Multimodal prediction based on ultrasound for response to neoadjuvant chemotherapy in triple negative breast cancer

Abstract Pathological complete response (pCR) can guide surgical strategy and postoperative treatments in triple-negative breast cancer (TNBC). In this study, we developed a Breast Cancer Response Prediction (BCRP) model to predict the pCR in patients with TNBC. The BCRP model integrated multi-dimen...

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Main Authors: Maohua Lyu, Shouheng Yi, Chunyan Li, Yu Xie, Yu Liu, Zeyan Xu, Zhitao Wei, Huan Lin, Yunlin Zheng, Chunwang Huang, Xi Lin, Zaiyi Liu, Shufang Pei, Biao Huang, Zhenwei Shi
Format: Article
Language:English
Published: Nature Portfolio 2025-07-01
Series:npj Precision Oncology
Online Access:https://doi.org/10.1038/s41698-025-01057-7
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Summary:Abstract Pathological complete response (pCR) can guide surgical strategy and postoperative treatments in triple-negative breast cancer (TNBC). In this study, we developed a Breast Cancer Response Prediction (BCRP) model to predict the pCR in patients with TNBC. The BCRP model integrated multi-dimensional longitudinal quantitative imaging features, clinical factors and features from the Breast Imaging Data and Reporting System (BI-RADS). Multi-dimensional longitudinal quantitative imaging features, including deep learning features and radiomics features, were extracted from multiview B-mode and colour Doppler ultrasound images before and after treatment. The BCRP model achieved the areas under the receiver operating curves (AUCs) of 0.94 [95% confidence interval (CI), 0.91–0.98] and 0.84 [95%CI, 0.75–0.92] in the training and external test cohorts, respectively. Additionally, the low BCRP score was an independent risk factor for event-free survival (P < 0.05). The BCRP model showed a promising ability in predicting response to neoadjuvant chemotherapy in TNBC, and could provide valuable information for survival.
ISSN:2397-768X