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Variations of Dynamic Contrast-Enhanced Magnetic Resonance Imaging in Evaluation of Breast Cancer Therapy Response: A Multicenter Data Analysis Challenge1

Identifieur interne : 000889 ( Main/Exploration ); précédent : 000888; suivant : 000890

Variations of Dynamic Contrast-Enhanced Magnetic Resonance Imaging in Evaluation of Breast Cancer Therapy Response: A Multicenter Data Analysis Challenge1

Auteurs : Wei Huang [États-Unis] ; Xin Li [États-Unis] ; Yiyi Chen [États-Unis] ; Xia Li [États-Unis] ; Ming-Ching Chang [États-Unis] ; Matthew J. Oborski [États-Unis] ; Dariya I. Malyarenko [États-Unis] ; Mark Muzi [États-Unis] ; Guido H. Jajamovich [États-Unis] ; Andriy Fedorov [États-Unis] ; Alina Tudorica [États-Unis] ; Sandeep N. Gupta [États-Unis] ; Charles M. Laymon [États-Unis] ; Kenneth I. Marro [États-Unis] ; Hadrien A. Dyvorne [États-Unis] ; James V. Miller [États-Unis] ; Daniel P. Barbodiak [États-Unis] ; Thomas L. Chenevert [États-Unis] ; Thomas E. Yankeelov [États-Unis] ; James M. Mountz [États-Unis] ; Paul E. Kinahan [États-Unis] ; Ron Kikinis [États-Unis] ; Bachir Taouli [États-Unis] ; Fiona Fennessy [États-Unis] ; Jayashree Kalpathy-Cramer [États-Unis]

Source :

RBID : PMC:3998693

Abstract

Pharmacokinetic analysis of dynamic contrast-enhanced magnetic resonance imaging (DCE-MRI) time-course data allows estimation of quantitative parameters such as Ktrans (rate constant for plasma/interstitium contrast agent transfer), ve (extravascular extracellular volume fraction), and vp (plasma volume fraction). A plethora of factors in DCE-MRI data acquisition and analysis can affect accuracy and precision of these parameters and, consequently, the utility of quantitative DCE-MRI for assessing therapy response. In this multicenter data analysis challenge, DCE-MRI data acquired at one center from 10 patients with breast cancer before and after the first cycle of neoadjuvant chemotherapy were shared and processed with 12 software tools based on the Tofts model (TM), extended TM, and Shutter-Speed model. Inputs of tumor region of interest definition, pre-contrast T1, and arterial input function were controlled to focus on the variations in parameter value and response prediction capability caused by differences in models and associated algorithms. Considerable parameter variations were observed with the within-subject coefficient of variation (wCV) values for Ktrans and vp being as high as 0.59 and 0.82, respectively. Parameter agreement improved when only algorithms based on the same model were compared, e.g., the Ktrans intraclass correlation coefficient increased to as high as 0.84. Agreement in parameter percentage change was much better than that in absolute parameter value, e.g., the pairwise concordance correlation coefficient improved from 0.047 (for Ktrans) to 0.92 (for Ktrans percentage change) in comparing two TM algorithms. Nearly all algorithms provided good to excellent (univariate logistic regression c-statistic value ranging from 0.8 to 1.0) early prediction of therapy response using the metrics of mean tumor Ktrans and kep (=Ktrans/ve, intravasation rate constant) after the first therapy cycle and the corresponding percentage changes. The results suggest that the interalgorithm parameter variations are largely systematic, which are not likely to significantly affect the utility of DCE-MRI for assessment of therapy response.


Url:
PubMed: 24772219
PubMed Central: 3998693


Affiliations:


