Amide proton transfer imaging of the breast at 3 T: Establishing reproducibility and possible feasibility assessing chemotherapy response

Authors

  • Adrienne N. Dula,

    1. Institute of Imaging Science, Vanderbilt University, Nashville, Tennessee, USA
    2. Department of Radiology and Radiological Sciences, Vanderbilt University, Nashville, Tennessee, USA
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  • Lori R. Arlinghaus,

    1. Institute of Imaging Science, Vanderbilt University, Nashville, Tennessee, USA
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  • Richard D. Dortch,

    1. Institute of Imaging Science, Vanderbilt University, Nashville, Tennessee, USA
    2. Department of Radiology and Radiological Sciences, Vanderbilt University, Nashville, Tennessee, USA
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  • Blake E. Dewey,

    1. Institute of Imaging Science, Vanderbilt University, Nashville, Tennessee, USA
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  • Jennifer G. Whisenant,

    1. Institute of Imaging Science, Vanderbilt University, Nashville, Tennessee, USA
    2. Program in Chemical and Physical Biology, Vanderbilt University, Nashville, Tennessee, USA
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  • Gregory D. Ayers,

    1. Department of Biostatistics, Vanderbilt University, Nashville, Tennessee, USA
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  • Thomas E. Yankeelov,

    1. Institute of Imaging Science, Vanderbilt University, Nashville, Tennessee, USA
    2. Department of Radiology and Radiological Sciences, Vanderbilt University, Nashville, Tennessee, USA
    3. Program in Chemical and Physical Biology, Vanderbilt University, Nashville, Tennessee, USA
    4. Department of Biomedical Engineering, Vanderbilt University, Nashville, Tennessee, USA
    5. Department of Physics and Astronomy, Vanderbilt University, Nashville, Tennessee, USA
    6. Department of Cancer Biology, Vanderbilt University, Nashville, Tennessee, USA
    7. Vanderbilt Ingram Cancer Center, Vanderbilt University, Nashville, Tennessee, USA
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  • Seth A. Smith

    Corresponding author
    1. Institute of Imaging Science, Vanderbilt University, Nashville, Tennessee, USA
    2. Department of Radiology and Radiological Sciences, Vanderbilt University, Nashville, Tennessee, USA
    3. Program in Chemical and Physical Biology, Vanderbilt University, Nashville, Tennessee, USA
    4. Department of Biomedical Engineering, Vanderbilt University, Nashville, Tennessee, USA
    5. Department of Physics and Astronomy, Vanderbilt University, Nashville, Tennessee, USA
    • Vanderbilt University Institute of Imaging Science, Vanderbilt University Medical Center, AA-1105 Medical Center North, 1161 21st Avenue South, Nashville, TN 37232-2310
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Abstract

Chemical exchange saturation transfer imaging can generate contrast that is sensitive to amide protons associated with proteins and peptides (termed amide proton transfer, APT). In breast cancer, APT contrast may report on underlying changes in microstructural tissue composition. However, to date, there have been no developments or applications of APT chemical exchange saturation transfer to breast cancer. As a result, the aims of this study were to (i) experimentally explore optimal scan parameters for breast chemical exchange saturation transfer near the amide resonance at 3 T, (ii) establish the reliability of APT imaging of healthy fibroglandular tissue, and (iii) demonstrate preliminary results on APT changes in locally advanced breast cancer observed during the course of neoadjuvant chemotherapy. Chemical exchange saturation transfer measurements were experimentally optimized on cross-linked bovine serum albumin phantoms, and the reliability of APT imaging was assessed in 10 women with no history of breast disease. The mean difference between test–retest APT values was not significantly different from zero, and the individual difference values were not dependent on the average APT value. The 95% confidence interval limits were ±0.70% (α = 0.05), and the repeatability was 1.91. APT measurements were also performed in three women before and after one cycle of chemotherapy. Following therapy, APT increased in the one patient with progressive disease and decreased in the two patients with a partial or complete response. Together, these results suggest that APT imaging may report on treatment response in these patients. Magn Reson Med, 2013. © 2012 Wiley Periodicals, Inc.

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