Early treatment window for predicting breast cancer response to neoadjuvant chemotherapy in the HR+/HER2-subgroup using diffuse optical tomography

被引:0
|
作者
Altoe, Mirella L. [1 ]
Marone, Alessandro [1 ]
Kim, Hyun K. [1 ,2 ]
Guo, Hua [3 ]
Hibshoosh, Haninna [3 ]
Tejada, Mariella [4 ]
Crew, Katherine D. [4 ,5 ]
Accordino, Melissa K. [4 ]
Trivedi, Meghna S. [4 ]
Kalinsky, Kevin [4 ]
Hershman, Dawn L. [4 ,5 ]
Hielscher, Andreas H. [1 ]
机构
[1] NYU, Tandon Sch Engn, Dept Biomed Engn, Brooklyn, NY 11201 USA
[2] Columbia Univ, Dept Radiol, Irving Med Ctr, New York, NY 10032 USA
[3] Columbia Univ, Dept Pathol & Cell Biol, Irving Med Ctr, New York, NY 10032 USA
[4] Columbia Univ, Dept Med, Irving Med Ctr, Div Hematol Oncol, New York, NY 10032 USA
[5] Columbia Univ, Dept Epidemiol, Irving Med Ctr, New York, NY 10032 USA
来源
关键词
Difuse optical tomography; deoxy-hemoglobin; breast cancer; neoadjuvant chemotherapy; pCR; molecular subtype; HR+/HER2-;
D O I
10.1117/12.2609729
中图分类号
R318 [生物医学工程];
学科分类号
0831 ;
摘要
This work evaluates changes in features of 3D breast images generated by a so-called dynamic optical tomographic imaging system (DOTBIS)during neoadjuvant chemotherapy (NAC). Images from 23 breast cancer patients were analyzes and correlated with respect to treatment outcome and status of hormone receptors and human epidermal growth factor receptors. Our data shows that the ratio of the mean value of deoxy-hemoglobin (ctHHbN) at two weeks after the first treatment compared to baseline was statistically significantly lower in patients that achieve a pathologic complete response (pCR) (0.77 +/- 0.22) as compared to patients with a non-pCR (1.14 +/- 0.24, P <.005). These observations indicate that early changes in DOTBIS images can potentially be used to predict breast cancer response to NAC and may allow a better way to customize therapy to HR+/HER2- patients in order to optimize treatment.
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页数:4
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