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Abstract #4617

Prediction of Neoadjuvant Systemic Treatment Response in Triple-Negative Breast Cancer Using a 3D Neural Network on Synthetic MR Images

Ken-Pin Hwang1, Jong Bum Son1, Zhan Xu1, Rania Mohamed2, Huiqin Chen3, Beatriz E. Adrada4, Tanya Mosley4, Clinton Yam5, Peng Wei3, Wei Yang4, Jingfei Ma1, and Gaiane M. Rauch6
1Department of Imaging Physics, The University of Texas M.D. Anderson Cancer Center, Houston, TX, United States, 2Department of Cancer Systems Imaging, The University of Texas M.D. Anderson Cancer Center, Houston, TX, United States, 3Department of Biostatistics, The University of Texas M.D. Anderson Cancer Center, Houston, TX, United States, 4Department of Breast Imaging, The University of Texas M.D. Anderson Cancer Center, Houston, TX, United States, 5Department of Breast Medical Oncology, The University of Texas M.D. Anderson Cancer Center, Houston, TX, United States, 6Department of Abdominal Imaging, The University of Texas M.D. Anderson Cancer Center, Houston, TX, United States

Synopsis

Keywords: Breast, Breast

Motivation: There is an unmet need for noninvasive imaging biomarkers for accurate early prediction of therapy response in patients with triple negative breast cancer.

Goal(s): In this study, we investigated using a 3D convolutional neural network to predict response from quantitative T1, T2, and PD images acquired with the SyntheticMR technique.

Approach: A ResNet-101 network was extended to 3D with 3 channels of inputs, and trained and evaluated using 5-fold cross validation with 217 image datasets acquired after 2 and 4 cycles of therapy.

Results: Accuracy of response prediction ranged from 0.61-0.77 and dice similarity ranged from 0.68-0.77 when all time points were utilized.

Impact: Therapy response at mid-treatment may be determined by a neural network applied to a single multi-parameter mapping sequence, which may help guide treatment strategies for improved outcomes for patients with triple negative breast cancer.

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