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Clinical Article
Diagnostic value of DCE-MRI combined with DKI in predicting the triple negative breast cancer
LIU Shihan  SHAO Shuo  WEI Kunjie  ZHAO Xiaomeng  WU Jianwei  ZHENG Ning 

Cite this article as: LIU S H, SHAO S, WEI K J, et al. Diagnostic value of DCE-MRI combined with DKI in predicting the triple negative breast cancer[J]. Chin J Magn Reson Imaging, 2023, 14(5): 110-115. DOI:10.12015/issn.1674-8034.2023.05.020.

[Abstract] Objective To explore dynamic contrast-enhanced magnetic resonance imaging (DCE-MRI) semi-quantitative analysis combined with diffusion kurtosis imaging (DKI) in diagnosis of triple negative breast cancer (TNBC).Materials and Methods The medical record datas of 138 patients with breast cancer in Jining First People's Hospital from November 2018 to July 2022 were retrospectively analyzed. The patients were divided into 39 cases of TNBC and 99 cases of non-TNBC according to pathological results. All patients underwent DCE-MRI and DKI examination. Analysis of DCE MRI semi-quantitative parameters [percentage of peak enhancement (Epeak), initial enhancement rate (IER), maximum slope (Slopemax), time to peak (TTP), signal enhancement ratio (SER), Wash-in, Wash-out] and DKI parameters [mean diffusion (MD), mean kurtosis (MK)]. The differences of DCE-MRI semi-quantitative parameters and DKI parameters between TNBC group and non-TNBC group were compared by t-test or Mann-Whitney U test. Receiver operating characteristic and area under the curve (AUC) was used to analyze the diagnostic efficacy of each parameter and the combined prediction model.Results The Wash-out, Slopemax and SER values of TNBC group were higher than those of non-TNBC group (P<0.05). The TTP and MK values of TNBC group were lower than those of non-TNBC group (P<0.05). There were no significant differences in IER, Epeak, Wash-in and MD between TNBC and non-TNBC groups (P>0.05). The sensitivity, specificity and AUC of the combined model (Wash-out, Slopemax, TTP, SER and MK) were 85.9%, 92.3% and 0.928 respectively, which were higher than the AUC of the five individual models (0.768, 0.815, 0.785, 0.781 and 0.769). The difference was statistically significant (P<0.01).Conclusions Wash-out, Slopemax, TTP, SER and MK parameters are important parameters for predicting TNBC, and combining DCE-MRI and DKI can further improve the predictive diagnostic efficiency of TNBC.
[Keywords] triple negative breast cancer;breast cancer;semi-quantitative;dynamic enhanced scanning;diffusion kurtosis imaging;magnetic resonance imaging

LIU Shihan1   SHAO Shuo2   WEI Kunjie1   ZHAO Xiaomeng1   WU Jianwei1   ZHENG Ning2*  

1 Clinical Medical College, Jining Medical University, Jining 272013, China

2 Magnatic Resonance Imaging Room, Jining First People's Hospital, Jining 272000, China

Corresponding author: Zheng N, E-mail:

Conflicts of interest   None.

Received  2022-11-11
Accepted  2023-04-28
DOI: 10.12015/issn.1674-8034.2023.05.020
Cite this article as: LIU S H, SHAO S, WEI K J, et al. Diagnostic value of DCE-MRI combined with DKI in predicting the triple negative breast cancer[J]. Chin J Magn Reson Imaging, 2023, 14(5): 110-115. DOI:10.12015/issn.1674-8034.2023.05.020.

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