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Abstract #4053

Apparent diffusion coefficient as a potential surrogate marker for Ki-67 index in mucinous breast carcinoma: comparison with invasive carcinoma of no special type

Natsuko Onishi 1 , Shotaro Kanao 1 , Masako Kataoka 1 , Mami Iima 1 , Rena Sakaguchi 1 , Makiko Kawai 1 , Tatsuki Kataoka 2 , Yoshiki Mikami 2 , Masakazu Toi 3 , and Kaori Togashi 1

1 Department of Diagnostic Imaging and Nuclear Medicine, Kyoto Univerisity Graduate School of Medicine, Kyoto, Kyoto, Japan, 2 Department of Diagnostic Pathology, Kyoto Univerisity Graduate School of Medicine, Kyoto, Kyoto, Japan, 3 Department of Breast Surgery, Kyoto Univerisity Graduate School of Medicine, Kyoto, Kyoto, Japan

ADC is known to have inverse correlation with cellularity. Considering that cellularity is linked with prognosis in breast mucinous carcinoma (MBC), we examined the association between ADC and Ki-67 index (a marker of tumor proliferation) in MBC comparing with invasive carcinoma of no special type. ADC showed inverse correlation with cellularity(r=-0.802, p=<0.0001) and with Ki-67 index (r=-0.825, p=<0.0001) in MBC. The ability of ADC to classify highly proliferating MBC from low proliferating one was also demonstrated. ADC can be a promising non-invasive surrogate marker for Ki-67 index in the risk stratification of MBC.

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