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Abstract #0409

In vivo CEST-MRI Parameters correlate to Transcriptome and Metabolic Features in Breast Lesions

Durga Udayakumar1, Xiaojing Wang1, Ling Cai2, Yin Xi1, Stephen Seiler1, Sunati Sahoo3, Ivan E Dimitrov4, Jochen Keupp5, and Elena Vinogradov1
1Radiology, UT Southwestern Medical Center, Dallas, TX, United States, 2Peter O'Donnell Jr. School of Public Health, UT Southwestern Medical Center, Dallas, TX, United States, 3Pathology, UT Southwestern Medical Center, Dallas, TX, United States, 4Philips Healthcare, Gainesville, FL, United States, 5Philips Research, Hamburg, Germany

Synopsis

Keywords: Breast, Breast, CEST, Biomarkers, Cancer, Tissue Characterization

Motivation: CEST-MRI could provide biochemical and molecular information on breast lesions before detection of physiological and anatomical changes.

Goal(s): Our goal is to identify suitable in vivo CEST-MRI biomarker candidates.

Approach: 12 patients with 6 benign and 8 malignant lesions (pathology confirmed) who had concurrent CEST-MRI, transcriptome, and metabolomic data were included.

Results: Expression of several genes and metabolites correlated with MTRasym values (P<0.05) at 1, 2, and 3.5 ppm. At 1 and 2 ppm, DNA damage, cell cycle, stress response, and small molecule metabolic processes were prominently represented. Specific metabolites (e.g., Citrate/Isocitrate, glucuronate) showed significant correlations at 1, 2, and 3.5 ppm.

Impact: In vivo CEST-MRI parameters are reflective of transcriptome and metabolomic features in breast lesions. This provides molecular information, potentially before the detection of physiological and anatomical changes, and could facilitate accurate prediction of response to therapy allowing earlier interventions.

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