A Review of Diffusion Magnetic Resonance Imaging in Characterization of Breast Cancers
Abstract
Diffusion Magnetic Resonance Imaging (dMRI) has widely been used as a part of breast MRI protocols throughout the world, providing valuable information about breast tissue structures. This method has the potential to improve the characterization of benign and malignant breast lesions thereby guiding treatment decisions. DMRI as a non-contrast approach has certain benefits in comparison with the Dynamic Contrast Enhanced (DCE) method. Particularly, dMRI does not need intravenous contrast, which makes the imaging process faster and easier. Although there are still concerns about dMRI images quality, advances in the acquisition methods seem to be promising. More advanced dMRI strategies, such as Diffusion Tensor Imaging (DTI) and Intravoxel Incoherent Motion (IVIM), not only improve diagnosis accuracy, but also present new information about tissue perfusion. This review will present an overview of dMRI in the characterization of breast cancers.
2- Kaiser W., "MRI of the female breast. First clinical results." Archives Internationales de Physiologie et de Biochimie, 93:5, pp. 67-76, (1985).
3- Fenzl G Heywang SH, Hahn D, Krischke I, Edmaier M, Eiermann W, Bassermann R., "MR imaging of the breast: comparison with mammography and ultrasound." Journal of Computer Assisted Tomography. 10(4), pp. 615-20, (1986).
4- Michelle C. Walters and Lennard Nadalo, "MRI Breast Clinical Indications: A Comprehensive Review." Vol. 2 (No. 1), (2013).
5- Selvi V et al., "Role of Magnetic Resonance Imaging in the Preoperative Staging and Work-Up of Patients Affected by Invasive Lobular Carcinoma or Invasive Ductolobular Carcinoma." (2018).
6- Lee CH et al., "Breast cancer screening with imaging: recommendations from the Society of Breast Imaging and the ACR on the use of mammography, breast MRI, breast ultrasound, and other technologies for the detection of clinically occult breast cancer." Vol. 7 (No. 1), (2010).
7- Heywang SH et al., "MR imaging of the breast using gadolinium-DTPA." pp. 199-204, (1986).
8- Assili S, Fathi Kazerooni A, Aghaghazvini L, Saligheh Rad HR, and Pirayesh Islamian J, "Dynamic Contrast Magnetic Resonance Imaging (DCE-MRI) and Diffusion Weighted MR Imaging (DWI) for Differentiation between Benign and Malignant Salivary Gland Tumors." Vol. 5 (No. 4), pp. 157-68, (2015).
9- Partridge SC, DeMartini WB, Kurland BF, Eby PR, White SW, and Lehman CD, "Quantitative diffusion-weighted imaging as an adjunct to conventional breast MRI for improved positive predictive value." pp. 1716-22, (2009).
10- Ei Khouli RH et al., "Diffusion-weighted imaging improves the diagnostic accuracy of conventional 3.0-T breast MR imaging." pp. 64-73, (2010).
11- Spick C, Pinker-Domenig K, Rudas M, Helbich TH, and Baltzer PA, "MRI-only lesions: application of diffusion-weighted imaging obviates unnecessary MR-guided breast biopsies." pp. 1204-10, (2014).
12- Baltzer PA et al., "Diffusion-weighted imaging (DWI) in MR mammography (MRM): clinical comparison of echo planar imaging (EPI) and half-Fourier single-shot turbo spin echo (HASTE) diffusion techniques." pp. 1612-20, (2009).
13- Marini C, Iacconi C, Giannelli M, Cilotti A, Moretti M, and Bartolozzi C, "Quantitative diffusion-weighted MR imaging in the differential diagnosis of breast lesion." pp. 2646-57, (2007).
14- Dietrich O, Biffar A, Baur-Melnyk A, and Reiser MF, "Technical aspects of MR diffusion imaging of the body." Vol. 76 (No. 3), pp. 314-22, (2010).
15- Le Bihan D, Breton E, Lallemand D, Grenier P, Cabanis E, and Laval-Jeantet M, "MR imaging of intravoxel incoherent motions: application to diffusion and perfusion in neurologic disorders." pp. 401-7, (1986).
16- Gatidis S, Schmidt H, Martirosian P, Nikolaou K, and Schwenzer NF, "Apparent diffusion coefficient-dependent voxelwise computed diffusion-weighted imaging: An approach for improving SNR and reducing T2 shine-through effects." pp. 824-32, (2016).
17- Le Bihan D, Breton E, Lallemand D, Aubin ML, Vignaud J, and Laval-Jeantet M, "Separation of diffusion and perfusion in intravoxel incoherent motion MR imaging." pp. 497-505, (1988).
