Wang Z, Ren GY, Yin Q, Wang Q. Correlation of magnetic resonance imaging quantitative parameters and apparent diffusion coefficient value with pathological breast cancer. World J Clin Cases 2022; 10(21): 7333-7340 [PMID: 36158015 DOI: 10.12998/wjcc.v10.i21.7333]
Corresponding Author of This Article
Guan-Ying Ren, MD, Attending Doctor, Department of Medical Oncology, Affiliated Hospital of Hebei University, Hebei Key Laboratory of Cancer Radiotherapy and Chemotherapy, No. 648 Dongfeng Dong Lu, Baoding 071000, Hebei Province, China. renguanying1982@163.com
Research Domain of This Article
Neuroimaging
Article-Type of This Article
Retrospective Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Jul 26, 2022; 10(21): 7333-7340 Published online Jul 26, 2022. doi: 10.12998/wjcc.v10.i21.7333
Table 1 Comparison of general information of the two groups of patients, n (%)
Factor
Breast cancer group (n = 108)
Benign group (n = 110)
t/χ2
P value
Age (mean ± SD, yr)
46.1 ± 7.0
47.5 ± 8.4
-1.336
0.183
Body mass index (mean ± SD, kg/m2)
24.6 ± 2.5
24.3 ± 2.6
0.868
0.386
Affected side distribution
0.902
0.342
Left side
58 (53.7)
52 (48.15)
Right
50 (46.3)
58 (53.7)
Hypertension
0.618
0.432
Yes
11 (10.19)
15 (13.89)
No
97 (89.81)
95 (87.96)
Diabetes
2.062
0.151
Yes
6 (5.56)
12 (11.11)
No
102 (94.44)
98 (90.74)
Hyperlipidemia
2.221
0.136
Yes
17 (15.74)
10 (9.26)
No
91 (84.26)
100 (92.59)
Menopause
0.930
0.335
Yes
18 (16.67)
24 (22.22)
No
90 (83.33)
86 (79.63)
Table 2 Comparison of magnetic resonance imaging parameters and apparent diffusion coefficient values between the two groups (mean ± SD)
Groups
Ktrans (min-1)
Kep (min-1)
Ve
ADC (× 10-3 mm2/s)
Breast cancer group (n = 108)
0.481 ± 0.113
0.577 ± 0.120
0.764 ± 0.170
0.741 ± 0.184
Benign group (n = 110)
0.264 ± 0.096
0.408 ± 0.113
0.528 ± 0.150
1.109 ± 0.241
t value
15.290
10.707
10.874
-12.655
P value
0.000
0.000
0.000
0.000
Table 3 Comparison of magnetic resonance imaging parameters and apparent diffusion coefficient values in breast cancer patients with different immunostaining and histochemical results (mean ± SD)
Express the situation
n
Ktrans (min-1)
Kep (min-1)
Ve
ADC (× 10-3 mm2/s)
ER
Positive
74
0.462 ± 0.105
0.563 ± 0.112
0.740 ± 0.166
0.713 ± 0.170
Feminine
34
0.522 ± 0.100
0.607 ± 0.109
0.816 ± 0.154
0.802 ± 0.168
t value
-2.698
-1.912
-2.259
-2.536
P value
0.008
0.059
0.026
0.013
PR
Positive
62
0.468 ± 0.108
0.542 ± 0.115
0.751 ± 0.165
0.721 ± 0.180
Feminine
46
0.499 ± 0.111
0.624 ± 0.116
0.782 ± 0.158
0.768 ± 0.178
t value
-1.458
-3.651
-0.983
-1.348
P value
0.148
0.000
0.328
0.180
HER-2
Positive
34
0.461 ± 0.107
0.621 ± 0.116
0.713 ± 0.166
0.719 ± 0.181
Feminine
74
0.490 ± 0.110
0.557 ± 0.109
0.787 ± 0.162
0.751 ± 0.178
t value
-1.283
2.777
-2.188
-0.863
P value
0.202
0.006
0.031
0.390
Table 4 Comparison of magnetic resonance imaging parameters and apparent diffusion coefficient values in breast cancer patients with different prognosis (mean ± SD)
Recurrence
n
Ktrans (min-1)
Kep (min-1)
Ve
ADC (× 10-3 mm2/s)
Relapse
22
0.457 ± 0.111
0.528 ± 0.109
0.698 ± 0.155
0.663 ± 0.181
No recurrence
86
0.487 ± 0.107
0.590 ± 0.112
0.781 ± 0.165
0.761 ± 0.176
t value
-1.165
-2.329
-2.130
-2.317
P value
0.247
0.022
0.035
0.022
Table 5 The value of magnetic resonance imaging parameters and apparent diffusion coefficient values in predicting patient recurrence
Index
Critical value
AUC
Sensitivity (%)
Specificity (%)
Missed diagnosis rate (%)
Misdiagnosis rate (%)
Kep (min-1)
0.561
0.599
65.19
55.40
34.81
44.60
Ve
0.725
0.527
58.04
51.06
41.96
48.94
ADC (×10-3 mm2/s)
0.718
0.739
71.57
61.09
28.43
38.91
ADC + Kep + Ve
-
0.858
83.67
77.18
16.33
22.82
Citation: Wang Z, Ren GY, Yin Q, Wang Q. Correlation of magnetic resonance imaging quantitative parameters and apparent diffusion coefficient value with pathological breast cancer. World J Clin Cases 2022; 10(21): 7333-7340