Diffusion-weighted imaging of the breast-a consensus and mission statement from the EUSOBI International Breast Diffusion-Weighted Imaging working group

被引:331
作者
Baltzer, Pascal [1 ]
Mann, Ritse M. [2 ,3 ]
Iima, Mami [4 ]
Sigmund, Eric E. [5 ]
Clauser, Paola [1 ]
Gilbert, Fiona J. [6 ]
Martincich, Laura [7 ]
Partridge, Savannah C. [8 ]
Patterson, Andrew [6 ]
Pinker, Katja [1 ,9 ]
Thibault, Fabienne [10 ]
Camps-Herrero, Julia [11 ]
Le Bihan, Denis [12 ]
机构
[1] Med Univ Vienna, Vienna Gen Hosp, Div Mol & Gender Imaging, Dept Biomed Imaging & Image Guided Therapy, Vienna, Austria
[2] Radboud Univ Nijmegen, Med Ctr, Dept Radiol, Nijmegen, Netherlands
[3] Netherlands Canc Inst, Dept Radiol, Amsterdam, Netherlands
[4] Kyoto Univ, Grad Sch Med, Dept Diagnost Imaging & Nucl Med, Kyoto, Japan
[5] NYU, Sch Med, NYU Langone Hlth, Dept Radiol, Ney York, NY 10016 USA
[6] Univ Cambridge, Dept Radiol, Cambridge Biomed Campus, Cambridge, England
[7] ASL AT, SOC Radiodiagnost, Asti, Italy
[8] Univ Washington, Sch Med, Dept Radiol, Seattle, WA 98195 USA
[9] MSKCC, New York, NY 10065 USA
[10] Inst Curie, Paris, France
[11] Ribera Salud Hosp, Valencia, Spain
[12] Freder Joliot Inst, NeuroSpin, Gif Sur Yvette, France
关键词
Diffusion magnetic resonance imaging; Biomarkers; Breast; Breast neoplasms; Consensus; INTRAVOXEL INCOHERENT MOTION; FAT-SUPPRESSION TECHNIQUE; CARCINOMA IN-SITU; DUCTAL CARCINOMA; COEFFICIENT ADC; NEOADJUVANT CHEMOTHERAPY; DIAGNOSTIC PERFORMANCE; MENSTRUAL-CYCLE; QUALITY-CONTROL; B-VALUE;
D O I
10.1007/s00330-019-06510-3
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
The European Society of Breast Radiology (EUSOBI) established an International Breast DWI working group. The working group consists of clinical breast MRI experts, MRI physicists, and representatives from large vendors of MRI equipment, invited based upon proven expertise in breast MRI and/or in particular breast DWI, representing 25 sites from 16 countries. The aims of the working group are (a) to promote the use of breast DWI into clinical practice by issuing consensus statements and initiate collaborative research where appropriate; (b) to define necessary standards and provide practical guidance for clinical application of breast DWI; (c) to develop a standardized and translatable multisite multivendor quality assurance protocol, especially for multisite research studies; (d) to find consensus on optimal methods for image processing/analysis, visualization, and interpretation; and (e) to work collaboratively with system vendors to improve breast DWI sequences. First consensus recommendations, presented in this paper, include acquisition parameters for standard breast DWI sequences including specifications of b values, fat saturation, spatial resolution, and repetition and echo times. To describe lesions in an objective way, levels of diffusion restriction/hindrance in the breast have been defined based on the published literature on breast DWI. The use of a small ROI placed on the darkest part of the lesion on the ADC map, avoiding necrotic, noisy or non-enhancing lesion voxels is currently recommended. The working group emphasizes the need for standardization and quality assurance before ADC thresholds are applied. The working group encourages further research in advanced diffusion techniques and tailored DWI strategies for specific indications. Key Points center dot The working group considers breast DWI an essential part of a multiparametric breast MRI protocol and encourages its use. center dot Basic requirements for routine clinical application of breast DWI are provided, including recommendations on b values, fat saturation, spatial resolution, and other sequence parameters. center dot Diffusion levels in breast lesions are defined based on meta-analysis data and methods to obtain a reliable ADC value are detailed.
引用
收藏
页码:1436 / 1450
页数:15
相关论文
共 92 条
[1]   Repeatability of Quantitative MRI Measurements in Normal Breast Tissue [J].