18- Fathi Kazerooni A, Pozo JM, McCloskey EV, Saligheh Rad H, and Frangi AF, "Diffusion MRI for Assessment of Bone Quality; A Review of Findings in Healthy Aging and Osteoporosis." Vol. 51 (No. 4), pp. 975-92, (2020).
19- Van Hecke W, Emsell L, and Sunaert S, Diffusion Tensor Imaging: A Practical Handbook. Springer, (2015).
20- Partridge SC, Murthy RS, Ziadloo A, White SW, Allison KH, and Lehman CD, "Diffusion tensor magnetic resonance imaging of the normal breast." Vol. 28 (No. 3), pp. 320-8, (2010).
21- Kim JY et al., "Diffusion tensor magnetic resonance imaging of breast cancer: associations between diffusion metrics and histological prognostic factors." Vol. 28 (No. 8), pp. 3185-93, (2018).
22- Luo J, Hippe D, Rahbar H, Parsian S, Rendi M, and Partridge S, "Diffusion tensor imaging for characterizing tumor microstructure and improving diagnostic performance on breast MRI: a prospective observational study." (2019).
23- Kinoshita M et al., "Fractional anisotropy and tumor cell density of the tumor core show positive correlation in diffusion tensor magnetic resonance imaging of malignant brain tumors." Vol. 43 (No. 1), pp. 29-35, (2008).
24- Le Bihan D, Turner R, and MacFall JR, "Effects of intravoxel incoherent motions(IVIM) in steady-state free precession (SSFP) imaging: application to molecular diffusion imaging." Vol. 10 (No. 3), pp. 324-37, (1989).
25- Rosen EL, Smith-Foley SA, DeMartini WB, Eby PR, Peacock S, and Lehman CD, "BI-RADS MRI enhancement characteristics of ductal carcinoma in situ." Vol. 13 (No. 6), pp. 545-50, (2007).
26- Kvistad KA et al., "Breast lesions: evaluation with dynamic contrast-enhanced T1-weighted MR imaging and with T2*-weighted first-pass perfusion MR imaging." Vol. 216 (No. 2), pp. 545-53, (2000).
27- Amornsiripanitch N, Lam DL, and Rahbar H, "Advances in Breast MRI in the Setting of Ductal Carcinoma In Situ." Vol. 53 (No. 4), pp. 261-9, (2018).
28- Schmadeka R, Harmon BE, and Singh M, "Triple-negative breast carcinoma: current and emerging concepts." Vol. 141 (No. 4), pp. 462-77, (2014).
29- SN Abdul Rashid, K Rahmat, KJ Jayaprasagam, K Alli, and F Moosa, "Medullary carcinoma of the breast: Role of contrast-enhanced MRI in the diagnosis of multiple breast lesions." Vol. 5 (No. 4), (2009).
30- Liberman L, LaTrenta LR, Samli B, Morris EA, Abramson AF, and Dershaw DD, "Overdiagnosis of medullary carcinoma: a mammographic-pathologic correlative study." Vol. 201 (No. 2), pp. 443-6, (1996).
31- Jeong SJ et al., "Medullary carcinoma of the breast: MRI findings." Vol. 198 (No. 5), pp. 482-7, (2012).
32- Kawashima M et al., "MR imaging of mucinous carcinoma of the breast." Vol. 179 (No. 1), pp. 179-83, (2002).
33- Yamamoto S, Maki DD, Korn RL, and Kuo MD, "Radiogenomic analysis of breast cancer using MRI: a preliminary study to define the landscape." Vol. 199 (No. 3), pp. 654-63, (2012).
34- Sutton EJ et al., "Breast cancer subtype intertumor heterogeneity: MRI-based features predict results of a genomic assay." Vol. 42 (No. 5), pp. 1398-406, (2015).
35- Koo HR et al., "Correlation of perfusion parameters on dynamic contrast-enhanced MRI with prognostic factors and subtypes of breast cancers." Vol. 36 (No. 1), pp. 145-51, (2012).
36- Grimm LJ, Zhang J, and Mazurowski MA, "Computational approach to radiogenomics of breast cancer: Luminal A and luminal B molecular subtypes are associated with imaging features on routine breast MRI extracted using computer vision algorithms." Vol. 42 (No. 4), pp. 902-7, (2015).
37- Ming Fan, Hui Li, Shijian Wang, Bin Zheng, Juan Zhang, and Lihua Li, "Radiomic analysis reveals DCE-MRI features for prediction of molecular subtypes of breast cancer." Vol. 12 (No. 2), (2017).
