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Abstract #1139

Preliminary evidence of a vascular normalization biomarker in trastuzumab-treated HER2+ breast cancer

Anna G. Sorace 1,2 , Jennifer G. Whisenant 1,2 , J. Oliver McIntyre 2,3 , Violeta M. Sanchez 4 , Mary E. Loveless 2 , and Thomas E. Yankeelov 1,2

1 Radiology, Vanderbilt University, Nashville, Tennessee, United States, 2 Vanderbilt University Institute of Imaging Science, Vanderbilt University, Nashville, Tennessee, United States, 3 Cancer Biology, Vanderbilt University, Nashville, Tennessee, United States, 4 Hematology Oncology, Vanderbilt University, Nashville, Tennessee, United States

We use quantitative DCE-MRI to determine sensitivity to HER2+ targeted breast cancer treatments early in the course of therapy. Preclinical studies utilizing mice with HER2+ (sensitive or resistant) tumors were treated with trastuzumab or saline. DCE-MRI was longitudinally tracked from baseline to day 4. DCE-MRI parameter, K trans , revealed significant increases post treatment in the HER2+ sensitive, treated tumors compared to their control counterparts, untreated and HER2+ resistant treated, therefore suggesting vessel normalization. Paralleled histological parameter, microvessel density, also revealed significant increases. Imaging biomarkers have potential as a noninvasive tool to discriminate responders from nonresponders early during the course of therapy.

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