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Abstract #0184

Multi-modal MRI Parametric Maps Combined with Receptor Information to Optimize Prediction of Pathologic Response to Neoadjuvant Chemotherapy in Breast Cancer

Hakmook Kang1,2, Allison Hainline1, Xia Li3, Lori R. Arlinghaus4, Vandana G. Abramson5,6, A. Bapsi Chakravarthy5,7, Brian Bingham8, and Thomas E. Yankeelov2,4,5,9

1Biostatistics, Vanderbilt University, Nashville, TN, United States, 2Center for Quantitative Science, Vanderbilt University, Nashville, TN, United States, 3GE Global Research, Niskayuna, NY, United States, 4Institute of Imaging Science, Vanderbilt University, Nashville, TN, United States, 5Ingram Cancer Center, Vanderbilt University, Nashville, TN, United States, 6Medical Oncology, Vanderbilt University, Nashville, TN, United States, 7Radiation Oncology, Vanderbilt University, Nashville, TN, United States, 8School of Medicine, Vanderbilt University, Nashville, TN, United States, 9Radiology and Radiological Sciences, Vanderbilt University, Nashville, TN, United States

Pathologic complete response (pCR) following neoadjuvant chemotherapy is used as a short term surrogate marker of ultimate outcome in patients with breast cancer. Current imaging tools are suboptimal in predicting this response. Analyzing voxel-level heterogeneity in multi-modal MRI maps in conjunction with receptor status data, i.e., DCE- and DW-MRI, and ER/PR/HER2 status, allows us to improve the predictive power after the first cycle of neoadjuvant chemotherapy (NAC).

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