38- Rahbar H et al., "Characterization of ductal carcinoma in situ on diffusion weighted breast MRI." Vol. 21 (No. 9), (2011).
39- Yılmaz R et al., "MR Imaging Features of Tubular Carcinoma: Preliminary Experience in Twelve Masses." Vol. 14 (No. 1), pp. 39-45, (2018).
40- Sharma U et al., "Potential of Diffusion-Weighted Imaging in the Characterization of Malignant, Benign, and Healthy Breast Tissues and Molecular Subtypes of Breast Cancer." Vol. 6 (No. 126), (2016).
41- Woodhams R et al., "Diffusion-weighted imaging of mucinous carcinoma of the breast: evaluation of apparent diffusion coefficient and signal intensity in correlation with histologic findings." Vol. 193 (No. 1), pp. 260-6, (2009).
42- Yuan C, Jin F, Guo X, Zhao S, Li W, and Guo H, "Correlation Analysis of Breast Cancer DWI Combined with DCE-MRI Imaging Features with Molecular Subtypes and Prognostic Factors." Vol. 43 (No. 4), (2019).
43- Baba S et al., "Diagnostic and prognostic value of pretreatment SUV in 18F-FDG/PET in breast cancer: comparison with apparent diffusion coefficient from diffusion-weighted MR imaging." Vol. 55 (No. 5), pp. 736-42, (2014).
44- Meng L and Ma P, "Apparent diffusion coefficient value measurements with diffusion magnetic resonance imaging correlated with the expression levels of estrogen and progesterone receptor in breast cancer: A meta-analysis." Vol. 12 (No. 1), pp. 36-42, (2016).
45- Arponen O et al., "Diffusion-Weighted Imaging in 3.0 Tesla Breast MRI: Diagnostic Performance and Tumor Characterization Using Small Subregions vs. Whole Tumor Regions of Interest." Vol. 10 (No. 10), (2015).
46- Park SH, Choi HY, and Hahn SY, "Correlations between apparent diffusion coefficient values of invasive ductal carcinoma and pathologic factors on diffusion-weighted MRI at 3.0 Tesla." Vol. 41 (No. 1), pp. 175-82, (2015).
47- Karan B, Pourbagher A, and Torun N, "Diffusion-weighted imaging and (18) F-fluorodeoxyglucose positron emission tomography/computed tomography in breast cancer: Correlation of the apparent diffusion coefficient and maximum standardized uptake values with prognostic factors." Vol. 43 (No. 6), pp. 1434-44, (2016).
48- Youk JH, Son EJ, Chung J, Kim JA, and Kim EK, "Triple-negative invasive breast cancer on dynamic contrast-enhanced and diffusion-weighted MR imaging: comparison with other breast cancer subtypes." Vol. 22 (No. 8), pp. 1724-34, (2012).
49- Mooney KL, Bassett LW, and Apple SK, "Upgrade rates of high-risk breast lesions diagnosed on core needle biopsy: a single-institution experience and literature review." Vol. 29 (No. 12), pp. 1471-84, (2016).
50- deSouza NM et al., "Implementing diffusion-weighted MRI for body imaging in prospective multicentre trials: current considerations and future perspectives." Vol. 28 (No. 3), pp. 1118-31, (2018).
51- Bickel H et al., "Quantitative apparent diffusion coefficient as a noninvasive imaging biomarker for the differentiation of invasive breast cancer and ductal carcinoma in situ." Vol. 50 (No. 2), pp. 95-100, (2015).
52- Kim YJ, Kim SH, Lee AW, Jin MS, Kang BJ, and Song BJ, "Histogram analysis of apparent diffusion coefficients after neoadjuvant chemotherapy in breast cancer." Vol. 34 (No. 10), pp. 657-66, (2016).
53- Surov A et al., "Can diffusion-weighted imaging predict tumor grade and expression of Ki-67 in breast cancer? A multicenter analysis." Vol. 20 (No. 1), (2018).
54- Zhang L, Tang M, Min Z, Lu J, Lei X, and Zhang X, "Accuracy of combined dynamic contrast-enhanced magnetic resonance imaging and diffusion-weighted imaging for breast cancer detection: a meta-analysis." Vol. 57 (No. 6), pp. 651-60, (2016).
55- Surov A, Meyer HJ, and Wienke A, "Can apparent diffusion coefficient (ADC) distinguish breast cancer from benign breast findings? A meta-analysis based on 13 847 lesions." Vol. 19 (No. 1), (2019).
