Neoadjuvant Chemotherapy Treatment Prediction: A Classification Model Based Approach Utilising Pre-treatment DCE-MRI

The aim of this work was to develop a classification model to predict pCR, in patients undergoing neoadjuvant chemotherapy. To generate empirical vascular parameters dynamic data was interrogated in a pixel-by-pixel manner. Following pathological analysis Synthetic Minority Over-sampling TEchnique (SMOTE) was utilised to balance the pCR and non-pCR classes and a classification model was developed. High predictive accuracy was obtained from only 4 DCE-MRI parameters. This study suggests that prediction of pathological complete response, secondary to NAC treatment, can be made even prior to the initiation of chemotherapy from DCE-MRI parameters with a 86% accuracy.

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