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Le document en format XML

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</placeName>
<wicri:cityArea>Oregon Health and Science University, Portland</wicri:cityArea>
</affiliation>
</author>
<author>
<name sortKey="Gupta, Sandeep N" sort="Gupta, Sandeep N" uniqKey="Gupta S" first="Sandeep N" last="Gupta">Sandeep N. Gupta</name>
<affiliation wicri:level="2">
<nlm:aff id="A3">General Electric Global Research, Niskayuna, NY</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName>
<region type="state">État de New York</region>
</placeName>
<wicri:cityArea>General Electric Global Research, Niskayuna</wicri:cityArea>
</affiliation>
</author>
<author>
<name sortKey="Laymon, Charles M" sort="Laymon, Charles M" uniqKey="Laymon C" first="Charles M" last="Laymon">Charles M. Laymon</name>
<affiliation wicri:level="2">
<nlm:aff id="A4">University of Pittsburgh, Pittsburgh, PA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName>
<region type="state">Pennsylvanie</region>
</placeName>
<wicri:cityArea>University of Pittsburgh, Pittsburgh</wicri:cityArea>
</affiliation>
</author>
<author>
<name sortKey="Marro, Kenneth I" sort="Marro, Kenneth I" uniqKey="Marro K" first="Kenneth I" last="Marro">Kenneth I. Marro</name>
<affiliation wicri:level="2">
<nlm:aff id="A6">University of Washington, Seattle, WA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName>
<region type="state">Washington (État)</region>
</placeName>
<wicri:cityArea>University of Washington, Seattle</wicri:cityArea>
</affiliation>
</author>
<author>
<name sortKey="Dyvorne, Hadrien A" sort="Dyvorne, Hadrien A" uniqKey="Dyvorne H" first="Hadrien A" last="Dyvorne">Hadrien A. Dyvorne</name>
<affiliation wicri:level="2">
<nlm:aff id="A7">Icahn School of Medicine at Mount Sinai, New York, NY</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName>
<region type="state">État de New York</region>
</placeName>
<wicri:cityArea>Icahn School of Medicine at Mount Sinai, New York</wicri:cityArea>
</affiliation>
</author>
<author>
<name sortKey="Miller, James V" sort="Miller, James V" uniqKey="Miller J" first="James V" last="Miller">James V. Miller</name>
<affiliation wicri:level="2">
<nlm:aff id="A3">General Electric Global Research, Niskayuna, NY</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName>
<region type="state">État de New York</region>
</placeName>
<wicri:cityArea>General Electric Global Research, Niskayuna</wicri:cityArea>
</affiliation>
</author>
<author>
<name sortKey="Barbodiak, Daniel P" sort="Barbodiak, Daniel P" uniqKey="Barbodiak D" first="Daniel P" last="Barbodiak">Daniel P. Barbodiak</name>
<affiliation wicri:level="2">
<nlm:aff id="A9">Duke University, Durham, NC</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName>
<region type="state">Caroline du Nord</region>
</placeName>
<wicri:cityArea>Duke University, Durham</wicri:cityArea>
</affiliation>
</author>
<author>
<name sortKey="Chenevert, Thomas L" sort="Chenevert, Thomas L" uniqKey="Chenevert T" first="Thomas L" last="Chenevert">Thomas L. Chenevert</name>
<affiliation wicri:level="2">
<nlm:aff id="A5">University of Michigan, Ann Arbor, MI</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName>
<region type="state">Michigan</region>
</placeName>
<wicri:cityArea>University of Michigan, Ann Arbor</wicri:cityArea>
</affiliation>
</author>
<author>
<name sortKey="Yankeelov, Thomas E" sort="Yankeelov, Thomas E" uniqKey="Yankeelov T" first="Thomas E" last="Yankeelov">Thomas E. Yankeelov</name>
<affiliation wicri:level="2">
<nlm:aff id="A2">Vanderbilt University, Nashville, TN</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName>
<region type="state">Tennessee</region>
</placeName>
<wicri:cityArea>Vanderbilt University, Nashville</wicri:cityArea>
</affiliation>
</author>
<author>
<name sortKey="Mountz, James M" sort="Mountz, James M" uniqKey="Mountz J" first="James M" last="Mountz">James M. Mountz</name>
<affiliation wicri:level="2">
<nlm:aff id="A4">University of Pittsburgh, Pittsburgh, PA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName>
<region type="state">Pennsylvanie</region>
</placeName>
<wicri:cityArea>University of Pittsburgh, Pittsburgh</wicri:cityArea>
</affiliation>
</author>
<author>
<name sortKey="Kinahan, Paul E" sort="Kinahan, Paul E" uniqKey="Kinahan P" first="Paul E" last="Kinahan">Paul E. Kinahan</name>
