4.7 Article

Breast Cancer: Early Prediction of Response to Neoadjuvant Chemotherapy Using Parametric Response Maps for MR Imaging

期刊

RADIOLOGY
卷 272, 期 2, 页码 385-396

出版社

RADIOLOGICAL SOC NORTH AMERICA
DOI: 10.1148/radiol.14131332

关键词

-

资金

  1. Korea Healthcare Technology R&D Project, Ministry of Health & Welfare, Republic of Korea [A102065-37, A070001]

向作者/读者索取更多资源

Purpose: To prospectively compare the performance of dynamic contrast material-enhanced (DCE) magnetic resonance (MR) imaging using parametric response map (PRM) analysis with that using pharmacokinetic parameters (transfer constant [K-trans], rate constant [k(ep)], and relative extravascular extracellular space [v(e)]) in the early prediction of pathologic responses to neoadjuvant chemotherapy (NAC) in breast cancer patients. Materials and Methods: The institutional review board approved this study; informed consent was obtained. Between August 2010 and December 2012, 48 women (mean age, 46.4 years; range, 29-65 years) with breast cancer were enrolled and treated with an anthracycline-taxane regimen. DCE MR imaging was performed before and after the first cycle of chemotherapy, and the pathologic response was assessed after surgery. Tumor size and volume, PRM characteristics, and pharmacokinetic parameters (K-trans, k(ep), and v(e)) on MR images were assessed and compared according to the pathologic responses by using the Fisher exact test or the independent-sample t test. Results: Six of 48 (12%) patients showed pathologic complete response (CR) (pCR) and 42 (88%) showed nonpathologic CR (npCR). Thirty-eight (79%) patients showed a good response (Miller-Payne score of 3, 4, or 5), and 10 (21%) showed a minor response (Miller-Payne score of 1 or 2). The mean proportion of voxels with increased signal intensity (PRMSI+) in the pCR or good response group was significantly lower than that in the npCR or minor response group (14.0% +/- 6.5 vs 40.7% +/- 27.2, P < .001; 34.3% +/- 26.4 vs 52.8% +/- 24.9, P =.041). Area under the receiver operating characteristic curve for PRMSI+ in the pCR group was 0.770 (95% confidence interval: 0.626, 0.879), and that for the good response group was 0.716 (95% confidence interval: 0.567, 0.837). No difference in tumor size, tumor volume, or pharmacokinetic parameters was found between groups. Conclusion: PRM analysis of DCE MR images may enable the early identification of the pathologic response to NAC after the first cycle of chemotherapy, whereas pharmacokinetic parameters (K-trans, k(ep), and v(e)) do not. (C) RSNA, 2014

作者

我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。

评论

主要评分

4.7
评分不足

次要评分

新颖性
-
重要性
-
科学严谨性
-
评价这篇论文

推荐

Article Oncology

Association of Insulin, Metformin, and Statin with Mortality in Breast Cancer Patients

Mihong Choi, Jiyeon Han, Bo Ram Yang, Myoung-jin Jang, Miso Kim, Dae-Won Lee, Tae-Yong Kim, Seock-Ah Im, Han-Byoel Lee, Hyeong-Gon Moon, Wonshik Han, Dong-Young Noh, Kyung-Hun Lee

Summary: Insulin or statin use prior to breast cancer diagnosis is associated with increased all-cause mortality. Subsequent analysis suggests metformin or statin use may be protective in patients with ER-negative disease, warranting further studies.

CANCER RESEARCH AND TREATMENT (2021)

Article Oncology

Identification of breast cancer patients with pathologic complete response in the breast after neoadjuvant systemic treatment by an intelligent vacuum-assisted biopsy

Andre Pfob, Chris Sidey-Gibbons, Han-Byoel Lee, Marios Konstantinos Tasoulis, Vivian Koelbel, Michael Golatta, Gaiane M. Rauch, Benjamin D. Smith, Vicente Valero, Wonshik Han, Fiona MacNeill, Walter Paul Weber, Geraldine Rauch, Henry M. Kuerer, Joerg Heil

Summary: The study developed and tested multivariate algorithms to accurately identify breast cancer patients without residual cancer after neoadjuvant treatment. The neural network showed the best performance with a specificity ranging from 65.2% to 67.2% in both test and external validation datasets.

