Relationship between MRI imaging features and pathological types, axillary lymph node metastasis and molecular biomarkers in patients with breast cancer
10.3760/cma.j.cn431274-20240124-00158
- VernacularTitle:乳腺癌患者的MRI影像学特点与病理类型、腋窝淋巴结转移及分子生物学标志物的关系
- Author:
Peng LIU
1
;
Maimaitiming GULIYIPAER
;
Tao YANG
;
Xiaohui GUO
Author Information
1. 北京市大兴区人民医院放射科，北京 102600
- Publication Type:Journal Article
- Keywords:
Breast neoplasms;
Magnetic resonance imaging;
Lymphatic metastasis;
Biomarkers
- From:
Journal of Chinese Physician
2025;27(2):241-245
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the relationship between magnetic resonance imaging (MRI) and pathological type, axillary lymph node metastasis and molecular biomarkers in patients with breast cancer.Methods:The clinical data of 50 patients with breast cancer (observation group) and 50 patients with benign breast lesions (control group) admitted to the Beijing Daxing District People′s Hospital from January 2021 to November 2022 were retrospectively analyzed. The pathological types of breast cancer patients were analyzed according to the pathological examination results, and the axillary lymph node metastasis of breast cancer patients was recorded. Reverse rate constant (Kep), transfer constant (K trans) and extravascular extracellular volume fraction (Ve) were calculated by MRI scanning. The expression level of molecular biomarkers of breast samples [estrogen receptor (ER), progesterone receptor (PR), human epidermal growth factor receptor 2 (HER-2), Ki-67] were detected. MRI imaging characteristics of patients in the two groups were analyzed, and MRI imaging characteristics of breast cancer patients with different pathological types, axillary lymph node metastasis and different molecular biomarker levels were analyzed. Results:Kep, K trans and Ve in observation group were significantly higher than those in control group (all P<0.01). There were statistically significant differences in Kep, K trans and Ve among breast cancer patients with different pathologic types (invasive ductal carcinoma, invasive lobular carcinoma and mucinous carcinoma) (all P<0.05), and the highest Kep, K trans and Ve were found in invasive lobular carcinoma patients, and the differences were statistically significant (all P<0.05). Kep, K trans and Ve in patients with axillary lymph node metastasis were significantly higher than those without metastasis (all P<0.01). ER positive patients had lower Ve than ER negative patients, PR-positive patients had lower Kep than PR-negative patients, HER-2 positive patients had higher Kep than HER-2 negative patients, and Ve was lower than HER-2 negative patients, Ki-67 high expression patients had lower Kep than Ki-67 low expression patients, and Ve was higher than Ki-67 low expression patients. The differences were statistically significant (all P<0.05). Conclusions:MRI imaging features of breast cancer patients are related to pathological types, axillary lymph node metastasis and molecular biological markers of breast cancer patients. Clinical evaluation and analysis of breast cancer patients can be conducted by MRI imaging features.
