Which type of breast cancers is undetectable on ring-type dedicated breast PET?

To assess the factors causing tumor undetectability on ring-type dedicated breast positron emission tomography (DbPET). A total of 265 patients (288 tumors) underwent DbPET and contrast-enhanced magnetic resonance imaging (MRI) in a prone position. The distance between the shallowest part of the bre...

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Veröffentlicht in:Clinical imaging 2018-09, Vol.51, p.186-191
Hauptverfasser: Sasada, Shinsuke, Masumoto, Norio, Goda, Noriko, Kajitani, Keiko, Emi, Akiko, Kadoya, Takayuki, Okada, Morihito
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container_start_page 186
container_title Clinical imaging
container_volume 51
creator Sasada, Shinsuke
Masumoto, Norio
Goda, Noriko
Kajitani, Keiko
Emi, Akiko
Kadoya, Takayuki
Okada, Morihito
description To assess the factors causing tumor undetectability on ring-type dedicated breast positron emission tomography (DbPET). A total of 265 patients (288 tumors) underwent DbPET and contrast-enhanced magnetic resonance imaging (MRI) in a prone position. The distance between the shallowest part of the breast tumor and the front end of the pectoralis major muscle on MRI was considered as the tumor-to-chest wall distance. Twenty-four tumors (8.3%) were not visualized via DbPET. The tumor-to-chest wall distance for undetectable tumors was shorter than that of the detectable tumors (23.0 mm vs 38.5 mm, P 
doi_str_mv 10.1016/j.clinimag.2018.05.010
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A total of 265 patients (288 tumors) underwent DbPET and contrast-enhanced magnetic resonance imaging (MRI) in a prone position. The distance between the shallowest part of the breast tumor and the front end of the pectoralis major muscle on MRI was considered as the tumor-to-chest wall distance. Twenty-four tumors (8.3%) were not visualized via DbPET. The tumor-to-chest wall distance for undetectable tumors was shorter than that of the detectable tumors (23.0 mm vs 38.5 mm, P &lt; 0.001). Multivariate analysis indicated that proximity to the chest wall and low-grade tumors were independent predicting factors for undetectable cancers. Among the 24 undetectable cancers, 15 tumors were proximal to the chest wall, suggesting that they were outside or at the edge of field of view (FOV), and 7 were low-grade tumors, suggesting insignificant 18F-fluorodeoxyglucose (FDG) uptake. The factors of undetectable breast cancers on DbPET are classified into two types; outside or at the edge of FOV and insignificant FDG uptake. •Sensitivity of dedicated breast positron emission tomography (DbPET) for invasive and noninvasive breast cancers is over 90%.•Tumor-to-chest wall distance significantly affects detective capability of DbPET.•Low FDG uptake is a limitation to DbPET.</description><identifier>ISSN: 0899-7071</identifier><identifier>EISSN: 1873-4499</identifier><identifier>DOI: 10.1016/j.clinimag.2018.05.010</identifier><identifier>PMID: 29859482</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Breast ; Breast - diagnostic imaging ; Breast - pathology ; Breast cancer ; Breast Neoplasms - diagnosis ; Breast Neoplasms - diagnostic imaging ; Breast Neoplasms - pathology ; Chest ; Contrast Media ; Dedicated breast PET ; Emission analysis ; FDG ; Female ; Field of view ; Fluorodeoxyglucose F18 ; Histology ; Humans ; Labeling ; Limit of Detection ; Location ; Magnetic resonance imaging ; Magnetic Resonance Imaging - methods ; Mammography ; Medical imaging ; Middle Aged ; Molecular imaging ; Multivariate analysis ; Muscles ; Neoplasm Grading ; NMR ; Nuclear magnetic resonance ; Positron emission ; Positron emission tomography ; Positron-Emission Tomography - methods ; Prone Position ; Radiopharmaceuticals ; Thoracic Wall ; Tomography ; Tumors ; Undetectability</subject><ispartof>Clinical imaging, 2018-09, Vol.51, p.186-191</ispartof><rights>2018 Elsevier Inc.