EUROPEAN JOURNAL OF CANCER (2021)

Article Multidisciplinary Sciences

S100A8/A9 mediate the reprograming of normal mammary epithelial cells induced by dynamic cell-cell interactions with adjacent breast cancer cells

Seol Hwa Jo, Woo Hang Heo, Hye-Youn Son, Mingji Quan, Bok Sil Hong, Ju Hee Kim, Han-Byoel Lee, Wonshik Han, Yeonju Park, Dong-Sup Lee, Nam Hoon Kwon, Min Chul Park, Jeesoo Chae, Jong-Il Kim, Dong-Young Noh, Hyeong-Gon Moon

Summary: The direct co-culture of breast cancer cells with non-tumorigenic mammary epithelial cells leads to substantial changes in the molecular and functional characteristics of the mammary epithelial cells, with enhanced proliferation, migration, colony formation, and sphere formation capabilities. Dysregulation of cancer-related pathways is observed, along with upregulation of S100A8 and S100A9, suggesting a potential transition program mediated by these proteins in non-tumorigenic epithelial cells.

SCIENTIFIC REPORTS (2021)

Article Oncology

STAT3 Stabilizes IKKα Protein through Direct Interaction in Transformed and Cancerous Human Breast Epithelial Cells

Young-Il Hahn, Soma Saeidi, Su-Jung Kim, Se-Young Park, Na-Young Song, Jie Zheng, Do-Hee Kim, Han-Byoel Lee, Wonshik Han, Dong-Young Noh, Hye-Kyung Na, Young-Joon Surh

Summary: STAT3 and NF-kappa B are critical transcription factors in inflammation-associated tumorigenesis, working together at multiple levels. Breast carcinomas have a significant dependency on both classical and non-classical NF-kappa B pathways. STAT3 stabilizes and activates IKK alpha, leading to NF-kappa B activation and promoting breast cancer growth and progression.

CANCERS (2021)

Article Oncology

Hypofractionated versus conventional fractionated radiotherapy for breast cancer in patients with reconstructed breast: Toxicity analysis

Dong-Yun Kim, Eonju Park, Chan Yeong Heo, Ung Sik Jin, Eun Kyu Kim, Wonshik Han, Kyung Hwan Shin, In Ah Kim

Summary: The study found that there was no significant difference in breast-related complications between hypofractionated and conventional fractionated adjuvant radiotherapy in reconstructed breast cancer patients. Hypofractionated radiotherapy showed a significant advantage in reducing major contracture compared to conventional radiotherapy.

BREAST (2021)

Article Oncology

Interaction of Nrf2 with dimeric STAT3 induces IL-23 expression: Implications for breast cancer progression

Su-Jung Kim, Soma Saeidi, Nam-Chul Cho, Seung Hyeon Kim, Han-Byoel Lee, Wonshik Han, Dong-Young Noh, Young-Joon Surh

Summary: Persistent activation of STAT3 and Nrf2 in basal-like breast cancer is shown to stimulate aggressive behavior, with their interaction accelerating BLBC growth through increased IL-23A expression.

CANCER LETTERS (2021)

Article Oncology

Is mastectomy with immediate reconstruction safe for patients undergoing neoadjuvant chemotherapy? A nationwide study from Korean Breast Cancer Society

Sungmin Park, Joon Jeong, Wonshik Han, Young Joo Lee, Hyun-Ah Kim, Seokwon Lee, Kyung Do Byun, Young Jin Choi, Jiyoung Kim, Soo Youn Bae

Summary: The study compared the prognoses of breast cancer patients who underwent mastectomy with immediate breast reconstruction (IBR) after neoadjuvant chemotherapy with those who only underwent mastectomy. The results showed that there was no significant difference in prognosis between the two groups in general, but patients in the mastectomy with IBR group had slightly better outcomes compared to those in the mastectomy group in clinical stage II patients. Individualized surgical decisions should be made based on patient-specific factors.

