Ontology highlight
ABSTRACT: Background
Neoadjuvant chemotherapy (NAC) is the standard of care for patients with locally advanced breast cancer (LABC). The study was conducted to investigate the utility of quantitative ultrasound (QUS) carried out during NAC to predict the final tumour response in a multi-institutional setting.Methods
Fifty-nine patients with LABC were enrolled from three institutions in North America (Sunnybrook Health Sciences Centre (Toronto, Canada), MD Anderson Cancer Centre (Texas, USA), and Princess Margaret Cancer Centre (Toronto, Canada)). QUS data were collected before starting NAC and subsequently at weeks 1 and 4 during chemotherapy. Spectral tumour parametric maps were generated, and textural features determined using grey-level co-occurrence matrices. Patients were divided into two groups based on their pathological outcomes following surgery: responders and non-responders. Machine learning algorithms using Fisher's linear discriminant (FLD), K-nearest neighbour (K-NN), and support vector machine (SVM-RBF) were used to generate response classification models.Results
Thirty-six patients were classified as responders and twenty-three as non-responders. Among all the models, SVM-RBF had the highest accuracy of 81% at both weeks 1 and week 4 with area under curve (AUC) values of 0.87 each. The inclusion of week 1 and 4 features led to an improvement of the classifier models, with the accuracy and AUC from baseline features only being 76% and 0.68, respectively.Conclusion
QUS data obtained during NAC reflect the ongoing treatment-related changes during chemotherapy and can lead to better classifier performances in predicting the ultimate pathologic response to treatment compared to baseline features alone.
SUBMITTER: Quiaoit K
PROVIDER: S-EPMC7384762 | biostudies-literature | 2020
REPOSITORIES: biostudies-literature
Quiaoit Karina K DiCenzo Daniel D Fatima Kashuf K Bhardwaj Divya D Sannachi Lakshmanan L Gangeh Mehrdad M Sadeghi-Naini Ali A Dasgupta Archya A Kolios Michael C MC Trudeau Maureen M Gandhi Sonal S Eisen Andrea A Wright Frances F Look-Hong Nicole N Sahgal Arjun A Stanisz Greg G Brezden Christine C Dinniwell Robert R Tran William T WT Yang Wei W Curpen Belinda B Czarnota Gregory J GJ
PloS one 20200727 7
<h4>Background</h4>Neoadjuvant chemotherapy (NAC) is the standard of care for patients with locally advanced breast cancer (LABC). The study was conducted to investigate the utility of quantitative ultrasound (QUS) carried out during NAC to predict the final tumour response in a multi-institutional setting.<h4>Methods</h4>Fifty-nine patients with LABC were enrolled from three institutions in North America (Sunnybrook Health Sciences Centre (Toronto, Canada), MD Anderson Cancer Centre (Texas, USA ...[more]