{"id":841,"date":"2018-06-12T09:50:23","date_gmt":"2018-06-12T08:50:23","guid":{"rendered":"https:\/\/journals.myesr.org\/eur-radiol\/2018\/06\/12\/letter-editor-breast-cancer-subtypes-may-obscure-robust-classification-breast-tumors-brain-metastases-cancers\/"},"modified":"2025-09-19T10:26:31","modified_gmt":"2025-09-19T09:26:31","slug":"letter-editor-breast-cancer-subtypes-may-obscure-robust-classification-breast-tumors-brain-metastases-cancers","status":"publish","type":"post","link":"https:\/\/journals.myesr.org\/eur-radiol\/opinions\/letter-editor-breast-cancer-subtypes-may-obscure-robust-classification-breast-tumors-brain-metastases-cancers\/","title":{"rendered":"Letter to the Editor: Breast cancer subtypes may obscure robust classification of breast tumors with brain metastases from other cancers"},"content":{"rendered":"<p><strong>Dear Editor,<\/strong><\/p>\n<p>I want to congratulate Ortiz-Ram\u00f3n and colleagues for their article [1] in which they investigated the capability of MRI texture analysis to differentiate the primary site of origin of brain metastases (BM) following a radiomics approach. They found that high accuracy was obtained when differentiating lung cancer BM from breast cancer BM and melanoma BM using the optimal datasets. However, classification of breast cancer and melanoma BM was unsatisfactory. Although the authors did not mention rate of each breast cancer subtypes with BM, I think that unsatisfactory results for breast cancer classification might come from different molecular subtypes of breast cancer that may obscure robust classification of breast tumors from others. For example, triple negative or HER-2 positive breast cancer with BM reflect high proliferative histopathological features with higher ki-67index compared to luminal breast tumors with lower proliferative caharacteristics which in turn might complicate classification of breast cancer from other tumors.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Dear Editor, I want to congratulate Ortiz-Ram\u00f3n and colleagues for their article [1] in which they investigated the capability of MRI texture analysis to differentiate the primary site of origin of brain metastases (BM) following a radiomics approach. They found that high accuracy was obtained when differentiating lung cancer BM from breast cancer BM and [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_et_pb_use_builder":"","_et_pb_old_content":"","_et_gb_content_width":"","inline_featured_image":false,"footnotes":""},"categories":[6],"tags":[],"class_list":["post-841","post","type-post","status-publish","format-standard","hentry","category-opinions"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.2 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Letter to the Editor: Breast cancer subtypes may obscure robust classification of breast tumors with brain metastases from other cancers - European Radiology<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/journals.myesr.org\/eur-radiol\/opinions\/letter-editor-breast-cancer-subtypes-may-obscure-robust-classification-breast-tumors-brain-metastases-cancers\/\" \/>\n<meta property=\"og:locale\" content=\"en_GB\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Letter to the Editor: Breast cancer subtypes may obscure robust classification of breast tumors with brain metastases from other cancers - European Radiology\" \/>\n<meta property=\"og:description\" content=\"Dear Editor, I want to congratulate Ortiz-Ram\u00f3n and colleagues for their article [1] in which they investigated the capability of MRI texture analysis to differentiate the primary site of origin of brain metastases (BM) following a radiomics approach. They found that high accuracy was obtained when differentiating lung cancer BM from breast cancer BM and [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/journals.myesr.org\/eur-radiol\/opinions\/letter-editor-breast-cancer-subtypes-may-obscure-robust-classification-breast-tumors-brain-metastases-cancers\/\" \/>\n<meta property=\"og:site_name\" content=\"European Radiology\" \/>\n<meta property=\"article:published_time\" content=\"2018-06-12T08:50:23+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2025-09-19T09:26:31+00:00\" \/>\n<meta name=\"author\" content=\"editor\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"editor\" \/>\n\t<meta name=\"twitter:label2\" content=\"Estimated reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"1 minute\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/journals.myesr.org\/eur-radiol\/opinions\/letter-editor-breast-cancer-subtypes-may-obscure-robust-classification-breast-tumors-brain-metastases-cancers\/\",\"url\":\"https:\/\/journals.myesr.org\/eur-radiol\/opinions\/letter-editor-breast-cancer-subtypes-may-obscure-robust-classification-breast-tumors-brain-metastases-cancers\/\",\"name\":\"Letter to the Editor: Breast cancer subtypes may obscure robust classification of breast tumors with brain metastases from other cancers - 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