2016
DOI: 10.2967/jnumed.115.157909
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Molecular Imaging of Biomarkers in Breast Cancer

Abstract: The success of breast cancer therapy is ultimately defined by clinical endpoints such as survival. It is valuable to have biomarkers that can predict the most efficacious therapies or measure response to therapy early in the course of treatment. Molecular imaging has a promising role in complementing and overcoming some of the limitations of traditional biomarkers by providing the ability to perform noninvasive, repeatable whole-body assessments. The potential advantages of imaging biomarkers are obvious and i… Show more

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Cited by 61 publications
(55 citation statements)
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“…However, differences across studies in definitions of pathological response, time points for interim 18 F-FDG-PET/CT evaluations, and 18 F-FDG uptake thresholds for response, have prevented clinical translation of interim 18 F-FDG-PET/CT evaluation in breast cancer patients. 47,49,88 18 F-FDG-PET/CT evaluation of NAT response has yet to gain wide acceptance due to limited accuracy and specificity of the technique; these limitations have been attributed to significant differences in 18 F-FDG uptake between breast cancer subtypes, both at baseline and after treatment. 4850,88 While the ability of 18 F-FDG-PET/CT to predict NAT response may be receptor status dependent and requires further investigation, the technique shows promise for early evaluation and prediction of response to NAT prior to downstream alterations in tumor size.…”
Section: Emerging Strategiesmentioning
confidence: 99%
“…However, differences across studies in definitions of pathological response, time points for interim 18 F-FDG-PET/CT evaluations, and 18 F-FDG uptake thresholds for response, have prevented clinical translation of interim 18 F-FDG-PET/CT evaluation in breast cancer patients. 47,49,88 18 F-FDG-PET/CT evaluation of NAT response has yet to gain wide acceptance due to limited accuracy and specificity of the technique; these limitations have been attributed to significant differences in 18 F-FDG uptake between breast cancer subtypes, both at baseline and after treatment. 4850,88 While the ability of 18 F-FDG-PET/CT to predict NAT response may be receptor status dependent and requires further investigation, the technique shows promise for early evaluation and prediction of response to NAT prior to downstream alterations in tumor size.…”
Section: Emerging Strategiesmentioning
confidence: 99%
“…If MBI is to ultimately function as a primary screening modality for pinpointing the early biochemical changes arising within an occult breast cancer, it must be paired with plasma and/or urine biomarkers indicating a metabolic pathway amenable to clinical imaging is aberrantly upregulated within a malignant breast tumor [8].…”
Section: Introductionmentioning
confidence: 99%
“…Mammary tumors present highly complexity and heterogeneity, while global understanding of the underlined molecular mechanisms governing their origin and progression is still lucking [12]. Molecular imaging has been considered to exert a promising role in complementing and overcoming some of the limitations of traditional biomarkers by providing the ability to perform noninvasive, repeatable whole-body assessments [13]. Estrogen receptor (ER), progesterone receptor (PR) and human epidermal growth factor receptor 2 (HER2) define prognosis and identify tumors for targeted therapy, and remain the sole established single-molecule biomarkers defining the minimum breast cancer pathology data set [14].…”
Section: Introductionmentioning
confidence: 99%