</rights><rights>Copyright © 2018 Elsevier Inc. All rights reserved.</rights><rights>Copyright Elsevier Limited Sep 2018</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c462t-dd29b5cab00217af71ec52b580b0cbd3baea784304e42f7f2dcd504929d183583</citedby><cites>FETCH-LOGICAL-c462t-dd29b5cab00217af71ec52b580b0cbd3baea784304e42f7f2dcd504929d183583</cites><orcidid>0000-0003-1623-869X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0899707118301517$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3536,27903,27904,65309</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29859482$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sasada, Shinsuke</creatorcontrib><creatorcontrib>Masumoto, Norio</creatorcontrib><creatorcontrib>Goda, Noriko</creatorcontrib><creatorcontrib>Kajitani, Keiko</creatorcontrib><creatorcontrib>Emi, Akiko</creatorcontrib><creatorcontrib>Kadoya, Takayuki</creatorcontrib><creatorcontrib>Okada, Morihito</creatorcontrib><title>Which type of breast cancers is undetectable on ring-type dedicated breast PET?</title><title>Clinical imaging</title><addtitle>Clin Imaging</addtitle><description>To assess the factors causing tumor undetectability on ring-type dedicated breast positron emission tomography (DbPET). A total of 265 patients (288 tumors) underwent DbPET and contrast-enhanced magnetic resonance imaging (MRI) in a prone position. The distance between the shallowest part of the breast tumor and the front end of the pectoralis major muscle on MRI was considered as the tumor-to-chest wall distance. Twenty-four tumors (8.3%) were not visualized via DbPET. The tumor-to-chest wall distance for undetectable tumors was shorter than that of the detectable tumors (23.0 mm vs 38.5 mm, P &lt; 0.001). Multivariate analysis indicated that proximity to the chest wall and low-grade tumors were independent predicting factors for undetectable cancers. Among the 24 undetectable cancers, 15 tumors were proximal to the chest wall, suggesting that they were outside or at the edge of field of view (FOV), and 7 were low-grade tumors, suggesting insignificant 18F-fluorodeoxyglucose (FDG) uptake. The factors of undetectable breast cancers on DbPET are classified into two types; outside or at the edge of FOV and insignificant FDG uptake. •Sensitivity of dedicated breast positron emission tomography (DbPET) for invasive and noninvasive breast cancers is over 90%.•Tumor-to-chest wall distance significantly affects detective capability of DbPET.•Low FDG uptake is a limitation to DbPET.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Breast</subject><subject>Breast - diagnostic imaging</subject><subject>Breast - pathology</subject><subject>Breast cancer</subject><subject>Breast Neoplasms - diagnosis</subject><subject>Breast Neoplasms - diagnostic imaging</subject><subject>Breast Neoplasms - pathology</subject><subject>Chest</subject><subject>Contrast Media</subject><subject>Dedicated breast PET</subject><subject>Emission analysis</subject><subject>FDG</subject><subject>Female</subject><subject>Field of view</subject><subject>Fluorodeoxyglucose F18</subject><subject>Histology</subject><subject>Humans</subject><subject>Labeling</subject><subject>Limit of Detection</subject><subject>Location</subject><subject>Magnetic resonance imaging</subject><subject>Magnetic Resonance Imaging - methods</subject><subject>Mammography</subject><subject>Medical imaging</subject><subject>Middle Aged</subject><subject>Molecular imaging</subject><subject>Multivariate analysis</subject><subject>Muscles</subject><subject>Neoplasm Grading</subject><subject>NMR</subject><subject>Nuclear magnetic resonance</subject><subject>Positron emission</subject><subject>Positron emission tomography</subject><subject>Positron-Emission Tomography - methods</subject><subject>Prone