Minkowski functionals: An MRI texture analysis tool for determination of the aggressiveness of breast cancer.

Background: This work aims to see whether Minkowski Functionals can be used to distinguish between cancer types before chemotherapy treatment has begun, and whether a response to treatment can be predicted by an initial scan alone. Methods: Fat-nulled T1w 3T DCE-MRI scans were taken of 100 cases of...

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Published in:Journal of Magnetic Resonance Imaging Vol. 43; no. 4; pp. 903 - 911
Main Authors: Fox, Michael J., Gibbs, Peter, Pickles, Martin D.
Format: pictorial research tables/charts Journal Article
Published: Wiley-Blackwell Apr2016
Online Access:View this record in EBSCOhost
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      jtl: Journal of Magnetic Resonance Imaging
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      dt: Apr2016
      vid: 43
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        10.1002/jmri.25057
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        atl: Minkowski functionals: An MRI texture analysis tool for determination of the aggressiveness of breast cancer.
      aug:
        au:
          Fox, Michael J.
          Gibbs, Peter
          Pickles, Martin D.
        affil: Centre for Magnetic Resonance Investigations, HYMS at University of Hull, Hull United Kingdom
      sug:
        subj:
          Image Processing, Computer Assisted Methods
          Breast Neoplasms Pathology
          Magnetic Resonance Imaging
          Breast Neoplasms
          Nonparametric Statistics
          Female
          Human
          Adult
          Antineoplastic Agents, Combined Administration and Dosage
          Algorithms
          Pharmacokinetics
          Epirubicin Administration and Dosage
          Prognosis
          Middle Age
          Software
          Treatment Outcomes
          Breast Neoplasms Drug Therapy
          Biopsy
          Drug Therapy Methods
          Aged
          Reproducibility of Results
          Cyclophosphamide Administration and Dosage
          Hydrocarbons Administration and Dosage
          Retrospective Design
          Neoplasm Metastasis
          Validation Studies
          Comparative Studies
          Evaluation Research
          Multicenter Studies
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Female
      ab: Background: This work aims to see whether Minkowski Functionals can be used to distinguish between cancer types before chemotherapy treatment has begun, and whether a response to treatment can be predicted by an initial scan alone. Methods: Fat-nulled T1w 3T DCE-MRI scans were taken of 100 cases of biopsy confirmed breast cancer and a series of binary images created on lesion containing slices. Minkowski Functionals were calculated for each binary image and the change in these values as the binary threshold was raised was described using 6(th) order polynomials. These polynomials were used to compare between patient subgroups, for triple negative breast cancer (TNBC) status, chemotherapy response, biopsy grade, nodal status, and lymphovascular invasion status. Results: When using Minkowski Functionals statistically significant (P < 0.05) differences were found between TNBC status, biopsy grade, and lymphovascular invasion status subgroups for all methodologies. The analysis performance did not appear to be affected by the number of threshold steps used. Most notably, very strong differences (P ≤ 0.01) were found between TNBC and other intrinsic subtype patients. When analyzed with a binary logistic regression model, an area under the curve value of 0.917 (0.846-0.987, 95% confidence interval) for TNBC classification was found. Conclusion: The method of texture analysis presented here provides a novel way to characterize tumors, and demonstrates clear differences between cancer groups which are detectable before treatment begins, and can help with treatment planning as a valuable prognosis tool.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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