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Abstract #2730

Comparison of DWI score and Kinetic score as a Prognostic Marker in Breast Cancer Patients receiving Neoadjuvant Systemic Treatment.

Rie Ota1, Masako Kataoka2, Mami Iima2, Maya Honda3, Aika Okazawa2, Yosuke Yamada4, Yasuhide Takeuchi4, Masakazu Toi5, Takeshi Kubo1, and Yuji Nakamoto2
1Department of Radiology, Tenri Hospital, Nara, Japan, 2Department of Diagnostic Imaging and Nuclear Medicine, Kyoto University graduate school of medicine, Kyoto, Japan, 3Department of Diagnostic Radiology, Kansai Electric Power Hospital, Osaka, Japan, 4Department of Diagnostic Pathology, Kyoto University Hospital, Kyoto, Japan, 5Department of Breast Surgery, Kyoto University Hospital, Kyoto, Japan

Synopsis

Keywords: Breast, Cancer, disease-free survival This study aimed to investigate the association of DWI score of breast cancer derived from MRI obtained after neoadjuvant systemic treatment (NST) with disease-free survival (DFS). Kinetic score from standard DCE-MRI at the same timing was analyzed for comparison. Kaplan-Meier analysis showed that patients with DWI score of 2 showed significantly shorter DFS than those with DWI score 0 or 1. Patients with kinetic score of 2 or 3 showed significantly shorter DFS than those with kinetic score of 0 or 1. DWI score demonstrated excellent inter-reader agreement and is suitable for predicting prognosis of breast cancer patients after NST.

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Keywords