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Pathophysiologic basis of contrast enhancement in breast tumors
Journal of magnetic resonance imaging, 1999-09, Vol.10 (3), p.260-266
Knopp, M.V.
Weiss, E.
Sinn, H.P.
Mattern, J.
Junkermann, H.
Radeleff, J.
Magener, A.
Brix, G.
Delorme, S.
Zuna, I.
van Kaick, G.
1999
Details
Autor(en) / Beteiligte
Knopp, M.V.
Weiss, E.
Sinn, H.P.
Mattern, J.
Junkermann, H.
Radeleff, J.
Magener, A.
Brix, G.
Delorme, S.
Zuna, I.
van Kaick, G.
Titel
Pathophysiologic basis of contrast enhancement in breast tumors
Ist Teil von
Journal of magnetic resonance imaging, 1999-09, Vol.10 (3), p.260-266
Ort / Verlag
New York: John Wiley & Sons, Inc
Erscheinungsjahr
1999
Link zum Volltext
Quelle
Wiley Online Library - AutoHoldings Journals
Beschreibungen/Notizen
While the diagnostic benefits of gadolinium (Gd)‐chelate contrast agents are firmly established in magnetic resonance imaging (MRI) of tumors, the pathophysiologic basis of the enhancement observed and its histopathologic correlate remained vague. Tumor angiogenesis is fundamental for growth and metastasis and also of interest in new therapeutic concepts. By correlative analysis of a) histology; b) vascular density (CD31); and c) vascular permeability (vascular permeability factor/vascular endothelial growth factor [VPF/VEGF]), we found a) significantly (P < 0.001) faster exchange rates in malignant compared with benign breast lesions; b) distinct differences in enhancement characteristics between the histologic types (invasive ductal carcinoma, invasive lobular carcinoma, and ductal carcinoma in situ); and c) dependence of enhancement kinetics on the VPF/VEGF expression. The pathophysiologic basis for the differences in contrast enhancement patterns of tumors detectable by MRI is mainly due to vascular permeability, which leads to more characteristic differences than vascular density. MRI is able to subclassify malignant breast tumors due to their different angiogenetic properties. J. Magn. Reson. Imaging 1999;10:260–266. © 1999 Wiley‐Liss, Inc.
Sprache
Englisch
Identifikatoren
ISSN: 1053-1807
eISSN: 1522-2586
DOI: 10.1002/(SICI)1522-2586(199909)10:3<260::AID-JMRI6>3.0.CO;2-7
Titel-ID: cdi_proquest_miscellaneous_70790272
Format
–
Schlagworte
Adult
,
Breast Neoplasms - blood supply
,
Breast Neoplasms - metabolism
,
contrast enhancement
,
Contrast Media - pharmacokinetics
,
Endothelial Growth Factors - metabolism
,
Female
,
Gadolinium DTPA - pharmacokinetics
,
Gd-chelates
,
Humans
,
Image Enhancement - methods
,
Immunohistochemistry
,
Magnetic Resonance Imaging - methods
,
mammography
,
Middle Aged
,
MR, mammography
,
Neovascularization, Pathologic - physiopathology
,
pathophysiologic model
,
Permeability
,
Platelet Endothelial Cell Adhesion Molecule-1 - metabolism
,
Regression Analysis
,
ROC Curve
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