<affiliation wicri:level="2">
<nlm:aff id="A6">University of Washington, Seattle, WA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName>
<region type="state">Washington (État)</region>
</placeName>
<wicri:cityArea>University of Washington, Seattle</wicri:cityArea>
</affiliation>
</author>
<author>
<name sortKey="Kikinis, Ron" sort="Kikinis, Ron" uniqKey="Kikinis R" first="Ron" last="Kikinis">Ron Kikinis</name>
<affiliation wicri:level="2">
<nlm:aff id="A8">Brigham and Women's Hospital and Harvard Medical School, Boston, MA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName>
<region type="state">Massachusetts</region>
</placeName>
<wicri:cityArea>Brigham and Women's Hospital and Harvard Medical School, Boston</wicri:cityArea>
</affiliation>
</author>
<author>
<name sortKey="Taouli, Bachir" sort="Taouli, Bachir" uniqKey="Taouli B" first="Bachir" last="Taouli">Bachir Taouli</name>
<affiliation wicri:level="2">
<nlm:aff id="A7">Icahn School of Medicine at Mount Sinai, New York, NY</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName>
<region type="state">État de New York</region>
</placeName>
<wicri:cityArea>Icahn School of Medicine at Mount Sinai, New York</wicri:cityArea>
</affiliation>
</author>
<author>
<name sortKey="Fennessy, Fiona" sort="Fennessy, Fiona" uniqKey="Fennessy F" first="Fiona" last="Fennessy">Fiona Fennessy</name>
<affiliation wicri:level="2">
<nlm:aff id="A8">Brigham and Women's Hospital and Harvard Medical School, Boston, MA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName>
<region type="state">Massachusetts</region>
</placeName>
<wicri:cityArea>Brigham and Women's Hospital and Harvard Medical School, Boston</wicri:cityArea>
</affiliation>
</author>
<author>
<name sortKey="Kalpathy Cramer, Jayashree" sort="Kalpathy Cramer, Jayashree" uniqKey="Kalpathy Cramer J" first="Jayashree" last="Kalpathy-Cramer">Jayashree Kalpathy-Cramer</name>
<affiliation wicri:level="2">
<nlm:aff id="A10">Massachusetts General Hospital and Harvard Medical School, Boston, MA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName>
<region type="state">Massachusetts</region>
</placeName>
<wicri:cityArea>Massachusetts General Hospital and Harvard Medical School, Boston</wicri:cityArea>
</affiliation>
</author>
</analytic>
<series>
<title level="j">Translational Oncology</title>
<idno type="eISSN">1936-5233</idno>
<imprint>
<date when="2014">2014</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc>
<textClass></textClass>
</profileDesc>
</teiHeader>
<front>
<div type="abstract" xml:lang="en">
<p>Pharmacokinetic analysis of dynamic contrast-enhanced magnetic resonance imaging (DCE-MRI) time-course data allows estimation of quantitative parameters such as
<italic>K</italic>
<sup>trans</sup>
(rate constant for plasma/interstitium contrast agent transfer),
<italic>v</italic>
<sub>e</sub>
(extravascular extracellular volume fraction), and
<italic>v</italic>
<sub>p</sub>
(plasma volume fraction). A plethora of factors in DCE-MRI data acquisition and analysis can affect accuracy and precision of these parameters and, consequently, the utility of quantitative DCE-MRI for assessing therapy response. In this multicenter data analysis challenge, DCE-MRI data acquired at one center from 10 patients with breast cancer before and after the first cycle of neoadjuvant chemotherapy were shared and processed with 12 software tools based on the Tofts model (TM), extended TM, and Shutter-Speed model. Inputs of tumor region of interest definition, pre-contrast T
<sub>1</sub>
, and arterial input function were controlled to focus on the variations in parameter value and response prediction capability caused by differences in models and associated algorithms. Considerable parameter variations were observed with the within-subject coefficient of variation (wCV) values for
<italic>K</italic>
<sup>trans</sup>
and
<italic>v</italic>
<sub>p</sub>
being as high as 0.59 and 0.82, respectively. Parameter agreement improved when only algorithms based on the same model were compared, e.g., the
<italic>K</italic>
<sup>trans</sup>
intraclass correlation coefficient increased to as high as 0.84. Agreement in parameter percentage change was much better than that in absolute parameter value, e.g., the pairwise concordance correlation coefficient improved from 0.047 (for
<italic>K</italic>
<sup>trans</sup>
) to 0.92 (for
