RESUMEN
Skin changes associated with alterations in the interstitial matrix and lymph system might provide significant and measurable effects due to the presence of breast cancer. This study aimed to determine if skin electrical resistance changes could serve as a diagnostic and therapeutic biomarker associated with physiological changes in patients with malignant versus benign breast cancer lesions. Forty-eight women (24 with malignant cancer, 23 with benign lesions) were enrolled in this study. Repeated skin resistance measurements were performed within the same session and 1 week after the first measurement in the breast lymphatic region and non-breast lymphathic regions. Intraclass correlation coefficients were calculated to determine the technique's intrasession and intersession reproducibility. Data were then normalized as a mean of comparing cross-sectional differences between malignant and benign lesions of the breast. Six months longitudinal data from six patients that received therapy were analyzed to detect the effect of therapy. Standard descriptive statistics were used to compare ratiometric differences between groups. Skin resistance data were used to train a machine learning random forest classification algorithm to diagnose breast cancer lesions. Significant differences between malignant and benign breast lesions were obtained (p<0.01), also pre- and post-treatment (p<0.05). The diagnostic algorithm demonstrated the capability to classify breast cancer with an area under the curve of 0.68, sensitivity of 66.3%, specificity of 78.5%, positive predictive value 70.7% and negative predictive value 75.1%. Measurement of skin resistance in patients with breast cancer may serve as a convenient screening tool for breast cancer and evaluation of therapy. Further work is warranted to improve our approach and further investigate the biophysical mechanisms leading to the observed changes.
RESUMEN
El desarrollo de la resonancia magnética (RM) ha originado un importante avance en el diagnóstico de las enfermedades del sistema nervioso central (SNC). Las ventajas fundamentales incluyen: la ausencia de radiación, la capacidad de obtener imágenes en múltiples planos y una mayor sensibilidad en la detección de procesos patológicos. No obstante, al igual que lo ocurrido en los inicios de la tomografía computada (TC), se ha hecho evidente la necesidad de utilizar medios de contraste. Los primeros estudios se han realizado en torno a sustancias paramagnéticas, de las cuales el Godolinium-DTPA ha sido el primero en obtener una valoración clínica y consiguiente aprobación.