The Assessment of Background Parenchymal Enhancement (BPE) in a High-Risk Population: What Causes BPE?

OBJECTIVE: To investigate promoting factors for background parenchymal enhancement (BPE) in MR mammography (MRM). METHODS: 146 patients were retrospectively evaluated, including 91 high-risk patients (50 BRCA patients, 41 patients with elevated lifetime risk). 56 screening patients were matched to t...

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Main Authors: Chao You, Anna K. Kaiser, Pascal Baltzer, Julia Krammer, Yajia Gu, Weijun Peng, Stefan O. Schönberg, Clemens G. Kaiser
Format: Article
Language:English
Published: Elsevier 2018-04-01
Series:Translational Oncology
Online Access:http://www.sciencedirect.com/science/article/pii/S1936523317303790
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author Chao You
Anna K. Kaiser
Pascal Baltzer
Julia Krammer
Yajia Gu
Weijun Peng
Stefan O. Schönberg
Clemens G. Kaiser
author_facet Chao You
Anna K. Kaiser
Pascal Baltzer
Julia Krammer
Yajia Gu
Weijun Peng
Stefan O. Schönberg
Clemens G. Kaiser
author_sort Chao You
collection DOAJ
description OBJECTIVE: To investigate promoting factors for background parenchymal enhancement (BPE) in MR mammography (MRM). METHODS: 146 patients were retrospectively evaluated, including 91 high-risk patients (50 BRCA patients, 41 patients with elevated lifetime risk). 56 screening patients were matched to the high-risk cases on the basis of age. The correlation of BPE with factors such as fibroglandular tissue (FGT), age, menopausal status, breast cancer, high-risk precondition as well as motion were investigated using linear regression. RESULTS: BPE positively correlated with FGT (P < .001) and negatively correlated with menopausal status (P < .001). Cancer did not show an effect on BPE (P > .05). A high-risk precondition showed a significant impact on the formation of BPE (P < .05). However, when corrected for motion, the correlation between BPE and a high-risk precondition became weak and insignificant, and a highly significant association between BPE and motion was revealed (P < .01). CONCLUSION: BPE positively correlated with FGT and negatively correlated with age. Cancer did not have an effect on BPE. A high-risk precondition appears to have a negative effect on BPE. However, when corrected for motion, high-risk preconditions became insignificant. Technical as well as physiological influences seem to play an important role in the formation of BPE.
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spelling doaj.art-191ae2a61cf24d26984e402ca822a8112022-12-22T01:27:24ZengElsevierTranslational Oncology1936-52332018-04-01112243249The Assessment of Background Parenchymal Enhancement (BPE) in a High-Risk Population: What Causes BPE?Chao You0Anna K. Kaiser1Pascal Baltzer2Julia Krammer3Yajia Gu4Weijun Peng5Stefan O. Schönberg6Clemens G. Kaiser7Department of Radiology, Fudan University Cancer Center, Department of Oncology, Shanghai Medical College, Fudan UniversitySchool of Social Science, University of MannheimDepartment of Neuroradiology, Friedrich-Alexander-University Hospital Erlangen-NürnbergInstitute of Clinical Radiology and Nuclear Medicine, University Medical Centre Mannheim, Medical Faculty Mannheim-University of HeidelbergDepartment of Radiology, Fudan University Cancer Center, Department of Oncology, Shanghai Medical College, Fudan UniversityDepartment of Radiology, Fudan University Cancer Center, Department of Oncology, Shanghai Medical College, Fudan UniversityInstitute of Clinical Radiology and Nuclear Medicine, University Medical Centre Mannheim, Medical Faculty Mannheim-University of HeidelbergInstitute of Clinical Radiology and Nuclear Medicine, University Medical Centre Mannheim, Medical Faculty Mannheim-University of Heidelberg; Address all correspondence to: Clemens G. Kaiser, M.D., University Medical Centre Mannheim, Medical Faculty Mannheim - University of Heidelberg, Theodor-Kutzer-Ufer 1-3, 68167 Mannheim, Germany.OBJECTIVE: To investigate promoting factors for background parenchymal enhancement (BPE) in MR mammography (MRM). METHODS: 146 patients were retrospectively evaluated, including 91 high-risk patients (50 BRCA patients, 41 patients with elevated lifetime risk). 56 screening patients were matched to the high-risk cases on the basis of age. The correlation of BPE with factors such as fibroglandular tissue (FGT), age, menopausal status, breast cancer, high-risk precondition as well as motion were investigated using linear regression. RESULTS: BPE positively correlated with FGT (P < .001) and negatively correlated with menopausal status (P < .001). Cancer did not show an effect on BPE (P > .05). A high-risk precondition showed a significant impact on the formation of BPE (P < .05). However, when corrected for motion, the correlation between BPE and a high-risk precondition became weak and insignificant, and a highly significant association between BPE and motion was revealed (P < .01). CONCLUSION: BPE positively correlated with FGT and negatively correlated with age. Cancer did not have an effect on BPE. A high-risk precondition appears to have a negative effect on BPE. However, when corrected for motion, high-risk preconditions became insignificant. Technical as well as physiological influences seem to play an important role in the formation of BPE.http://www.sciencedirect.com/science/article/pii/S1936523317303790
spellingShingle Chao You
Anna K. Kaiser
Pascal Baltzer
Julia Krammer
Yajia Gu
Weijun Peng
Stefan O. Schönberg
Clemens G. Kaiser
The Assessment of Background Parenchymal Enhancement (BPE) in a High-Risk Population: What Causes BPE?
Translational Oncology
title The Assessment of Background Parenchymal Enhancement (BPE) in a High-Risk Population: What Causes BPE?
title_full The Assessment of Background Parenchymal Enhancement (BPE) in a High-Risk Population: What Causes BPE?
title_fullStr The Assessment of Background Parenchymal Enhancement (BPE) in a High-Risk Population: What Causes BPE?
title_full_unstemmed The Assessment of Background Parenchymal Enhancement (BPE) in a High-Risk Population: What Causes BPE?
title_short The Assessment of Background Parenchymal Enhancement (BPE) in a High-Risk Population: What Causes BPE?
title_sort assessment of background parenchymal enhancement bpe in a high risk population what causes bpe
url http://www.sciencedirect.com/science/article/pii/S1936523317303790
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