<italic>K</italic>
<sup>trans</sup>
percentage change) in comparing two TM algorithms. Nearly all algorithms provided good to excellent (univariate logistic regression c-statistic value ranging from 0.8 to 1.0) early prediction of therapy response using the metrics of mean tumor
<italic>K</italic>
<sup>trans</sup>
and
<italic>k</italic>
<sub>ep</sub>
(=
<italic>K</italic>
<sup>trans</sup>
/
<italic>v</italic>
<sub>e</sub>
, intravasation rate constant) after the first therapy cycle and the corresponding percentage changes. The results suggest that the interalgorithm parameter variations are largely systematic, which are not likely to significantly affect the utility of DCE-MRI for assessment of therapy response.</p>
</div>
</front>
</TEI>
<affiliations>
<list>
<country>
<li>États-Unis</li>
</country>
<region>
<li>Caroline du Nord</li>
<li>Massachusetts</li>
<li>Michigan</li>
<li>Oregon</li>
<li>Pennsylvanie</li>
<li>Tennessee</li>
<li>Washington (État)</li>
<li>État de New York</li>
</region>
</list>
<tree>
<country name="États-Unis">
<region name="Oregon">
<name sortKey="Huang, Wei" sort="Huang, Wei" uniqKey="Huang W" first="Wei" last="Huang">Wei Huang</name>
</region>
<name sortKey="Barbodiak, Daniel P" sort="Barbodiak, Daniel P" uniqKey="Barbodiak D" first="Daniel P" last="Barbodiak">Daniel P. Barbodiak</name>
<name sortKey="Chang, Ming Ching" sort="Chang, Ming Ching" uniqKey="Chang M" first="Ming-Ching" last="Chang">Ming-Ching Chang</name>
<name sortKey="Chen, Yiyi" sort="Chen, Yiyi" uniqKey="Chen Y" first="Yiyi" last="Chen">Yiyi Chen</name>
<name sortKey="Chenevert, Thomas L" sort="Chenevert, Thomas L" uniqKey="Chenevert T" first="Thomas L" last="Chenevert">Thomas L. Chenevert</name>
<name sortKey="Dyvorne, Hadrien A" sort="Dyvorne, Hadrien A" uniqKey="Dyvorne H" first="Hadrien A" last="Dyvorne">Hadrien A. Dyvorne</name>
<name sortKey="Fedorov, Andriy" sort="Fedorov, Andriy" uniqKey="Fedorov A" first="Andriy" last="Fedorov">Andriy Fedorov</name>
<name sortKey="Fennessy, Fiona" sort="Fennessy, Fiona" uniqKey="Fennessy F" first="Fiona" last="Fennessy">Fiona Fennessy</name>
<name sortKey="Gupta, Sandeep N" sort="Gupta, Sandeep N" uniqKey="Gupta S" first="Sandeep N" last="Gupta">Sandeep N. Gupta</name>
<name sortKey="Jajamovich, Guido H" sort="Jajamovich, Guido H" uniqKey="Jajamovich G" first="Guido H" last="Jajamovich">Guido H. Jajamovich</name>
<name sortKey="Kalpathy Cramer, Jayashree" sort="Kalpathy Cramer, Jayashree" uniqKey="Kalpathy Cramer J" first="Jayashree" last="Kalpathy-Cramer">Jayashree Kalpathy-Cramer</name>
<name sortKey="Kikinis, Ron" sort="Kikinis, Ron" uniqKey="Kikinis R" first="Ron" last="Kikinis">Ron Kikinis</name>
<name sortKey="Kinahan, Paul E" sort="Kinahan, Paul E" uniqKey="Kinahan P" first="Paul E" last="Kinahan">Paul E. Kinahan</name>
<name sortKey="Laymon, Charles M" sort="Laymon, Charles M" uniqKey="Laymon C" first="Charles M" last="Laymon">Charles M. Laymon</name>
<name sortKey="Li, Xia" sort="Li, Xia" uniqKey="Li X" first="Xia" last="Li">Xia Li</name>
<name sortKey="Li, Xin" sort="Li, Xin" uniqKey="Li X" first="Xin" last="Li">Xin Li</name>
<name sortKey="Malyarenko, Dariya I" sort="Malyarenko, Dariya I" uniqKey="Malyarenko D" first="Dariya I" last="Malyarenko">Dariya I. Malyarenko</name>
<name sortKey="Marro, Kenneth I" sort="Marro, Kenneth I" uniqKey="Marro K" first="Kenneth I" last="Marro">Kenneth I. Marro</name>
<name sortKey="Miller, James V" sort="Miller, James V" uniqKey="Miller J" first="James V" last="Miller">James V. Miller</name>
<name sortKey="Mountz, James M" sort="Mountz, James M" uniqKey="Mountz J" first="James M" last="Mountz">James M. Mountz</name>
<name sortKey="Muzi, Mark" sort="Muzi, Mark" uniqKey="Muzi M" first="Mark" last="Muzi">Mark Muzi</name>
<name sortKey="Oborski, Matthew J" sort="Oborski, Matthew J" uniqKey="Oborski M" first="Matthew J" last="Oborski">Matthew J. Oborski</name>
<name sortKey="Taouli, Bachir" sort="Taouli, Bachir" uniqKey="Taouli B" first="Bachir" last="Taouli">Bachir Taouli</name>
<name sortKey="Tudorica, Alina" sort="Tudorica, Alina" uniqKey="Tudorica A" first="Alina" last="Tudorica">Alina Tudorica</name>
<name sortKey="Yankeelov, Thomas E" sort="Yankeelov, Thomas E" uniqKey="Yankeelov T" first="Thomas E" last="Yankeelov">Thomas E. Yankeelov</name>
</country>
</tree>
</affiliations>
</record>

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