BREAST CANCER (2021)

Article Cell Biology

15-Deoxy-Δ12,14-prostaglandin J2 Upregulates VEGF Expression via NRF2 and Heme Oxygenase-1 in Human Breast Cancer Cells

Eun-Hee Kim, Su-Jung Kim, Hye-Kyung Na, Wonshik Han, Nam-Jung Kim, Young-Ger Suh, Young-Joon Surh

Summary: The study found that 15d-PGJ2 activates VEGF expression through NRF2-driven induction of HO-1 in human breast cancer cells, suggesting a novel oncogenic mechanism. Elevated levels of 15d-PGJ2 during the inflammatory response were linked to poor clinical outcomes in breast cancer patients. Levels of 15d-PGJ2, COX-2, NRF2, and HO-1 were found to be increased in human breast cancer tissues.
Article Gastroenterology & Hepatology

Multi-biomarker panel prediction model for diagnosis of pancreatic cancer

Doo-Ho Lee, Woongchang Yoon, Areum Lee, Youngmin Han, Yoonhyeong Byun, Jae Seung Kang, Hongbeom Kim, Wooil Kwon, Young-Ah Suh, Yonghwan Choi, Junghyun Namkung, Sangjo Han, Sung Gon Yi, Jin Seok Heo, In Woong Han, Joon Oh Park, Joo Kyung Park, Song Cheol Kim, Eunsung Jun, Chang Moo Kang, Woo Jin Lee, Hyeon Kook Lee, Huisong Lee, Seungyeoun Lee, Seung-Yong Jeong, Kyu Eun Lee, Wonshik Han, Taesung Park, Jin-Young Jang

Summary: This study developed a prediction model using a multi-marker panel as a diagnostic screening tool for pancreatic ductal adenocarcinoma and demonstrated its significant diagnostic performance in distinguishing pancreatic ductal adenocarcinoma from normal and benign pancreatic disease states, as well as patients with other cancers.

JOURNAL OF HEPATO-BILIARY-PANCREATIC SCIENCES (2023)

Article Multidisciplinary Sciences

Analysis of BRCA1/2 variants of unknown significance in the prospective Korean Hereditary Breast Cancer study

Joo Heung Kim, Sunggyun Park, Hyung Seok Park, Ji Soo Park, Seung-Tae Lee, Sung-Won Kim, Jong Won Lee, Min Hyuk Lee, Sue K. Park, Woo-Chul Noh, Doo Ho Choi, Wonshik Han, Sung Hoo Jung

Summary: Genetic testing for BRCA1 and BRCA2 is crucial in diagnosing hereditary breast and ovarian cancer syndromes, but VUS results pose challenges to clinicians. A study of 676 breast cancer patients in Korea found numerous VUS on BRCA mutation tests, some of which were reclassified in the ClinVar database. Utilizing updated ClinVar information and calculating odds ratios can aid in the reclassification of VUSs in BRCA1/2.

SCIENTIFIC REPORTS (2021)

Article Oncology

Gene-Environment Interactions Relevant to Estrogen and Risk of Breast Cancer: Can Gene-Environment Interactions Be Detected Only among Candidate SNPs from Genome-Wide Association Studies?

JooYong Park, Ji-Yeob Choi, Jaesung Choi, Seokang Chung, Nan Song, Sue K. Park, Wonshik Han, Dong-Young Noh, Sei-Hyun Ahn, Jong Won Lee, Mi Kyung Kim, Sun Ha Jee, Wanqing Wen, Manjeet K. Bolla, Qin Wang, Joe Dennis, Kyriaki Michailidou, Mitul Shah, Don M. Conroy, Patricia A. Harrington, Rebecca Mayes, Kamila Czene, Per Hall, Lauren R. Teras, Alpa V. Patel, Fergus J. Couch, Janet E. Olson, Elinor J. Sawyer, Rebecca Roylance, Stig E. Bojesen, Henrik Flyger, Diether Lambrechts, Adinda Baten, Keitaro Matsuo, Hidemi Ito, Pascal Guenel, Therese Truong, Renske Keeman, Marjanka K. Schmidt, Anna H. Wu, Chiu-Chen Tseng, Angela Cox, Simon S. Cross, Irene L. Andrulis, John L. Hopper, Melissa C. Southey, Pei-Ei Wu, Chen-Yang Shen, Peter A. Fasching, Arif B. Ekici, Kenneth Muir, Artitaya Lophatananon, Hermann Brenner, Volker Arndt, Michael E. Jones, Anthony J. Swerdlow, Reiner Hoppe, Yon-Dschun Ko, Mikael Hartman, Jingmei Li, Arto Mannermaa, Jaana M. Hartikainen, Javier Benitez, Anna Gonzalez-Neira, Christopher A. Haiman, Thilo Doerk, Natalia V. Bogdanova, Soo Hwang Teo, Nur Aishah Mohd Taib, Olivia Fletcher, Nichola Johnson, Mervi Grip, Robert Winqvist, Carl Blomqvist, Heli Nevanlinna, Annika Lindblom, Camilla Wendt, Vessela N. Kristensen, Rob A. E. M. Tollenaar, Bernadette A. M. Heemskerk-Gerritsen, Paolo Radice, Bernardo Bonanni, Ute Hamann, Mehdi Manoochehri, James V. Lacey, Maria Elena Martinez, Alison M. Dunning, Paul D. P. Pharoah, Douglas F. Easton, Keun-Young Yoo, Daehee Kang

