PET/MRI and Novel Targets for Breast Cancer

Breast cancer, with its global prevalence and impact on women’s health, necessitates effective early detection and accurate staging for optimal patient outcomes. Traditional imaging modalities such as mammography, ultrasound, and dynamic contrast-enhanced magnetic resonance imaging (MRI) play crucia...

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Main Authors: Hyun Woo Chung, Kyoung Sik Park, Ilhan Lim, Woo Chul Noh, Young Bum Yoo, Sang Eun Nam, Young So, Eun Jeong Lee
Format: Article
Language:English
Published: MDPI AG 2024-01-01
Series:Biomedicines
Subjects:
Online Access:https://www.mdpi.com/2227-9059/12/1/172
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author Hyun Woo Chung
Kyoung Sik Park
Ilhan Lim
Woo Chul Noh
Young Bum Yoo
Sang Eun Nam
Young So
Eun Jeong Lee
author_facet Hyun Woo Chung
Kyoung Sik Park
Ilhan Lim
Woo Chul Noh
Young Bum Yoo
Sang Eun Nam
Young So
Eun Jeong Lee
author_sort Hyun Woo Chung
collection DOAJ
description Breast cancer, with its global prevalence and impact on women’s health, necessitates effective early detection and accurate staging for optimal patient outcomes. Traditional imaging modalities such as mammography, ultrasound, and dynamic contrast-enhanced magnetic resonance imaging (MRI) play crucial roles in local-regional assessment, while bone scintigraphy and <sup>18</sup>F-fluorodeoxyglucose positron emission tomography/computed tomography (<sup>18</sup>F-FDG PET/CT) aid in evaluating distant metastasis. Despite the proven utility of <sup>18</sup>F-FDG PET/CT in various cancers, its limitations in breast cancer, such as high false-negative rates for small and low-grade tumors, have driven exploration into novel targets for PET radiotracers, including estrogen receptor, human epidermal growth factor receptor-2, fibroblast activation protein, and hypoxia. The advent of PET/MRI, which combines metabolic PET information with high anatomical detail from MRI, has emerged as a promising tool for breast cancer diagnosis, staging, treatment response assessment, and restaging. Technical advancements including the integration of PET and MRI, considerations in patient preparation, and optimized imaging protocols contribute to the success of dedicated breast and whole-body PET/MRI. This comprehensive review offers the current technical aspects and clinical applications of PET/MRI for breast cancer. Additionally, novel targets in breast cancer for PET radiotracers beyond glucose metabolism are explored.
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spelling doaj.art-d744e667a2dc4030be2c291f6fbcdcfa2024-01-29T13:47:42ZengMDPI AGBiomedicines2227-90592024-01-0112117210.3390/biomedicines12010172PET/MRI and Novel Targets for Breast CancerHyun Woo Chung0Kyoung Sik Park1Ilhan Lim2Woo Chul Noh3Young Bum Yoo4Sang Eun Nam5Young So6Eun Jeong Lee7Department of Nuclear Medicine, Konkuk University Medical Center, Konkuk University School of Medicine, 120-1 Neungdong-ro, Gwangjin-gu, Seoul 05030, Republic of KoreaDepartment of Surgery, Konkuk University Medical Center, Konkuk University School of Medicine, 120-1 Neungdong-ro, Gwangjin-gu, Seoul 05030, Republic of KoreaDepartment of Nuclear Medicine, Korea Cancer Center Hospital, Korea Institute of Radiological and Medical Sciences (KIRAMS), 75 Nowon-ro, Nowon-gu, Seoul 07812, Republic of KoreaDepartment of Surgery, Konkuk University Medical Center, Konkuk University School of Medicine, 120-1 Neungdong-ro, Gwangjin-gu, Seoul 05030, Republic of KoreaDepartment of Surgery, Konkuk University Medical Center, Konkuk University School of Medicine, 120-1 Neungdong-ro, Gwangjin-gu, Seoul 05030, Republic of KoreaDepartment of Surgery, Konkuk University Medical Center, Konkuk University School of Medicine, 120-1 Neungdong-ro, Gwangjin-gu, Seoul 05030, Republic of KoreaDepartment of Nuclear Medicine, Konkuk University Medical Center, Konkuk University School of Medicine, 120-1 Neungdong-ro, Gwangjin-gu, Seoul 05030, Republic of KoreaDepartment of Nuclear Medicine, Seoul Medical Center, 156 Sinnae-ro, Jungnang-gu, Seoul 02053, Republic of KoreaBreast cancer, with its global prevalence and impact on women’s health, necessitates effective early detection and accurate staging for optimal patient outcomes. Traditional imaging modalities such as mammography, ultrasound, and dynamic contrast-enhanced magnetic resonance imaging (MRI) play crucial roles in local-regional assessment, while bone scintigraphy and <sup>18</sup>F-fluorodeoxyglucose positron emission tomography/computed tomography (<sup>18</sup>F-FDG PET/CT) aid in evaluating distant metastasis. Despite the proven utility of <sup>18</sup>F-FDG PET/CT in various cancers, its limitations in breast cancer, such as high false-negative rates for small and low-grade tumors, have driven exploration into novel targets for PET radiotracers, including estrogen receptor, human epidermal growth factor receptor-2, fibroblast activation protein, and hypoxia. The advent of PET/MRI, which combines metabolic PET information with high anatomical detail from MRI, has emerged as a promising tool for breast cancer diagnosis, staging, treatment response assessment, and restaging. Technical advancements including the integration of PET and MRI, considerations in patient preparation, and optimized imaging protocols contribute to the success of dedicated breast and whole-body PET/MRI. This comprehensive review offers the current technical aspects and clinical applications of PET/MRI for breast cancer. Additionally, novel targets in breast cancer for PET radiotracers beyond glucose metabolism are explored.https://www.mdpi.com/2227-9059/12/1/172breast cancerPET/MRIestrogen receptorHER2FAPIhypoxia
spellingShingle Hyun Woo Chung
Kyoung Sik Park
Ilhan Lim
Woo Chul Noh
Young Bum Yoo
Sang Eun Nam
Young So
Eun Jeong Lee
PET/MRI and Novel Targets for Breast Cancer
Biomedicines
breast cancer
PET/MRI
estrogen receptor
HER2
FAPI
hypoxia
title PET/MRI and Novel Targets for Breast Cancer
title_full PET/MRI and Novel Targets for Breast Cancer
title_fullStr PET/MRI and Novel Targets for Breast Cancer
title_full_unstemmed PET/MRI and Novel Targets for Breast Cancer
title_short PET/MRI and Novel Targets for Breast Cancer
title_sort pet mri and novel targets for breast cancer
topic breast cancer
PET/MRI
estrogen receptor
HER2
FAPI
hypoxia
url https://www.mdpi.com/2227-9059/12/1/172
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