Reproducible automated breast density measure with no ionizing radiation using fat-water decomposition MRI

Autor: Jie, Ding, Alison T, Stopeck, Yi, Gao, Marilyn T, Marron, Betsy C, Wertheim, Maria I, Altbach, Jean-Philippe, Galons, Denise J, Roe, Fang, Wang, Gertraud, Maskarinec, Cynthia A, Thomson, Patricia A, Thompson, Chuan, Huang
Rok vydání: 2017
Předmět:
Zdroj: Journal of magnetic resonance imaging : JMRI. 48(4)
ISSN: 1522-2586
Popis: BACKGROUND: Increased breast density is a significant independent risk factor for breast cancer, and recent studies show that this risk is modifiable. Hence, breast density measures sensitive to small changes are desired. PURPOSE: Utilizing fat-water decomposition MRI, we propose an automated, reproducible breast density measurement, which is non-ionizing and directly comparable to mammographic density (MD). STUDY TYPE: Retrospective study. POPULATION: The study included two sample sets of breast cancer patients enrolled in a clinical trial, for concordance analysis with MD (40 patients) and reproducibility analysis (10 patients). FIELD STRENGTH/SEQUENCE: The majority of MRI scans (59 scans) were performed on a 1.5T GE Signa scanner using radial IDEAL-GRASE sequence, while the remaining (7 scans) were performed on a 3T Siemens Skyra using 3D Cartesian 6-echo GRE sequence with a similar fat-water separation technique. ASSESSMENT: After automated breast segmentation, breast density was calculated using FraGW, a new measure developed to reliably reflect the amount of fibroglandular tissue and total water content in the entire breast. Based on its concordance with MD, FraGW was calibrated to MR-based breast density (MRD) to be comparable to MD. A previous breast density measurement, Fra80—the ratio of breast voxels with
Databáze: OpenAIRE