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Estimation of T2* Relaxation Time of Breast Cancer: Correlation with Clinical, Imaging and Pathological Features

  • Seo, Mirinae (Department of Radiology, Kyung Hee University Hospital, College of Medicine, Kyung Hee University) ;
  • Ryu, Jung Kyu (Department of Radiology, Kyung Hee University Hospital at Gangdong, College of Medicine, Kyung Hee University) ;
  • Jahng, Geon-Ho (Department of Radiology, Kyung Hee University Hospital at Gangdong, College of Medicine, Kyung Hee University) ;
  • Sohn, Yu-Mee (Department of Radiology, Kyung Hee University Hospital, College of Medicine, Kyung Hee University) ;
  • Rhee, Sun Jung (Department of Radiology, Kyung Hee University Hospital at Gangdong, College of Medicine, Kyung Hee University) ;
  • Oh, Jang-Hoon (Department of Radiology, Kyung Hee University Hospital at Gangdong, College of Medicine, Kyung Hee University) ;
  • Won, Kyu-Yeoun (Department of Pathology, Kyung Hee University Hospital at Gangdong, College of Medicine, Kyung Hee University)
  • Received : 2016.04.28
  • Accepted : 2016.08.20
  • Published : 2017.01.01

Abstract

Objective: The purpose of this study was to estimate the $T2^*$ relaxation time in breast cancer, and to evaluate the association between the $T2^*$ value with clinical-imaging-pathological features of breast cancer. Materials and Methods: Between January 2011 and July 2013, 107 consecutive women with 107 breast cancers underwent multi-echo $T2^*$-weighted imaging on a 3T clinical magnetic resonance imaging system. The Student's t test and one-way analysis of variance were used to compare the $T2^*$ values of cancer for different groups, based on the clinical-imaging-pathological features. In addition, multiple linear regression analysis was performed to find independent predictive factors associated with the $T2^*$ values. Results: Of the 107 breast cancers, 92 were invasive and 15 were ductal carcinoma in situ (DCIS). The mean $T2^*$ value of invasive cancers was significantly longer than that of DCIS (p = 0.029). Signal intensity on T2-weighted imaging (T2WI) and histologic grade of invasive breast cancers showed significant correlation with $T2^*$ relaxation time in univariate and multivariate analysis. Breast cancer groups with higher signal intensity on T2WI showed longer $T2^*$ relaxation time (p = 0.005). Cancer groups with higher histologic grade showed longer $T2^*$ relaxation time (p = 0.017). Conclusion: The $T2^*$ value is significantly longer in invasive cancer than in DCIS. In invasive cancers, $T2^*$ relaxation time is significantly longer in higher histologic grades and high signal intensity on T2WI. Based on these preliminary data, quantitative $T2^*$ mapping has the potential to be useful in the characterization of breast cancer.

Keywords

Acknowledgement

Supported by : National Research Foundation (NRF) of Korea

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