4.6 Review

Magnetic resonance elastography of malignant tumors

Journal

FRONTIERS IN PHYSICS
Volume 10, Issue -, Pages -

Publisher

FRONTIERS MEDIA SA
DOI: 10.3389/fphy.2022.910036

Keywords

magnetic resonance elastography; cancer imaging; biomechanical properties; malignant tumor; biomarker

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The biomechanical properties of cancer play a crucial role in tumorigenesis, invasiveness, and treatment resistance. Magnetic resonance elastography is a non-invasive imaging method that can assess the mechanical properties of tumors. It has been found that evaluating visco-elastic properties using MRE can help characterize malignant tumors and evaluate treatment response.
Cancer biomechanical properties, including high stiffness, solid stress, and interstitial pressure, as well as altered micro-architecture, are drivers of tumorigenesis, invasiveness and resistance to treatment. Magnetic resonance elastography is an emergent non-invasive imaging method to assess the tumor mechanical properties in a spatially resolved fashion. Several MRE acquisition and reconstruction methods have been developed to assess tumors and surrounding tissues. It is increasingly recognized that the visco-elastic properties assessed with MRE are useful for characterizing malignant tumors and evaluating treatment response in various organs. Generally, malignant tumors, except brain tumors, have high stiffness and high visco-elastic ratio or fluidity. MRE transducers, acquisition sequences and reconstruction algorithms are continuously improved to increase depth penetration and spatial resolution, and limit artifacts at spatial discontinuities. Moreover, assessment of compression stiffening might provide new biomarkers of the altered physical traits of cancer. Increasing research and clinical validation will improve the efficacy of MRE for cancer characterization.

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