56- Savannah C. Partridge and Elizabeth S. McDonald, "Diffusion weighted MRI of the breast: Protocol optimization, guidelines for interpretation, and potential clinical applications." Vol. 21 (No. 3), (2013).
57- Yabuuchi H et al., "Detection of non-palpable breast cancer in asymptomatic women by using unenhanced diffusion-weighted and T2-weighted MR imaging: comparison with mammography and dynamic contrast-enhanced MR imaging." Vol. 11 (No. 7), (2011).
58- Trimboli RM, Verardi N, Cartia F, Carbonaro LA, and Sardanelli F, "Breast cancer detection using double reading of unenhanced MRI including T1-weighted, T2-weighted STIR, and diffusion-weighted imaging: a proof of concept study." Vol. 203 (No. 3), pp. 674-81, (2014).
59- McDonald ES et al., "Performance of DWI as a Rapid Unenhanced Technique for Detecting Mammographically Occult Breast Cancer in Elevated-Risk Women With Dense Breasts." Vol. 207 (No. 1), pp. 205-16, (2016).
60- Partridge SC, Demartini WB, Kurland BF, Eby PR, White SW, and Lehman CD, "Differential diagnosis of mammographically and clinically occult breast lesions on diffusion-weighted MRI." Vol. 31 (No. 3), pp. 562-70, (2010).
61- Baltzer PAT et al., "Potential of Noncontrast Magnetic Resonance Imaging With Diffusion-Weighted Imaging in Characterization of Breast Lesions: Intraindividual Comparison With Dynamic Contrast-Enhanced Magnetic Resonance Imaging." Vol. 53 (No. 4), pp. 229-35, (2018).
62- CJ D’Orsi, EA Sickles, EB Mendelson, and EA Morris, "ACR BI-RADS® Atlas, Breast Imaging Reporting and Data System. Reston, VA, American College of Radiology; 2013,(nd)." ed.
63- EA Morris, CE Comstock, CH Lee, CD Lehman, DM Ikeda, and GM Newstead, "ACR BI-RADS® magnetic resonance imaging." ACR BI-RADS® atlas, breast imaging reporting and data system, Vol. 5(2013).
64- Jelena Maric, Jasmina Boban, Tatjana Ivkovic-Kapicl, Dragana Djilas, Viktorija Vucaj-Cirilovic, and Dragana Bogdanovic-Stojanovic, "Differentiation of Breast Lesions and Distinguishing Their Histological Subtypes Using Diffusion-Weighted Imaging and ADC Values." Frontiers in oncology, Vol. 10p. 332, (2020).
65- Pascal Baltzer et al., "Diffusion-weighted imaging of the breast—a consensus and mission statement from the EUSOBI International Breast Diffusion-Weighted Imaging working group." European radiology, Vol. 30 (No. 3), pp. 1436-50, (2020).
66- Cai H, Peng Y, Ou C, Chen M, and Li L, "Diagnosis of breast masses from dynamic contrast-enhanced and diffusion-weighted MR: a machine learning approach." Vol. 9 (No. 1), (2014).
67- Sutton EJ et al., "Breast cancer molecular subtype classifier that incorporates MRI features." Vol. 44 (No. 1), pp. 122-9, (2016).
68- Leithner D et al., "Radiomic Signatures Derived from Diffusion-Weighted Imaging for the Assessment of Breast Cancer Receptor Status and Molecular Subtypes." Vol. 22 (No. 2), pp. 453-61, (2020).
69- Jiang L, Hu X, Xiao Q, Gu Y, and Li Q, "Fully automated segmentation of whole breast using dynamic programming in dynamic contrast enhanced MR images." Vol. 44 (No. 6), (2017).
70- Zhang L, Mohamed A, Chai R, Guo Y, Zheng B, and Wu S, "Automated deep learning method for whole-breast segmentation in diffusion-weighted breast MRI." Vol. 51 (No. 2), (2020).
71- Fathi Kazerooni A et al., "ADC-derived spatial features can accurately classify adnexal lesions." Vol. 47 (No. 4), pp. 1061-71, (2018).
72- Mani S et al., "Machine learning for predicting the response of breast cancer to neoadjuvant chemotherapy." Vol. 20 (No. 4), pp. 688-95, (2013).
73- Drukker K, Li H, Antropova N, Edwards A, Papaioannou J, and Giger ML, "Most-enhancing tumor volume by MRI radiomics predicts recurrence-free survival "early on" in neoadjuvant treatment of breast cancer." Vol. 18 (No. 1), (2018).
74- Vidić I et al., "Support vector machine for breast cancer classification using diffusion-weighted MRI histogram features: Preliminary study." Vol. 47 (No. 5), pp. 1205-16, (2018).
