Detection of breast cancer lesions using APT weighted MRI: a systematic review

Abstract Amide proton transfer (APT) is a novel magnetic resonance imaging (MRI) technique that has shown promising ability to study cancers. This paper systematically reviewed the literature on the use of APT MRI in the prognosis of breast cancer. A literature search was conducted on Pubmed and Emb...

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Main Authors: Ryan C. Lee, Montek Singh Boparai, Tim Q. Duong
Format: Article
Language:English
Published: BMC 2025-01-01
Series:Journal of Translational Medicine
Subjects:
Online Access:https://doi.org/10.1186/s12967-025-06153-7
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author Ryan C. Lee
Montek Singh Boparai
Tim Q. Duong
author_facet Ryan C. Lee
Montek Singh Boparai
Tim Q. Duong
author_sort Ryan C. Lee
collection DOAJ
description Abstract Amide proton transfer (APT) is a novel magnetic resonance imaging (MRI) technique that has shown promising ability to study cancers. This paper systematically reviewed the literature on the use of APT MRI in the prognosis of breast cancer. A literature search was conducted on Pubmed and Embase and a total of 14 articles comprising 775 patients were included in the review. APT MRI had the ability to distinguish between benign and malignant lesions with an AUC as high as 0.959. There is a positive correlation between APT signal intensity and tumor grade/stage as well as Ki-67, whereas no correlation was found with ER/PR/Her-2 receptor status. There was a greater decrease in APT signal intensity after neoadjuvant chemotherapy (NAC) in responders compared to non-responders, suggesting that APT MRI may serve as a valuable supplemental tool in the early identification of chemotherapy response. APT has the potential to complement with other imaging methods in the diagnosis, prognosis, treatment monitoring, and management of breast cancer. Additional studies and standardization of APT acquisition methods are needed.
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spelling doaj-art-c00815676e2c459aaac2d62b3e83fe282025-02-02T12:40:25ZengBMCJournal of Translational Medicine1479-58762025-01-012311910.1186/s12967-025-06153-7Detection of breast cancer lesions using APT weighted MRI: a systematic reviewRyan C. Lee0Montek Singh Boparai1Tim Q. Duong2Department of Radiology, Montefiore Medical Center and Albert Einstein College of MedicineDepartment of Radiology, Montefiore Medical Center and Albert Einstein College of MedicineDepartment of Radiology, Montefiore Medical Center and Albert Einstein College of MedicineAbstract Amide proton transfer (APT) is a novel magnetic resonance imaging (MRI) technique that has shown promising ability to study cancers. This paper systematically reviewed the literature on the use of APT MRI in the prognosis of breast cancer. A literature search was conducted on Pubmed and Embase and a total of 14 articles comprising 775 patients were included in the review. APT MRI had the ability to distinguish between benign and malignant lesions with an AUC as high as 0.959. There is a positive correlation between APT signal intensity and tumor grade/stage as well as Ki-67, whereas no correlation was found with ER/PR/Her-2 receptor status. There was a greater decrease in APT signal intensity after neoadjuvant chemotherapy (NAC) in responders compared to non-responders, suggesting that APT MRI may serve as a valuable supplemental tool in the early identification of chemotherapy response. APT has the potential to complement with other imaging methods in the diagnosis, prognosis, treatment monitoring, and management of breast cancer. Additional studies and standardization of APT acquisition methods are needed.https://doi.org/10.1186/s12967-025-06153-7Breast cancerAmide Proton transferChemical exchange saturation transferMRI
spellingShingle Ryan C. Lee
Montek Singh Boparai
Tim Q. Duong
Detection of breast cancer lesions using APT weighted MRI: a systematic review
Journal of Translational Medicine
Breast cancer
Amide Proton transfer
Chemical exchange saturation transfer
MRI
title Detection of breast cancer lesions using APT weighted MRI: a systematic review
title_full Detection of breast cancer lesions using APT weighted MRI: a systematic review
title_fullStr Detection of breast cancer lesions using APT weighted MRI: a systematic review
title_full_unstemmed Detection of breast cancer lesions using APT weighted MRI: a systematic review
title_short Detection of breast cancer lesions using APT weighted MRI: a systematic review
title_sort detection of breast cancer lesions using apt weighted mri a systematic review
topic Breast cancer
Amide Proton transfer
Chemical exchange saturation transfer
MRI
url https://doi.org/10.1186/s12967-025-06153-7
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AT monteksinghboparai detectionofbreastcancerlesionsusingaptweightedmriasystematicreview
AT timqduong detectionofbreastcancerlesionsusingaptweightedmriasystematicreview