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Predicting breast cancer response to neoadjuvant chemotherapy using pretreatment diffuse optical spectroscopic texture analysis.


ABSTRACT:

Background

Diffuse optical spectroscopy (DOS) has been demonstrated capable of monitoring response to neoadjuvant chemotherapy (NAC) in locally advanced breast cancer (LABC) patients. In this study, we evaluate texture features of pretreatment DOS functional maps for predicting LABC response to NAC.

Methods

Locally advanced breast cancer patients (n=37) underwent DOS breast imaging before starting NAC. Breast tissue parametric maps were constructed and texture analyses were performed based on grey-level co-occurrence matrices for feature extraction. Ground truth labels as responders (R) or non-responders (NR) were assigned to patients based on Miller-Payne pathological response criteria. The capability of DOS textural features computed on volumetric tumour data before the start of treatment (i.e., 'pretreatment') to predict patient responses to NAC was evaluated using a leave-one-out validation scheme at subject level. Data were analysed using a logistic regression, naive Bayes, and k-nearest neighbour classifiers.

Results

Data indicated that textural characteristics of pretreatment DOS parametric maps can differentiate between treatment response outcomes. The HbO2 homogeneity resulted in the highest accuracy among univariate parameters in predicting response to chemotherapy: sensitivity (%Sn) and specificity (%Sp) were 86.5% and 89.0%, respectively, and accuracy was 87.8%. The highest predictors using multivariate (binary) combination features were the Hb-contrast+HbO2-homogeneity, which resulted in a %Sn/%Sp=78.0/81.0% and an accuracy of 79.5%.

Conclusions

This study demonstrated that the pretreatment DOS texture features can predict breast cancer response to NAC and potentially guide treatments.

SUBMITTER: Tran WT 

PROVIDER: S-EPMC5482739 | biostudies-literature | 2017 May

REPOSITORIES: biostudies-literature

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Publications

Predicting breast cancer response to neoadjuvant chemotherapy using pretreatment diffuse optical spectroscopic texture analysis.

Tran William T WT   Gangeh Mehrdad J MJ   Sannachi Lakshmanan L   Chin Lee L   Watkins Elyse E   Bruni Silvio G SG   Rastegar Rashin Fallah RF   Curpen Belinda B   Trudeau Maureen M   Gandhi Sonal S   Yaffe Martin M   Slodkowska Elzbieta E   Childs Charmaine C   Sadeghi-Naini Ali A   Czarnota Gregory J GJ  

British journal of cancer 20170418 10


<h4>Background</h4>Diffuse optical spectroscopy (DOS) has been demonstrated capable of monitoring response to neoadjuvant chemotherapy (NAC) in locally advanced breast cancer (LABC) patients. In this study, we evaluate texture features of pretreatment DOS functional maps for predicting LABC response to NAC.<h4>Methods</h4>Locally advanced breast cancer patients (n=37) underwent DOS breast imaging before starting NAC. Breast tissue parametric maps were constructed and texture analyses were perfor  ...[more]

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