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Abstract #2873

Prediction of Pathological Response to Neoadjuvant Chemotherapy in Breast Cancer Using Intravoxel Incoherent Motion Histogram Parameters

Yanbo Li1, Yuchen Xue2, Jinxia Guo3, Lizhi Xie3, and Hong Lu1
1Tianjin Medical University Cancer Institute and Hospital, Tianjin, China, 2Tianjin Medical University General Hospital, Tianjin, China, 3GE Healthcare, Beijing, China, Beijing, China

Synopsis

Keywords: IVIM, Breast

Motivation: The motivation behind this study lies in the need for accurate prediction of pathological response to neoadjuvant chemotherapy (NAC) in breast cancer.

Goal(s): Our goal was to assess the potential of IVIM-derived histogram parameters as predictive markers before NAC in breast cancer patients.

Approach: We conducted a comprehensive analysis of 287 breast cancer cases, utilizing IVIM model-based parameters and multivariate logistic regression. The study included voxel-wise analysis.

Results: The prediction model, combining the selected IVIM parameters and PR status, exhibited strong discriminative power. Additionally, we identified the minimum of D, Skewness of D* and D as significant volumetric predictors associated with pCR.

Impact: The impact of this study is significant, as it enhances breast cancer treatment by providing a reliable predictive model for neoadjuvant chemotherapy response, potentially improving patient outcomes and treatment strategies.

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