75- Polat K and Güneş S, "Breast cancer diagnosis using least square support vector machine." Vol. 17 (No. 4), pp. 694-701.
76- Liu C, Liang C, Liu Z, Zhang S, and Huang B, "Intravoxel incoherent motion (IVIM) in evaluation of breast lesions: comparison with conventional DWI." Vol. 82 (No. 12), pp. 782-9, (2013).
77- Mao X, Zou X, Yu N, Jiang X, and Du J, "Quantitative evaluation of intravoxel incoherent motion diffusion-weighted imaging (IVIM) for differential diagnosis and grading prediction of benign and malignant breast lesions." Vol. 97 (No. 26), (2018).
78- Yuan Q et al., "Quantitative diffusion-weighted imaging and dynamic contrast-enhanced characterization of the index lesion with multiparametric MRI in prostate cancer patients." Vol. 45 (No. 3), pp. 908-16, (2017).
79- Lemke A, Stieltjes B, Schad LR, and Laun FB, "Toward an optimal distribution of b values for intravoxel incoherent motion imaging." Vol. 29 (No. 6), pp. 766-76, (2011).
80- Delille JP, Slanetz PJ, Yeh ED, Kopans DB, and Garrido L, "Breast cancer: regional blood flow and blood volume measured with magnetic susceptibility-based MR imaging--initial results." Vol. 223 (No. 2), pp. 558-65, (2002).
81- Tamura T et al., "Biexponential Signal Attenuation Analysis of Diffusion-weighted Imaging of Breast." Vol. 9 (No. 4), pp. 195-207, (2010).
82- Chen F, Chen P, Hamid Muhammed H, and Zhang J, "Intravoxel Incoherent Motion Diffusion for Identification of Breast Malignant and Benign Tumors Using Chemometrics." (2017).
83- Wang Q, Guo Y, Zhang J, Wang Z, Huang M, and Zhang Y, "Contribution of IVIM to Conventional Dynamic Contrast-Enhanced and Diffusion-Weighted MRI in Differentiating Benign from Malignant Breast Masses." Vol. 11 (No. 4), pp. 254-8, (2016).
84- Pereira FP, Martins G, and Carvalhaes de Oliveira Rde V, "Diffusion magnetic resonance imaging of the breast." Vol. 19 (No. 1), pp. 95-110, (2011).
85- Baltzer P et al., "Diffusion-weighted imaging of the breast-a consensus and mission statement from the EUSOBI International Breast Diffusion-Weighted Imaging working group." Vol. 30pp. 1436-50, (2020).
86- Bogner W et al., "Diffusion-weighted MR for differentiation of breast lesions at 3.0 T: how does selection of diffusion protocols affect diagnosis?" Vol. 253pp. 341-51, (2009).
87- Pereira FP et al., "Assessment of breast lesions with diffusion-weighted MRI: comparing the use of different b values." Vol. 196(2011).
88- Dorrius MD, Dijkstra H, Oudkerk M, and Sijens PE, "Effect of b value and pre-admission of contrast on diagnostic accuracy of 1.5-T breast DWI: a systematic review and meta-analysis." Vol. 24pp. 2835-47, (2014).
89- Baxter GC, Graves MJ, Gilbert FJ, and Patterson AJ, "A Meta-analysis of the Diagnostic Performance of Diffusion MRI for Breast Lesion Characterization." Vol. 291 (No. 3), pp. 632-41, (2019).
90- Tamura T, Murakami S, Naito K, Yamada T, Fujimoto T, and Kikkawa T, "Investigation of the optimal b-value to detect breast tumors with diffusion weighted imaging by 1.5-T MRI." Vol. 14 (No. 11), (2014).
91- Han X, Li J, and Wang X, "Comparison and Optimization of 3.0 T Breast Images Quality of Diffusion-Weighted Imaging with Multiple B-Values." Vol. 24 (No. 4), pp. 418-25, (2017).
92- Woodhams R et al., "Diffusion-weighted imaging of the breast: principles and clinical applications." Vol. 31 (No. 4), pp. 1059-84, (2011).
93- Mami Iima, Savannah C. Partridge, and Denis Le Bihan, "Six DWI questions you always wanted to know but were afraid to ask: clinical relevance for breast diffusion MRI." (2020).
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Issue | Vol 9 No 2 (2022) | |
Section | Literature (Narrative) Review(s) | |
DOI | https://doi.org/10.18502/fbt.v9i2.8853 | |
Keywords | ||
Breast Cancer Diffusion Weighted Imaging Magnetic Resonance Imaging |
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