Traditional Posters: Body Imaging



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Traditional Posters: Body Imaging


Breast MR

Hall B Tuesday 13:30-15:30

2469. High Resolution MR Imaging and Spectroscopy of the Human Breast at 7T Using a Focused Field RF Coil Setup

Dennis WJ Klomp1, Alexander Raaijmakers2, Mies Korteweg1, Bart van de Bank1, Cecilia Possanzini3, Vincent Boer1, Fredy Visser3, Nico van de Berg2, Peter Luijten1

1Radiology, University Medical Center Utrecht, Utrecht, Netherlands; 2Radiotherapy, University Medical Center Utrecht, Utrecht, Netherlands; 3Philips Health Care

MRI of the human breast at higher B0 fields, like 7T, can improve SNR, but may be restricted by non uniform excitation and restricted RF power deposition (SAR). Here we propose the use of a RF coil setup with focused field in the female breast to gain from the maximum sensitivity that can be obtained at 7T, illustrated by high resolution MRI and MRS in healthy subjects and patients.



2470. Simple Approach for Increasing SNR, Reducing Breast Shading and Improving Fat Suppression at 3T

Ileana Hancu1, Laura Sacolick2, Seung-Kyun Lee1, W Thomas Dixon1, Randy Giaquinto1, Graeme McKinnon3, Vijayanand Alagappan4

1GE Global Research Center, Niskayuna, NY, United States; 2GE Global Research Center, Munich, Germany; 3GE Healthcare, Waukesha, WI, United States; 4GE Healthcare, Aurora, OH, United States

The main cause of the shading and improper fat suppression artifacts in breast imaging at 3T was identified as a bimodal distribution of the excitation field. A correction approach, based on the permanent placement of a passive loop tuned to 150MHz over the (always weaker) right side of a standard 8 channel breast receive array, was shown to mitigate the problem, result in more uniform B1transmit, better fat suppression and higher SNR, all with lower specific absorption rate.



2471. Differentiation Between Intermingled and Central Type Breast Parenchymal Patterns Using Quantitative Morphological Parameters Based on Segmented Dense Tissue

Ke Nie1, Jeon-Hor Chen1,2, Daniel Chang1, Chieh-Chih Hsu2, Orhan Nalcioglu1, Min-Ying Lydia Su1

1Tu & Yuen Center for Functional Onco-Imaging, University of California, Irvine, Irvine, CA, United States; 2Department of Radiology, China Medical University, Taichung, Taiwan

Breast parenchymal pattern is a well-known risk factor. The commonly used term ¡®breast density¡¯ only measures the amount of breast tissue, not the relative distribution between the fat and fibroglandular tissue. In this study, we developed quantitative parameters to characterize different parenchymal distribution patterns (intermingled vs. central types) based on the segmented dense tissue on 3D MRI. In a dataset of 230 cases, the area under the ROC curve could reach to 0.94 using combined parameters. These features can be further used to investigate the relationship between parenchymal pattern and the cancer risk.



2472. Evaluation of Neoadjuvant Chemotherapy Response of Breast Cancer at 3.0T

Jeon-Hor Chen1,2, s Bahri1, P Carpenter3, H-J Yu1, R Mehta4, O Nalcioglu1, M-Y Lydia Su1

1Center for Functional Onco-Imaging, UC Irvine, Irvine, CA, United States; 2China Medical University Hospital, Taichung, Taiwan; 3Department of Pathology, UC Irvine, Irvine, CA, United States; 4Department of Medicine, UC Irvine, Irvine, CA, United States

The results analyzed from 3.0 T were consistent with our previous findings using 1.5T with a lower spatial resolution, suggesting that the limitation of MRI in diagnosis of post-NAC cancer cannot be improved with a higher SNR or a higher spatial resolution. Our current protocol at 3.0 T still could not detect residual tumor presenting as scattered cells or small foci, which often occurs in non-mass-like lesions. These types of invasive cancer cells do not need angiogenesis to survive, and if so, they will not show contrast enhancements.



2473. Reduction of Breast Density Following Tamoxifen Treatment Evaluated by 3-D MRI

Jeon-Hor Chen1,2, Yeun-Chung Chang3, Daniel Chang1, Yi-Ting Wang3, Ke Nie1, Ruey-Feng Chang3, orhang Nalcioglu1, Chiun-Sheng Huang3, M-Y Lydia Su1

1Center for Functional Onco-Imaging, UC Irvine, Irvine, CA, United States; 2China Medical University Hospital, Taiwan; 3National Taiwan University, Taiwan

We have demonstrated that the breast density analyzed based on a 3D MR method can be used to investigate the changes associated with tamoxifen treatment. We found a significant reduction in fibroglandular tissue volume and percent breast density after treatment, and the density reduction was positively correlated with the baseline density and treatment duration.



2474. MRI Evaluation of Decrease of Breast Density in the Contralateral Normal Breast of Patients Receiving Neoadjuvant Chemotherapy

Jeon-Hor Chen1,2, Ke Nie1, S Bahri1, Rita S. Mehta3, Chieh-Chih Hsu2, Fei-Ting Hsu2, Han-Ni Shih2, Muqing Lin1, orhang Nalcioglu1, M-Y Lydia Su1

1Center for Functional Onco-Imaging, UC Irvine, Irvine, CA, United States; 2China Medical University Hospital, Taichung, Taiwan; 3Department of Medicine, UC Irvine, Irvine, CA, United States

We have demonstrated the feasibility of investigating the reduction of density following chemotherapy using a quantitative analysis method based on MRI. Patients receiving chemotherapy showed reduction of breast density, and that the effects were more pronounced in younger women than older (post-menopausal) women. The results suggest that the reduction of breast density after chemotherapy was possibly mediated through impaired ovarian function. The reduction could be clearly noted after 1 to 2 cycles of AC regimen. Although the density continued to decrease after 4 cycles of AC and the following Taxane regimen, the subsequent effect was smaller.



2475. Pushing Old Boundaries in Breast MRI: Non-Fatsaturated Dynamic Imaging at Very Short TE


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