Summary: The study focused on gene-environment interactions related to estrogen exposure or metabolism in Korean women, finding two interactions that were not replicated in a larger European and Asian population. This highlights the specificity of breast cancer risk in Koreans.

CANCERS (2021)

Article Oncology

The Emotional Status, Attitudes in Decision-Making Process, and Their Impact on Surgical Choices in Korean Breast Cancer Patients

Sook Young Jeon, Kyoung-Eun Kim, Eun-Kyu Kim, Hyunhee Han, Han-Byoel Lee, Wonshik Han, Dong-Young Noh, Hyeong-Gon Moon

Summary: This study found that although many women with newly diagnosed breast cancer experience depression and anxiety before surgery, these emotions do not impact their choice of surgical method. Instead, their attitudes towards the decision-making process play a significant role in influencing their choice. Patients who preferred a more active role in decision-making were more likely to choose mastectomy over breast-conserving surgery.

JOURNAL OF ONCOLOGY (2021)

Article Oncology

Clinical Outcomes Following Letrozole Treatment according to Estrogen Receptor Expression in Postmenopausal Women: LETTER Study (KBCSG-006)

Sung Gwe Ahn, Seok Jin Nam, Sei Hyun Ahn, Yongsik Jung, Heung Kyu Park, Soo Jung Lee, Sung Soo Kang, Wonshik Han, Kyong Hwa Park, Yong Lai Park, Jihyoun Lee, Hyun Jo Youn, Jun Hyun Kim, Youngbum Yoo, Jeong Yoon Song, Byung Kyun Ko, Geumhee Gwak, Min Sung Chung, Sung Yong Kim, Seo Heon Cho, Doyil Kim, Myung Chul Chang, Byung In Moon, Lee Su Kim, Sei Joong Kim, Min Ho Park, Tae Hyun Kim, Jihyoung Cho, Cheol Wan Lim, Young Tae Bae, Gyungyub Gong, Young Kyung Bae, Ahwon Lee, Joon Jeong

Summary: Adjuvant letrozole treatment demonstrates favorable efficacy and tolerability in patients with breast cancer, independent of ER expression levels.

JOURNAL OF BREAST CANCER (2021)

Article Education, Scientific Disciplines

Correlation between bone mineral density and endometrial thickness over time in women with breast cancer history

Ji Han Lee, Yong Jin Kim, Sung Woo Kim, Hoon Kim, Wonshik Han, Seung-Yup Ku

Summary: This retrospective study reviewed records of 164 women who underwent breast cancer surgery, finding that bone mineral density (BMD) in L1-4, femur neck, and femur total was significantly lower at follow-up than at initial visit. The change in BMD was positively correlated with age and endometrial thickness (EMT) change, suggesting that EMT could be an alternative screening marker for BMD decrease in breast cancer survivors during follow-up.

SCIENCE PROGRESS (2021)

Article Oncology

Association between Number of Retrieved Sentinel Lymph Nodes and Breast Cancer-related Lymphedema

Hong-Kyu Kim, Young Wook Ju, Jun Woo Lee, Kyoung-Eun Kim, Jigwang Jung, Yumi Kim, Han-Byoel Lee, Hyeong-Gon Moon, Dong-Young Noh, Kwan Sik Seo, Wonshik Han

Summary: This study evaluated the risk factors for lymphedema in breast cancer surgery and adjuvant treatments, and found that the number of retrieved sentinel lymph nodes was not associated with the incidence of lymphedema.

JOURNAL OF BREAST CANCER (2021)

暂无数据