关键词: 乳腺癌, 新辅助化疗, 疗效评估, 磁共振成像, 定量动态增强磁共振检查

Abstract: Background and purpose: Neoadjuvant chemotherapy to breast cancer has become a mature treatment method. The purpose of this study was to evaluate the dynamic contrast-enhanced MRI in assessing the response to neoadjuvant chemotherapy (NAC). Methods: Twenty-four female patients with breast carcinoma (24 were all invasive ductal carcinoma) underwent dynamic contrast-enhanced MRI (DCE-MRI) before, after the second and final cycle of NAC. For each patient and each MRI examination, the maximum diameter of tumor, volume transfer constant (K^trans), exchange rate constant (K_ep), and extravascular extracellular volume fraction (V_e) were compared. According to the method of response evaluation criteria in solid tumor (RECIST), the results of neoadjuvant chemotherapy were divided into responder and non-responder. Results: All 24 patients were unilateral and single breast cancer; there were 17 cases of responders and 7 cases of non-responders according to RECIST criteria. For 17 cases of responders, both the average values of K^trans and K_ep were significantly descended after neoadjuvant chemotherapy (all P<0.05). Conclusion: The quantitative parameters of K^trans and K_ep can evaluate objectively and veridically the response to neoadjuvant chemotherapy for breast cancer in dynamic contrast-enhanced MRI.

Key words: Breast neoplasms, Neoadjuvant chemotherapy, Respanse evaluation, Magnetic resonance imaging, Quantitative dynamic contrast-enhanced MRI