Aliu, Sheye O. ;
Jones, Ella F. ;
Azziz, Ania ;
Kornak, John ;
Wilmes, Lisa J. ;
Newitt, David C. ;
Suzuki, Sachiko A. ;
Klifa, Catherine ;
Gibbs, Jessica ;
Proctor, Evelyn C. ;
Joe, Bonnie N. ;
Hylton, Nola M. .
TRANSLATIONAL ONCOLOGY, 2014, 7 (01) :130-137
[2]  
[Anonymous], 2015, ESUR 22 EUR S UR RAD
[3]  
[Anonymous], Breast Imaging Reporting & Data System
[4]   Motion Correction in Diffusion-Weighted MRI of the Breast at 3T [J].
Arlinghaus, Lori R. ;
Welch, E. Brian ;
Chakravarthy, A. Bapsi ;
Xu, Lei ;
Farley, Jaime S. ;
Abramson, Vandana G. ;
Grau, Ana M. ;
Kelley, Mark C. ;
Mayer, Ingrid A. ;
Means-Powell, Julie A. ;
Meszoely, Ingrid M. ;
Gore, John C. ;
Yankeelov, Thomas E. .
JOURNAL OF MAGNETIC RESONANCE IMAGING, 2011, 33 (05) :1063-1070
[5]   Diffusion-Weighted Imaging in 3.0 Tesla Breast MRI: Diagnostic Performance and Tumor Characterization Using Small Subregions vs. Whole Tumor Regions of Interest [J].
Arponent, Otso ;
Sudah, Mazen ;
Masarwah, Amro ;
Taina, Mikko ;
Rautiainen, Suvi ;
Kononen, Mervi ;
Sironen, Reijo ;
Kosma, Veli-Matti ;
Sutela, Anna ;
Hakumaki, Juhana ;
Vanninen, Ritva .
PLOS ONE, 2015, 10 (10)
[6]   Combined reading of Contrast Enhanced and Diffusion Weighted Magnetic Resonance Imaging by using a simple sum score [J].
Baltzer, Anja ;
Dietzel, Matthias ;
Kaiser, Clemens G. ;
Baltzer, Pascal A. .
EUROPEAN RADIOLOGY, 2016, 26 (03) :884-891
[7]   Diffusion-weighted imaging (DWI) in MR mammography (MRM): clinical comparison of echo planar imaging (EPI) and half-Fourier single-shot turbo spin echo (HASTE) diffusion techniques [J].
Baltzer, P. A. T. ;
Renz, D. M. ;
Herrmann, K. -H. ;
Dietzel, M. ;
Krumbein, I. ;
Gajda, M. ;
Camara, O. ;
Reichenbach, J. R. ;
Kaiser, W. A. .
EUROPEAN RADIOLOGY, 2009, 19 (07) :1612-1620
[8]   Diffusion tensor magnetic resonance imaging of the breast: a pilot study [J].
Baltzer, Pascal A. T. ;
Schaefer, Anja ;
Dietzel, Matthias ;
Graessel, David ;
Gajda, Mieczyslaw ;
Camara, Oumar ;
Kaiser, Werner A. .
EUROPEAN RADIOLOGY, 2011, 21 (01) :1-10
[9]   UK quantitative WB-DWI technical workgroup: consensus meeting recommendations on optimisation, quality control, processing and analysis of quantitative whole-body diffusion-weighted imaging for cancer [J].
Barnes, Anna ;
Alonzi, Roberto ;
Blackledge, Matthew ;
Charles-Edwards, Geoff ;
Collins, David J. ;
Cook, Gary ;
Coutts, Glynn ;
Goh, Vicky ;
Graves, Martin ;
Kelly, Charles ;
Koh, Dow-Mu ;
McCallum, Hazel ;
Miquel, Marc E. ;
O'Connor, James ;
Padhani, Anwar ;
Pearson, Rachel ;
Priest, Andrew ;
Rockall, Andrea ;
Stirling, James ;
Taylor, Stuart ;
Tunariu, Nina ;
van der Meulen, Jan ;
Walls, Darren ;
Winfield, Jessica ;
Punwani, Shonit .
BRITISH JOURNAL OF RADIOLOGY, 2018, 91 (1081)
[10]   Diffusion-weighted imaging of normal fibroglandular breast tissue: influence of microperfusion and fat suppression technique on the apparent diffusion coefficient [J].
Baron, Paul ;
Dorrius, Monique D. ;
Kappert, Peter ;
Oudkerk, Matthijs ;
Sijens, Paul E. .
NMR IN BIOMEDICINE, 2010, 23 (04) :399-405