoplasm staging
positron emission tomography computed tomography
radiopharmaceuticals
retrospective studies
young adult
030218 nuclear medicine & medical imaging
Young Adult
03 medical and health sciences
Prostate cancer
0302 clinical medicine
Breast cancer
McNemar's test
Fluorodeoxyglucose F18
Positron Emission Tomography Computed Tomography
Humans
Medicine
breast
Aged
Neoplasm Staging
Retrospective Studies
PET-CT
medicine.diagnostic_test
business.industry
Carcinoma
Ductal
Breast

Cancer
Magnetic resonance imaging
Middle Aged
medicine.disease
ductal
Magnetic Resonance Imaging
Diffusion Magnetic Resonance Imaging
Oncology
Positron emission tomography
030220 oncology & carcinogenesis
Female
Radiology
Radiopharmaceuticals
business
Diffusion MRI
Zdroj: International Journal of Oncology. 51:281-288
ISSN: 1791-2423
1019-6439
DOI: 10.3892/ijo.2017.4012
Popis: The aim of the present study was to evaluate the performance of whole-body diffusion-weighted imaging (WB-DWI), whole-body positron emission tomography with computed tomography (WB-PET/CT), and whole-body positron emission tomography with magnetic resonance imaging (WB-PET/MRI) in staging patients with untreated invasive ductal carcinoma of the breast. Fifty-one women with newly diagnosed invasive ductal carcinoma of the breast underwent WB-DWI, WB-PET/CT and WB-PET/MRI before treatment. A radiologist and a nuclear medicine physician reviewed in consensus the images from the three modalities and searched for occurrence, number and location of metastases. Final staging, according to each technique, was compared. Pathology and imaging follow-up were used as the reference. WB-DWI, WB-PET/CT and WB-PET/MRI correctly and concordantly staged 33/51 patients: stage IIA in 7 patients, stage IIB in 8 patients, stage IIIC in 4 patients and stage IV in 14 patients. WB-DWI, WB-PET/CT and WB-PET/MRI incorrectly and concordantly staged 1/51 patient as stage IV instead of IIIA. Discordant staging was reported in 17/51 patients. WB-PET/MRI resulted in improved staging when compared to WB-PET/CT (50 correctly staged on WB-PET/MRI vs. 38 correctly staged on WB-PET/CT; McNemar's test; p
Databáze: OpenAIRE