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Abstract #1068

The value of ultra-fast DISCO DCE in identifying HER2 zero-, low-, and over-expressing breast cancers

Ting Zhan1,2, Jian-kun Dai3, and Chun-hua Lu1,2
1Department of Radiology, The Second Affiliated Hospital of Nanchang University, Nanchang, China, 2Jiangxi Provincial Key Laboratory of Intelligent Medical Imaging, Nanchang, China, 3MR Research, GE Healthcare, Beijing, China

Synopsis

Keywords: Breast, Breast

Motivation: HER2-low breast cancer patients may benefit from newly devised antibody-drug conjugates. However, the challenge lies in accurately identifying HER2-low status through non-invasive imaging techniques.

Goal(s): Investigating the value of ultra-fast DISCO DCE for differentiating HER2-zero, HER2-low, and HER2-oe BC.

Approach: 39 HER2-zero, 78 HER2-low, and 56 HER2-oe BC patients were involved. Quantitative kinetic parameters were calculated from DISCO DCE, including MS, BAT, Ktrans, Kep, Ve, IAUGC, and CER.

Results: Kep and CER were independent factors to distinguish HER2-zero from HER2-low. MS and BAT were independent factors to discriminate HER2-zero from HER2-oe. BAT, Ve, and IAUGC were independent factors to differentiate HER2-low from HER2-oe.

Impact: Our results suggested ultra-fast DISCO DCE derived quantitative kinetic parameters can serve as non-invasive biomarkers for identifying HER2-zero, HER2-low, and HER2-oe. The application of DISCO DCE would be beneficial for guiding treatment selection and monitoring HER2 status change during treatment.

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