• Media type: E-Article
  • Title: Correlation between Imaging Markers Derived from PET/MRI and Invasive Acquired Biomarkers in Newly Diagnosed Breast Cancer
  • Contributor: Jannusch, Kai; Bittner, Ann-Kathrin; Bruckmann, Nils Martin; Morawitz, Janna; Stieglitz, Cleo; Dietzel, Frederic; Quick, Harald H.; Baba, Hideo A.; Herrmann, Ken; Umutlu, Lale; Antoch, Gerald; Kirchner, Julian; Kasimir-Bauer, Sabine; Hoffmann, Oliver
  • Published: MDPI AG, 2023
  • Published in: Cancers, 15 (2023) 6, Seite 1651
  • Language: English
  • DOI: 10.3390/cancers15061651
  • ISSN: 2072-6694
  • Keywords: Cancer Research ; Oncology
  • Origination:
  • Footnote:
  • Description: <jats:p>Purpose: Evaluate the diagnostic potential of [18F]FDG-PET/MRI data compared with invasive acquired biomarkers in newly diagnosed early breast cancer (BC). Methods: Altogether 169 women with newly diagnosed BC were included. All underwent a breast- and whole-body [18F]FDG-PET/MRI for initial staging. A tumor-adapted volume of interest was placed in the primaries and defined bone regions on each standard uptake value (SUV)/apparent diffusion coefficient (ADC) dataset. Immunohistochemical markers, molecular subtype, tumor grading, and disseminated tumor cells (DTCs) of each patient were assessed after ultrasound-guided biopsy of the primaries and bone marrow (BM) aspiration. Correlation analysis and group comparisons were assessed. Results: A significant inverse correlation of estrogen-receptor (ER) expression and progesterone-receptor (PR) expression towards SUVmax was found (ER: r = 0.27, p &lt; 0.01; PR: r = 0.19, p &lt; 0.05). HER2-receptor expression showed no significant correlation towards SUV and ADC values. A significant positive correlation between Ki67 and SUVmax and SUVmean (r = 0.42 p &lt; 0.01; r = 0.19 p &lt; 0.05) was shown. Tumor grading significantly correlated with SUVmax and SUVmean (ρ = 0.36 and ρ = 0.39, both p’s &lt; 0.01). There were no group differences between SUV/ADC values of DTC-positive/-negative patients. Conclusions: [18F]FDG-PET/MRI may give a first impression of BC-receptor status and BC-tumor biology during initial staging by measuring glucose metabolism but cannot distinguish between DTC-positive/-negative patients and replace biopsy.</jats:p>
  • Access State: Open Access