Co-clinical FDG-PET radiomic signature in predicting response to neoadjuvant chemotherapy in triple-negative breast cancer.

Purpose: We sought to exploit the heterogeneity afforded by patient-derived tumor xenografts (PDX) to first, optimize and identify robust radiomic features to predict response to therapy in subtype-matched triple negative breast cancer (TNBC) PDX, and second, to implement PDX-optimized image feature...

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Publicado en:European Journal of Nuclear Medicine & Molecular Imaging Vol. 49; no. 2; pp. 550 - 563
Autores principales: Roy, Sudipta, Whitehead, Timothy D., Li, Shunqiang, Ademuyiwa, Foluso O., Wahl, Richard L., Dehdashti, Farrokh, Shoghi, Kooresh I.
Formato: diagnostic images research tables/charts Journal Article
Publicado: Springer Nature Jan2022
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jan2022
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s00259-021-05489-8
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        atl: Co-clinical FDG-PET radiomic signature in predicting response to neoadjuvant chemotherapy in triple-negative breast cancer.
      aug:
        au:
          Roy, Sudipta
          Whitehead, Timothy D.
          Li, Shunqiang
          Ademuyiwa, Foluso O.
          Wahl, