Hormonal Influences on ADC Values in Breast Tissues: A Scoping Review of DWI in Pre- and Post-menopausal Women [version 3; peer review: 2 approved]

Background Breast cancer remains a significant global health concern, with early diagnosis and risk factor identification crucial for improving outcomes. Diffusion-Weighted Imaging (DWI) and Apparent Diffusion Coefficient (ADC) measurements have emerged as promising tools in breast cancer diagnostic...

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Main Authors: Neil Barnes Abraham, Abhimanyu Pradhan, Suresh Sukumar, Sneha Ravichandran, Winniecia Dkhar, Rajagopal Kadavigere
Format: Article
Language:English
Published: F1000 Research Ltd 2025-01-01
Series:F1000Research
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Online Access:https://f1000research.com/articles/13-857/v3
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author Neil Barnes Abraham
Abhimanyu Pradhan
Suresh Sukumar
Sneha Ravichandran
Winniecia Dkhar
Rajagopal Kadavigere
author_facet Neil Barnes Abraham
Abhimanyu Pradhan
Suresh Sukumar
Sneha Ravichandran
Winniecia Dkhar
Rajagopal Kadavigere
author_sort Neil Barnes Abraham
collection DOAJ
description Background Breast cancer remains a significant global health concern, with early diagnosis and risk factor identification crucial for improving outcomes. Diffusion-Weighted Imaging (DWI) and Apparent Diffusion Coefficient (ADC) measurements have emerged as promising tools in breast cancer diagnostics. However, the influence of hormonal status on these measurements remains unclear. Objective This scoping review aims to synthesize current evidence on how hormonal changes in pre- and post-menopausal women influence ADC values of benign, malignant, and fibroglandular breast tissues. Method Following the Arksey and O’Malley framework, we conducted a comprehensive search of Scopus, Embase, and PubMed databases for relevant studies published between January 2000 and 2021. Inclusion criteria encompassed 1.5 Tesla MRI studies reporting ADC values in female subjects, considering menopausal status. Results Six studies meeting the inclusion criteria, involving 612 patients, were analyzed. Findings suggest that menopausal status may influence ADC values, with postmenopausal women generally showing lower ADC values in both normal fibroglandular tissue and breast lesions. The impact of menstrual cycle phases on ADC values was less consistent across studies. Conclusions This review highlights the potential influence of hormonal status on ADC values in breast tissues. While DWI with ADC mapping shows promise as a reliable diagnostic tool across different hormonal states, further research is needed to fully understand and account for hormonal influences on ADC measurements. Future studies should focus on longitudinal designs, standardization of DWI protocols, and integration of hormonal status information into breast cancer risk assessment models.
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spelling doaj-art-0014f11477a148cfb8e157bd2734f2982025-01-28T01:00:01ZengF1000 Research LtdF1000Research2046-14022025-01-0113176915Hormonal Influences on ADC Values in Breast Tissues: A Scoping Review of DWI in Pre- and Post-menopausal Women [version 3; peer review: 2 approved]Neil Barnes Abraham0https://orcid.org/0000-0001-5963-3230Abhimanyu Pradhan1Suresh Sukumar2https://orcid.org/0000-0001-9345-9790Sneha Ravichandran3https://orcid.org/0000-0002-4421-038XWinniecia Dkhar4https://orcid.org/0000-0001-5963-3230Rajagopal Kadavigere5https://orcid.org/0000-0003-3486-8740Medical Imaging Technology, Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal, Karnataka, 576104, IndiaMedical Imaging Technology, Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal, Karnataka, 576104, IndiaMedical Imaging Technology, Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal, Karnataka, 576104, IndiaMedical Imaging Technology, Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal, Karnataka, 576104, IndiaMedical Imaging Technology, Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal, Karnataka, 576104, IndiaRadiodiagnosis and Imaging, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, Karnataka, 576104, IndiaBackground Breast cancer remains a significant global health concern, with early diagnosis and risk factor identification crucial for improving outcomes. Diffusion-Weighted Imaging (DWI) and Apparent Diffusion Coefficient (ADC) measurements have emerged as promising tools in breast cancer diagnostics. However, the influence of hormonal status on these measurements remains unclear. Objective This scoping review aims to synthesize current evidence on how hormonal changes in pre- and post-menopausal women influence ADC values of benign, malignant, and fibroglandular breast tissues. Method Following the Arksey and O’Malley framework, we conducted a comprehensive search of Scopus, Embase, and PubMed databases for relevant studies published between January 2000 and 2021. Inclusion criteria encompassed 1.5 Tesla MRI studies reporting ADC values in female subjects, considering menopausal status. Results Six studies meeting the inclusion criteria, involving 612 patients, were analyzed. Findings suggest that menopausal status may influence ADC values, with postmenopausal women generally showing lower ADC values in both normal fibroglandular tissue and breast lesions. The impact of menstrual cycle phases on ADC values was less consistent across studies. Conclusions This review highlights the potential influence of hormonal status on ADC values in breast tissues. While DWI with ADC mapping shows promise as a reliable diagnostic tool across different hormonal states, further research is needed to fully understand and account for hormonal influences on ADC measurements. Future studies should focus on longitudinal designs, standardization of DWI protocols, and integration of hormonal status information into breast cancer risk assessment models.https://f1000research.com/articles/13-857/v3Breast cancer Diffusion-Weighted Imaging Apparent Diffusion Coefficient hormonal influence menopause scoping revieweng
spellingShingle Neil Barnes Abraham
Abhimanyu Pradhan
Suresh Sukumar
Sneha Ravichandran
Winniecia Dkhar
Rajagopal Kadavigere
Hormonal Influences on ADC Values in Breast Tissues: A Scoping Review of DWI in Pre- and Post-menopausal Women [version 3; peer review: 2 approved]
F1000Research
Breast cancer
Diffusion-Weighted Imaging
Apparent Diffusion Coefficient
hormonal influence
menopause
scoping review
eng
title Hormonal Influences on ADC Values in Breast Tissues: A Scoping Review of DWI in Pre- and Post-menopausal Women [version 3; peer review: 2 approved]
title_full Hormonal Influences on ADC Values in Breast Tissues: A Scoping Review of DWI in Pre- and Post-menopausal Women [version 3; peer review: 2 approved]
title_fullStr Hormonal Influences on ADC Values in Breast Tissues: A Scoping Review of DWI in Pre- and Post-menopausal Women [version 3; peer review: 2 approved]
title_full_unstemmed Hormonal Influences on ADC Values in Breast Tissues: A Scoping Review of DWI in Pre- and Post-menopausal Women [version 3; peer review: 2 approved]
title_short Hormonal Influences on ADC Values in Breast Tissues: A Scoping Review of DWI in Pre- and Post-menopausal Women [version 3; peer review: 2 approved]
title_sort hormonal influences on adc values in breast tissues a scoping review of dwi in pre and post menopausal women version 3 peer review 2 approved
topic Breast cancer
Diffusion-Weighted Imaging
Apparent Diffusion Coefficient
hormonal influence
menopause
scoping review
eng
url https://f1000research.com/articles/13-857/v3
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