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Diagnostic accuracy of MRI to evaluate tumour response and residual tumour size after neoadjuvant chemotherapy in breast cancer patients

Open Access
|Feb 2016

Figures & Tables

Figure 1.

Dispersion graph of the correlation between residual tumour sizes (cm) calculated at preoperative MRI (on the X-axis) and at pathological examination (on the Y-axis). Each point represents a tumour; if the pairs of data coincide, the points overlap. The bisector corresponds to the equivalence line. On the graph, the closer the points are to the equivalence line, the greater the correlation between MRI and pathology.
Dispersion graph of the correlation between residual tumour sizes (cm) calculated at preoperative MRI (on the X-axis) and at pathological examination (on the Y-axis). Each point represents a tumour; if the pairs of data coincide, the points overlap. The bisector corresponds to the equivalence line. On the graph, the closer the points are to the equivalence line, the greater the correlation between MRI and pathology.

Figure 2.

Results from the Multivariate Regression Analysis

VariableRegression coefficient (B)sep95% CI
Tumour grade0.8070.2360.0010.338-1.276
HR status0.0860.2490.729−0.408-0.581
BTS (MRI)0.6100.2770.0300.060-1.161

Clinical and tumour characteristics

CONTINUOUS VARIABLESMeanSDMedianRange
AGE (years)47.2210.1042.031.0–75.0
BASAL TUMOR SIZE (cm)3.991.973.401.60–13.0

MRI diagnostic performance in predicting pathologic response

PathologyTotal
No pCRpCR
MRINo iCRTP = 48FP = 654 (58.70%)
iCRFN = 16TN = 2238 (41.30%)
Total64 (69.60%)28 (30.40%)92 (100%)

Factors affecting the MRI diagnostic accuracy based on the discrepancy between MRI and pathologic residual tumour size

VariableNo.Discrepancy (mean ± SD)p-value
Age (years)
 ≤45431.09±1.140.281
> 45460.84 ±1.01
Baseline tumour size (cm)
 ≤5740.85 ±0.990.050
 >5151.53 ±1.33
Histological type0.818
 ductal830.97 ±1.09
 lobular60.87 ±0.82
Histological grade<0.001
 1 or 2401.44 ±1.24
 3470.56 ±0.71
Hormonal receptor status0.033
 positive591.14 ±1.13
 negative300.63 ±0.87
HER2 status0.906
 positive240.99 ±1.12
 negative650.96 ±1.07
Molecular subtype0.055
 Luminal A101.59 ±1.34
 Luminal B-HER2−341.05 ±1.06
 Luminal B-HER2+151.02 ±1.14
 HER2+90.92 ±1.14
 Triple negative210.50 ±0.70
DOI: https://doi.org/10.1515/raon-2016-0007 | Journal eISSN: 1581-3207 | Journal ISSN: 1318-2099
Language: English
Page range: 73 - 79
Submitted on: Sep 30, 2015
Accepted on: Dec 30, 2015
Published on: Feb 16, 2016
Published by: Association of Radiology and Oncology
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2016 Alberto Bouzón, Benigno Acea, Rafaela Soler, Ángela Iglesias, Paz Santiago, Joaquín Mosquera, Lourdes Calvo, Teresa Seoane-Pillado, Alejandra García, published by Association of Radiology and Oncology
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.