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Abstract #2885

Potential anti-HER2 target therapy beneficiaries: can MRI radiomics identify the status of HER2-low in breast cancer?

Xiaoqian Bian1, Zhibin Yue2, Siyao Du1, Yan Xu3, Yang Song3, Min Zhao4, and Lina Zhang1
1The First Hospital of China Medical University, Shenyang, China, 2Department of Biomedical Engineering, School of Intelligent Medicine, China Medical University, Shenyang, China, 3MR Scientific Marketing, Siemens Healthineers, Shanghai, China, 4Pharmaceutical Diagnostics, GE Healthcare, Beijing, China

Synopsis

Keywords: Radiomics, BreastRecently, HER2-low expression tumor was proposed as a new entity in the field of breast cancer and radiomics studies related to HER2-low are rare. This study investigated whether multiparametric MRI-based radiomics can distinguish HER2- low from HER2-positive and HER2-zero in breast cancer. Results showed that clinico-radiomics nomograms including hormone receptor status and radiomics signatures combined contrast-enhanced T1-weighted and apparent diffusion coefficient map performed best in both prediction tasks: HER2-positive vs. HER2-negative and HER2-low vs. HER2-zero. This suggests that multiparametric MRI radiomics achieved effective prediction of HER2-low, which might be further guidance of the anti-HER2 targeted therapy in breast cancer.

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