Evidence map›Paper›PMID 36556918›Full record

ArticleMedicina (Kaunas, Lithuania)2022

Multiparametric MRI Features of Breast Cancer Molecular Subtypes.

Madalina Szep, Roxana Pintican, Bianca Boca, Andra Perja, Magdalena Duma, Diana Feier, Bogdan Fetica, Dan Eniu, Sorin Marian Dudea, Angelica Chiorean

Open access · goldAbstract read
In one paragraph

Article in Medicina (Kaunas, Lithuania), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
2.7field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 21 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 1 institution in 1 country.

Madalina SzepDepartment of Radiology and Medical Imaging, "Iuliu Hatieganu" University of Medicine and Pharmacy, 400374 Cluj-Napoca, Romania.
Roxana PinticanDepartment of Radiology and Medical Imaging, "Iuliu Hatieganu" University of Medicine and Pharmacy, 400374 Cluj-Napoca, Romania.ORCID 0000-0002-2222-3219
Bianca BocaDepartment of Radiology and Medical Imaging, "Iuliu Hatieganu" University of Medicine and Pharmacy, 400374 Cluj-Napoca, Romania.ORCID 0000-0003-2167-9350
Andra PerjaDepartment of Radiology and Medical Imaging, "Iuliu Hatieganu" University of Medicine and Pharmacy, 400374 Cluj-Napoca, Romania.ORCID 0000-0003-4851-8362
Magdalena DumaDepartment of Radiology and Medical Imaging, "Iuliu Hatieganu" University of Medicine and Pharmacy, 400374 Cluj-Napoca, Romania.
Diana FeierDepartment of Radiology and Medical Imaging, "Iuliu Hatieganu" University of Medicine and Pharmacy, 400374 Cluj-Napoca, Romania.
Bogdan FeticaDepartment of Radiology and Medical Imaging, "Iuliu Hatieganu" University of Medicine and Pharmacy, 400374 Cluj-Napoca, Romania.ORCID 0000-0001-8640-7546
Dan EniuDepartment of Radiology and Medical Imaging, "Iuliu Hatieganu" University of Medicine and Pharmacy, 400374 Cluj-Napoca, Romania.ORCID 0000-0002-6988-2828
Sorin Marian DudeaDepartment of Radiology and Medical Imaging, "Iuliu Hatieganu" University of Medicine and Pharmacy, 400374 Cluj-Napoca, Romania.
Angelica ChioreanDepartment of Radiology and Medical Imaging, "Iuliu Hatieganu" University of Medicine and Pharmacy, 400374 Cluj-Napoca, Romania.ORCID 0000-0003-1322-1470
Iuliu Hațieganu University of Medicine and Pharmacy · RO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and Objectives: Breast cancer (BC) molecular subtypes have unique incidence, survival and response to therapy. There are five BC subtypes described by immunohistochemistry: luminal A, luminal B HER2 positive and HER2 negative, triple negative (TNBC) and HER2-enriched. Multiparametric breast MRI (magnetic resonance imaging) provides morphological and functional characteristics of breast tumours and is nowadays recommended in the preoperative setting. Aim: To evaluate the multiparametric MRI features (T2-WI, ADC values and DCE) of breast tumours along with breast density and background parenchymal enhancement (BPE) features among different BC molecular subtypes. Materials and Methods: This was a retrospective study which included 344 patients. All underwent multiparametric breast MRI (T2WI, ADC and DCE sequences) and features were extracted according to the latest BIRADS lexicon. The inter-reader agreement was assessed using the intraclass coefficient (ICC) between the ROI of ADC obtained from the two breast imagers (experienced and moderately experienced). Results: The study population was divided as follows: 89 (26%) with luminal A, 39 (11.5%) luminal B HER2 positive, 168 (48.5%) luminal B HER2 negative, 41 (12%) triple negative (TNBC) and 7 (2%) with HER2 enriched. Luminal A tumours were associated with special histology type, smallest tumour size and persistent kinetic curve (all p-values < 0.05). Luminal B HER2 negative tumours were associated with lowest ADC value (0.77 × 10−3 mm2/s2), which predicts the BC molecular subtype with an accuracy of 0.583. TNBC were associated with asymmetric and moderate/marked BPE, round/oval masses with circumscribed margins and rim enhancement (all p-values < 0.05). HER2 enriched BC were associated with the largest tumour size (mean 37.28 mm, p-value = 0.02). Conclusions: BC molecular subtypes can be associated with T2WI, ADC and DCE MRI features. ADC can help predict the luminal B HER2 negative cases.

Indexed as

Breast NeoplasmsMultiparametric Magnetic Resonance ImagingTriple Negative Breast NeoplasmsBreastDiffusion Magnetic Resonance ImagingFemaleHumansRetrospective StudiesADCbreast cancerluminalmolecular subtypesmultiparametric MRI

Identifiers

PMID36556918
PMCPMC9785392
OpenAlexW4309849605

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.