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Abstract #4367

Prediction of Individual Breast Tumor Therapeutic Response

Charles S. Springer, Jr.1, Xin Li1, Megan L. Troxell2, Karen Y. Oh3, Arpana Naik4, Kathleen A. Kemmer5, Aneela Afzal1, May H. Mishal1, Alina Tudorica3, and Wei Huang1

1Advanced Imaging Research Center, Oregon Health & Science University, Portland, OR, United States, 2Pathology, Oregon Health & Science University, Portland, OR, 3Radiology, Oregon Health & Science University, Portland, OR, 4Surgical Oncology, Oregon Health & Science University, Portland, OR, 5Medical Oncology, Oregon Health & Science University

Synopsis: A kio parametric image maps Na+,K+ATPase activity with intra-tumor resolution. For breast tumors, the kio hot spot fraction decreases after one NACT cycle if the tumor goes on to be cancer-free after NACT completion, but not if it maintains residual cancer. Also, though kio hot spots are reduced after one NACT cycle, new ones appear in different loci. This is consistent with metabolic competition between different cancer cell populations within the tumor.

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