Proton MR spectroscopy in the breast: Technical innovations and clinical applications.
Reza FardaneshMaria Adele MarinoDaly AvendanoDoris LeithnerPinker KatjaSunitha B ThakurPublished in: Journal of magnetic resonance imaging : JMRI (2019)
Proton magnetic resonance spectroscopy (MRS) is a promising noninvasive diagnostic technique for investigation of breast cancer metabolism. Spectroscopic imaging data may be obtained following contrast-enhanced MRI by applying the point-resolved spectroscopy sequence (PRESS) or the stimulated echo acquisition mode (STEAM) sequence from the MR voxel encompassing the breast lesion. Total choline signal (tCho) measured in vivo using either a qualitative or quantitative approach has been used as a diagnostic test in the workup of malignant breast lesions. In addition to tCho metabolites, other relevant metabolites, including multiple lipids, can be detected and monitored. MRS has been heavily investigated as an adjunct to morphologic and dynamic MRI to improve diagnostic accuracy in breast cancer, obviating unnecessary benign biopsies. Besides its use in the staging of breast cancer, other promising applications have been recently investigated, including the assessment of treatment response and therapy monitoring. This review provides guidance on spectroscopic acquisition and quantification methods and highlights current and evolving clinical applications of proton MRS. Level of Evidence 5 Technical Efficacy: Stage 5 J. Magn. Reson. Imaging 2019.
Keyphrases
- contrast enhanced
- high resolution
- diffusion weighted
- magnetic resonance imaging
- magnetic resonance
- computed tomography
- diffusion weighted imaging
- molecular docking
- ms ms
- atomic force microscopy
- electronic health record
- lymph node
- amino acid
- dual energy
- artificial intelligence
- big data
- photodynamic therapy
- breast cancer risk
- data analysis