Correlation Between Numeric Gadolinium-Enhanced Dynamic MRI Ratios and Prognostic Factors and Histologic Type of Breast Carcinoma
Hiroyuki Narisada1,
Takatoshi Aoki1,
Takakazu Sasaguri2,
Hiroshi Hashimoto3,
Tetsumi Konishi4,
Masaru Morita5 and
Yukunori Korogi1
1 Department of Radiology, University of Occupational and Environmental Health,
School of Medicine, 1-1 Iseigaoka, Yahatanishi-ku, Kitakyushu-shi, 807-8555
Japan.
2 Department of Pathology and Cell Biology, University of Occupational and
Environmental Health, School of Medicine, Kitakyushu-shi, Japan.
3 Department of Pathology and Oncology, University of Occupational and
Environmental Health, School of Medicine, Kitakyushu-shi, Japan.
4 First Department of Surgery, University of Occupational and Environmental
Health, School of Medicine, Kitakyushu-shi, Japan.
5 Second Department of Surgery, University of Occupational and Environmental
Health, School of Medicine, Kitakyushu-shi, Japan.

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Fig. 1 Scheme illustrates central and peripheral regions of interest
(ROIs) in tumor. Center ROI measuring 8 mm2 is large square.
Vertical and horizontal crosshairs form target at center of square. Four
peripheral ROIs measuring 2 mm2 are small squares just within
periphery of each tumor on each crosshair radial.
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Fig. 2A 52-year-old woman with tumor classified as modified
Scarff-Bloom-Richardson histologic grade 3. Unenhanced sagittal dynamic MR
image.
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Fig. 2B 52-year-old woman with tumor classified as modified
Scarff-Bloom-Richardson histologic grade 3. MR image 1 minute after injection
of contrast medium.
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Fig. 2C 52-year-old woman with tumor classified as modified
Scarff-Bloom-Richardson histologic grade 3. MR image 4 minutes after injection
of contrast medium.
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Fig. 2D 52-year-old woman with tumor classified as modified
Scarff-Bloom-Richardson histologic grade 3. Photomicrograph of histologic
specimen shows central large scarlike area composed of dense or loose collagen
bundles (arrows), indicating fibrotic focus. Early peripheral/early
central ratio, 1.26; delayed peripheral/delayed central, 1.08; delayed
peripheral/early peripheral, 0.74; delayed central/early central, 0.86. (H and
E, x3)
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Fig. 3 Scheme illustrates method of counting microvessels in
peripheral and central regions of tumor. Microvessels were counted in five
fields in each peripheral portion of each lesion (total, 20 peripheral
fields). In central portion of each lesion, microvessels were counted in 10
fields.
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Fig. 4 Graph shows plots of early peripheral/early central values.
Dots represent means, and lines through dots represent SD. Early
peripheral/early central ratio for mucinous carcinoma was significantly higher
than for invasive ductal carcinoma (IDC) (p < 0.0001) and ductal
carcinoma in situ (DCIS) (p < 0.0001). Mucinous = mucinous
carcinoma, IL = invasive lobular carcinoma. EP/EC = ratio of peripheral
contrast enhancement ratio 1 minute after contrast administration to central
contrast enhancement ratio 1 minute after contrast administration.
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Fig. 5 Graph shows plot of delayed central/early central values.
Dots represent means, and lines through dots represent SD. Delayed
central/early central ratio for mucinous carcinoma was significantly higher
than for invasive ductal carcinoma (IDC) (p < 0.0001) and ductal
carcinoma in situ (DCIS) (p < 0.0001). Delayed central/early
central ratio for invasive lobular (IL) carcinoma was significantly higher
than for invasive ductal carcinoma (p = 0.0005) and ductal carcinoma
in situ (p = 0.0003). Mucinous = mucinous carcinoma, DC/EC = ratio of
central contrast enhancement ratio 4 minutes after contrast administration to
central contrast enhancement ratio 1 minute after contrast administration.
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Fig. 6A 54-year-old woman with tumor classified as modified
Scarff-Bloom-Richardson histologic grade 1. Unenhanced sagittal dynamic MR
image.
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Fig. 6B 54-year-old woman with tumor classified as modified
Scarff-Bloom-Richardson histologic grade 1. MR image 1 minute after injection
of contrast medium.
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Fig. 6C 54-year-old woman with tumor classified as modified
Scarff-Bloom-Richardson histologic grade 1. MR image 4 minutes after injection
of contrast medium.
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Fig. 6D 54-year-old woman with tumor classified as modified
Scarff-Bloom-Richardson histologic grade 1. Photomicrograph of histologic
specimen of tumor shows cellular growth pattern without fibrotic focus. Early
peripheral/early central ratio, 0.72; delayed peripheral/delayed central,
0.74; delayed peripheral/early peripheral, 0.77; delayed central/early
central, 0.75. (H and E, x3)
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Fig. 7A 62-year-old woman with tumor classified as modified
Scarff-Bloom-Richardson histologic grade 3. Unenhanced sagittal dynamic MR
image.
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Fig. 7B 62-year-old woman with tumor classified as modified
Scarff-Bloom-Richardson histologic grade 3. MR image 1 minute after injection
of contrast medium.
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Fig. 7C 62-year-old woman with tumor classified as modified
Scarff-Bloom-Richardson histologic grade 3. MR image 4 minutes after injection
of contrast medium.
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Fig. 7D 62-year-old woman with tumor classified as modified
Scarff-Bloom-Richardson histologic grade 3. Photomicrograph of histologic
specimen of tumor shows peripheral cellular growth (arrows) with
central fibrotic focus (arrowheads). Early peripheral/early central
ratio, 1.77; delayed peripheral/delayed central, 0.68; delayed
peripheral/early peripheral, 0.79; delayed central/early central, 1.26. (H and
E, x3)
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Fig. 8 Scatterplot of early peripheral/early central ratio versus
ratio of peripheral to central microvessel density shows statistically
significant correlation (r = 0.62, p < 0.0001). EP/EC =
ratio of peripheral contrast enhancement ratio 1 minute after contrast
administration to central contrast enhancement ratio 1 minute after contrast
administration.
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Copyright © 2006 by the American Roentgen Ray Society.