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author:

Xu, Chao (Xu, Chao.) [1] | Wang, Zhihong (Wang, Zhihong.) [2] | Wang, Ailing (Wang, Ailing.) [3] | Zheng, Yunyan (Zheng, Yunyan.) [4] | Song, Yang (Song, Yang.) [5] | Wang, Chenglong (Wang, Chenglong.) [6] | Yang, Guang (Yang, Guang.) [7] | Ma, Mingping (Ma, Mingping.) [8] | He, Muzhen (He, Muzhen.) [9]

Indexed by:

Scopus SCIE

Abstract:

Rationale and Objectives: The aim of this study was to ascertain whether the utilization of multiple b-value diffusion-weighted habitat imaging, a technique that depicts tumor heterogeneity, could aid in identifying breast cancer patients who would derive substantial benefit from neoadjuvant chemotherapy (NAC). Materials and Methods: This prospective study enrolled 143 women (II-III breast cancer), who underwent multi-b-value diffusion- weighted imaging (DWI) in 3-T magnetic resonance (MR) before NAC. The patient cohort was partitioned into a training set (consisting of 100 patients, of which 36 demonstrated a pathologic complete response [pCR]) and a test set (featuring 43 patients, 16 of whom exhibited pCR). Utilizing the training set, predictive models for pCR, were constructed using different parameters: whole-tumor radiomics (ModelWH), diffusion-weighted habitat-imaging (ModelHabitats), conventional MRI features (ModelCF), along with combined models Model Habitats+CF . The performance of these models was assessed based on the area under the receiver operating characteristic curve (AUC) and calibration slope. Results: In the prediction of pCR, ModelWH, Model Habitats , ModelCF, and Model Habitats+CF achieved AUCs of 0.733, 0.722, 0.705, and 0.756 respectively, within the training set. These scores corresponded to AUCs of 0.625, 0.801, 0.700, and 0.824 respectively in the test set. The DeLong test revealed no significant difference between ModelWH and Model Habitats (P = 0.182), between Model Habitats and Model Habitats+CF (P = 0.113). Conclusion: The habitat model we developed, incorporating first-order features along with conventional MRI features, has demonstrated accurate predication of pCR prior to NAC. This model holds the potential to augment decision-making processes in personalized treatment strategies for breast cancer. (c) 2024 The Association of University Radiologists. Published by Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.

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Community:

  • [ 1 ] [Xu, Chao]Fujian Med Univ, Shengli Clin Med Coll, Fuzhou, Peoples R China
  • [ 2 ] [Wang, Zhihong]Fujian Med Univ, Shengli Clin Med Coll, Fuzhou, Peoples R China
  • [ 3 ] [Zheng, Yunyan]Fujian Med Univ, Shengli Clin Med Coll, Fuzhou, Peoples R China
  • [ 4 ] [Xu, Chao]Fuzhou Univ, Fujian Prov Hosp, Prov Hosp, Dept Gastrointestinal Surg, Fuzhou 350001, Peoples R China
  • [ 5 ] [Wang, Zhihong]Fuzhou Univ, Fujian Prov Hosp, Prov Hosp, Dept Hematol, Fuzhou 350001, Peoples R China
  • [ 6 ] [Xu, Chao]East China Normal Univ, Shanghai Key Lab Magnet Resonance, Shanghai, Peoples R China
  • [ 7 ] [Wang, Ailing]East China Normal Univ, Shanghai Key Lab Magnet Resonance, Shanghai, Peoples R China
  • [ 8 ] [Yang, Guang]East China Normal Univ, Shanghai Key Lab Magnet Resonance, Shanghai, Peoples R China
  • [ 9 ] [Zheng, Yunyan]Fuzhou Univ, Fujian Prov Hosp, Prov Hosp, Dept Radiol, Fuzhou 350001, Peoples R China
  • [ 10 ] [Ma, Mingping]Fuzhou Univ, Fujian Prov Hosp, Prov Hosp, Dept Radiol, Fuzhou 350001, Peoples R China
  • [ 11 ] [He, Muzhen]Fuzhou Univ, Fujian Prov Hosp, Prov Hosp, Dept Radiol, Fuzhou 350001, Peoples R China
  • [ 12 ] [Song, Yang]Siemens Healthineers Ltd, MR Sci Mkt, Shanghai, Peoples R China

Reprint 's Address:

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    [He, Muzhen]Fuzhou Univ, Fujian Prov Hosp, Prov Hosp, Dept Radiol, Fuzhou 350001, Peoples R China

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Source :

ACADEMIC RADIOLOGY

ISSN: 1076-6332

Year: 2024

Issue: 12

Volume: 31

Page: 4733-4742

3 . 8 0 0

JCR@2023

CAS Journal Grade:2

Cited Count:

WoS CC Cited Count: 3

SCOPUS Cited Count:

ESI Highly Cited Papers on the List: 0 Unfold All

WanFang Cited Count:

Chinese Cited Count:

30 Days PV: 2

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