Multinuclear MRI to disentangle intracellular sodium concentration and extracellular volume fraction in breast cancer

Abstract The purpose of this work was to develop a novel method to disentangle the intra- and extracellular components of the total sodium concentration (TSC) in breast cancer from a combination of proton ( $$^{1}$$ 1 H) and sodium ( $$^{23}\hbox {Na}$$ 23 Na ) magnetic resonance imaging (MRI) measu...

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Autores principales: Carlotta Ianniello, Linda Moy, Justin Fogarty, Freya Schnabel, Sylvia Adams, Deborah Axelrod, Leon Axel, Ryan Brown, Guillaume Madelin
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Publicado: Nature Portfolio 2021
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Acceso en línea:https://doaj.org/article/dc7ec19445d94a15a3d054d56fae589d
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spelling oai:doaj.org-article:dc7ec19445d94a15a3d054d56fae589d2021-12-02T15:54:10ZMultinuclear MRI to disentangle intracellular sodium concentration and extracellular volume fraction in breast cancer10.1038/s41598-021-84616-92045-2322https://doaj.org/article/dc7ec19445d94a15a3d054d56fae589d2021-03-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-84616-9https://doaj.org/toc/2045-2322Abstract The purpose of this work was to develop a novel method to disentangle the intra- and extracellular components of the total sodium concentration (TSC) in breast cancer from a combination of proton ( $$^{1}$$ 1 H) and sodium ( $$^{23}\hbox {Na}$$ 23 Na ) magnetic resonance imaging (MRI) measurements. To do so, TSC is expressed as function of the intracellular sodium concentration ( $$\hbox {C}_{\text {IC}}$$ C IC ), extracellular volume fraction (ECV) and the water fraction (WF) based on a three-compartment model of the tissue. TSC is measured from $$^{23}\hbox {Na}$$ 23 Na MRI, ECV is calculated from baseline and post-contrast $$^{1}$$ 1 H $$\hbox {T}_{{1}}$$ T 1 maps, while WF is measured with a $$^{1}$$ 1 H chemical shift technique. $$\hbox {C}_{\text {IC}}$$ C IC is then extrapolated from the model. Proof-of-concept was demonstrated in three healthy subjects and two patients with triple negative breast cancer. In both patients, TSC was two to threefold higher in the tumor than in normal tissue. This alteration mainly resulted from increased $$\hbox {C}_{\text {IC}}$$ C IC ( $$\sim$$ ∼  30 mM), which was $$\sim$$ ∼  130% greater than in healthy conditions (10–15 mM) while the ECV was within the expected range of physiological values (0.2–0.25). Multinuclear MRI shows promise for disentangling $$\hbox {C}_{\text {IC}}$$ C IC and ECV by taking advantage of complementary $$^{1}$$ 1 H and $$^{23}\hbox {Na}$$ 23 Na measurements.Carlotta IannielloLinda MoyJustin FogartyFreya SchnabelSylvia AdamsDeborah AxelrodLeon AxelRyan BrownGuillaume MadelinNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-12 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Carlotta Ianniello
Linda Moy
Justin Fogarty
Freya Schnabel
Sylvia Adams
Deborah Axelrod
Leon Axel
Ryan Brown
Guillaume Madelin
Multinuclear MRI to disentangle intracellular sodium concentration and extracellular volume fraction in breast cancer
description Abstract The purpose of this work was to develop a novel method to disentangle the intra- and extracellular components of the total sodium concentration (TSC) in breast cancer from a combination of proton ( $$^{1}$$ 1 H) and sodium ( $$^{23}\hbox {Na}$$ 23 Na ) magnetic resonance imaging (MRI) measurements. To do so, TSC is expressed as function of the intracellular sodium concentration ( $$\hbox {C}_{\text {IC}}$$ C IC ), extracellular volume fraction (ECV) and the water fraction (WF) based on a three-compartment model of the tissue. TSC is measured from $$^{23}\hbox {Na}$$ 23 Na MRI, ECV is calculated from baseline and post-contrast $$^{1}$$ 1 H $$\hbox {T}_{{1}}$$ T 1 maps, while WF is measured with a $$^{1}$$ 1 H chemical shift technique. $$\hbox {C}_{\text {IC}}$$ C IC is then extrapolated from the model. Proof-of-concept was demonstrated in three healthy subjects and two patients with triple negative breast cancer. In both patients, TSC was two to threefold higher in the tumor than in normal tissue. This alteration mainly resulted from increased $$\hbox {C}_{\text {IC}}$$ C IC ( $$\sim$$ ∼  30 mM), which was $$\sim$$ ∼  130% greater than in healthy conditions (10–15 mM) while the ECV was within the expected range of physiological values (0.2–0.25). Multinuclear MRI shows promise for disentangling $$\hbox {C}_{\text {IC}}$$ C IC and ECV by taking advantage of complementary $$^{1}$$ 1 H and $$^{23}\hbox {Na}$$ 23 Na measurements.
format article
author Carlotta Ianniello
Linda Moy
Justin Fogarty
Freya Schnabel
Sylvia Adams
Deborah Axelrod
Leon Axel
Ryan Brown
Guillaume Madelin
author_facet Carlotta Ianniello
Linda Moy
Justin Fogarty
Freya Schnabel
Sylvia Adams
Deborah Axelrod
Leon Axel
Ryan Brown
Guillaume Madelin
author_sort Carlotta Ianniello
title Multinuclear MRI to disentangle intracellular sodium concentration and extracellular volume fraction in breast cancer
title_short Multinuclear MRI to disentangle intracellular sodium concentration and extracellular volume fraction in breast cancer
title_full Multinuclear MRI to disentangle intracellular sodium concentration and extracellular volume fraction in breast cancer
title_fullStr Multinuclear MRI to disentangle intracellular sodium concentration and extracellular volume fraction in breast cancer
title_full_unstemmed Multinuclear MRI to disentangle intracellular sodium concentration and extracellular volume fraction in breast cancer
title_sort multinuclear mri to disentangle intracellular sodium concentration and extracellular volume fraction in breast cancer
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/dc7ec19445d94a15a3d054d56fae589d
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