Position</subject><subject>Radiopharmaceuticals</subject><subject>Thoracic Wall</subject><subject>Tomography</subject><subject>Tumors</subject><subject>Undetectability</subject><issn>0899-7071</issn><issn>1873-4499</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqF0E9P2zAYx3ELDUHpeAso0i67JHvs2Il9YlPVjUlIcCja0fKfJ-AqTTo7QeLdz6x0h104-fL92daHkCsKFQXafNlWrg9D2JnHigGVFYgKKJyQBZVtXXKu1AeyAKlU2UJLz8lFSlvIQ8XbM3LOlBSKS7Ygd7-egnsqppc9FmNX2IgmTYUzg8OYipCKefA4oZuM7XMxFDEMj-Xf3KMPzkzoj6v79eb6IzntTJ_w8u1ckofv683qpry9-_Fz9e22dLxhU-k9U1Y4YwEYbU3XUnSCWSHBgrO-tgZNK3kNHDnr2o555wVwxZSnshayXpLPh3v3cfw9Y5r0LiSHfW8GHOekWY5FU1PJcvrpv3Q7znHIv9MsW0oBjYJcNYfKxTGliJ3ex8wbXzQF_Uqut_pIrl_JNQidyfPw6u362e7Q_5sdjXPw9RBg9ngOGHVyATOwDzHDaj-G9974A8QSlH0</recordid><startdate>201809</startdate><enddate>201809</enddate><creator>Sasada, Shinsuke</creator><creator>Masumoto, Norio</creator><creator>Goda, Noriko</creator><creator>Kajitani, Keiko</creator><creator>Emi, Akiko</creator><creator>Kadoya, Takayuki</creator><creator>Okada, Morihito</creator><general>Elsevier Inc</general><general>Elsevier Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>8FD</scope><scope>FR3</scope><scope>K9.</scope><scope>M7Z</scope><scope>P64</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-1623-869X</orcidid></search><sort><creationdate>201809</creationdate><title>Which type of breast cancers is undetectable on ring-type dedicated breast PET?</title><author>Sasada, Shinsuke ; 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A total of 265 patients (288 tumors) underwent DbPET and contrast-enhanced magnetic resonance imaging (MRI) in a prone position. The distance between the shallowest part of the breast tumor and the front end of the pectoralis major muscle on MRI was considered as the tumor-to-chest wall distance. Twenty-four tumors (8.3%) were not visualized via DbPET. The tumor-to-chest wall distance for undetectable tumors was shorter than that of the detectable tumors (23.0 mm vs 38.5 mm, P &lt; 0.001). Multivariate analysis indicated that proximity to the chest wall and low-grade tumors were independent predicting factors for undetectable cancers. Among the 24 undetectable cancers, 15 tumors were proximal to the chest wall, suggesting that they were outside or at the edge of field of view (FOV), and 7 were low-grade tumors, suggesting insignificant 18F-fluorodeoxyglucose (FDG) uptake. The factors of undetectable breast cancers on DbPET are classified into two types; outside or at the edge of FOV and insignificant FDG uptake. •Sensitivity of dedicated breast positron emission tomography (DbPET) for invasive and noninvasive breast cancers is over 90%.•Tumor-to-chest wall distance significantly affects detective capability of DbPET.•Low FDG uptake is a limitation to DbPET.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>29859482</pmid><doi>10.1016/j.clinimag.2018.05.010</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0003-1623-869X</orcidid></addata></record>
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subjects Adult
Aged
Aged, 80 and over
Breast
Breast - diagnostic imaging
Breast - pathology
Breast cancer
Breast Neoplasms - diagnosis
Breast Neoplasms - diagnostic imaging
Breast Neoplasms - pathology
Chest
Contrast Media
Dedicated breast PET
Emission analysis
FDG
Female
Field of view
Fluorodeoxyglucose F18
Histology
Humans
Labeling
Limit of Detection
Location
Magnetic resonance imaging
Magnetic Resonance Imaging - methods
Mammography
Medical imaging
Middle Aged
Molecular imaging
Multivariate analysis
Muscles
Neoplasm Grading
NMR
Nuclear magnetic resonance
Positron emission
Positron emission tomography
Positron-Emission Tomography - methods
Prone Position
Radiopharmaceuticals
Thoracic Wall
Tomography
Tumors
Undetectability
title Which type of breast cancers is undetectable on ring-type dedicated breast PET?
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