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An Ex Vivo Brain Slice Model to Study and Target Breast Cancer Brain Metastatic Tumor Growth
Published on: September 22, 2021
Probabilistic independent component analysis of dynamic susceptibility contrast perfusion MRI in metastatic brain
Ararat Chakhoyan1,2, Catalina Raymond1,2, Jason Chen3
1UCLA Brain Tumor Imaging Laboratory (BTIL), Center for Computer Vision and Imaging Biomarkers, University of California, Los Angeles, Los Angeles, CA, USA.
Purpose:
To identify clinically relevant magnetic resonance imaging (MRI) features of different types of metastatic brain lesions, including standard anatomical, diffusion weighted imaging (DWI) and dynamic susceptibility contrast (DSC) perfusion MRI.
Methods:
MRI imaging was retrospectively assessed on one hundred and fourteen (N = 114) brain metastases including breast (n = 27), non-small cell lung cancer (NSCLC, n = 43) and 'other' primary tumors (n = 44). Based on 114 patient's MRI scans, a total of 346 individual contrast enhancing tumors were manually segmented. In addition to tumor volume, apparent diffusion coefficients (ADC) and relative cerebral blood volume (rCBV) measurements, an independent component analysis (ICA) was performed with raw DSC data in order to assess arterio-venous components and the volume of overlap (AVOL) relative to tumor volume, as well as time to peak (TTP) of T2* signal from each component.
Results:
Results suggests non-breast or non-NSCLC ('other') tumors had higher volume compare to breast and NSCLC patients (p = 0.0056 and p = 0.0003, respectively). No differences in median ADC or rCBV were observed across tumor types; however, breast and NSCLC tumors had a significantly higher "arterial" proportion of the tumor volume as indicated by ICA (p = 0.0062 and p = 0.0018, respectively), while a higher "venous" proportion were prominent in breast tumors compared with NSCLC (p = 0.0027) and 'other' lesions (p = 0.0011). The AVOL component was positively related to rCBV in all groups, but no correlation was found for arterial and venous components with respect to rCBV values. Median time to peak of arterial and venous components were 8.4 s and 12.6 s, respectively (p < 0.0001). No difference was found in arterial or venous TTP across groups.
Conclusions:
Advanced ICA-derived component analysis demonstrates perfusion differences between metastatic brain tumor types that were not observable with classical ADC and rCBV measurements. These results highlight the complex relationship between brain tumor vasculature characteristics and the site of primary tumor diagnosis.
Insights
Advanced MRI techniques reveal distinct perfusion patterns in brain metastases. Independent component analysis (ICA) identified differences in arterial and venous components not seen with standard measurements, aiding in understanding tumor vasculature.
Area of Science:
- Radiology
- Oncology
- Medical Imaging
Background:
- Brain metastases represent a significant clinical challenge.
- Accurate characterization of metastatic brain lesions is crucial for treatment planning.
- Standard MRI metrics may not fully capture the heterogeneity of tumor vasculature.
Purpose of the Study:
- To identify clinically relevant magnetic resonance imaging (MRI) features of different metastatic brain lesion types.
- To compare standard anatomical, diffusion-weighted imaging (DWI), and dynamic susceptibility contrast (DSC) perfusion MRI findings.
- To explore advanced analysis techniques for characterizing brain metastases.
Main Methods:
- Retrospective assessment of MRI scans from 114 patients with brain metastases (breast, NSCLC, other).
- Segmentation of 346 contrast-enhancing tumors.
- Analysis included tumor volume, apparent diffusion coefficients (ADC), relative cerebral blood volume (rCBV), and independent component analysis (ICA) of DSC data.
- ICA assessed arterio-venous components, volume of overlap (AVOL), and time to peak (TTP).
Main Results:
- 'Other' primary tumors showed significantly higher volumes than breast or NSCLC metastases.
- No significant differences in median ADC or rCBV were observed across tumor types.
- ICA revealed significantly higher 'arterial' proportions in breast and NSCLC tumors compared to 'other'.
- Breast tumors exhibited a higher 'venous' proportion than NSCLC and 'other' lesions.
- AVOL correlated positively with rCBV; arterial and venous components did not correlate with rCBV.
- Median TTP for arterial and venous components were 8.4s and 12.6s, respectively, with no inter-group differences.
Conclusions:
- Advanced ICA-derived component analysis reveals perfusion differences between metastatic brain tumor types.
- These perfusion differences are not observable with classical ADC and rCBV measurements.
- The findings highlight the complex relationship between brain tumor vasculature and primary tumor site.
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