We tested the hypothesis whether texture analysis of axillary lymph node (aLN) MRI can reliably detect cancer metastasis in the aLN. Comparison was made with ground truth based on pathology and clinical reports. The top single-feature predictor yielded an area under the curve (AUC) of 0.91 and the top two-feature combination yielded an AUC of 0.95. These findings showed that texture analysis of aLN MRI can accurately predict disease status in the nodes associated with breast cancer.
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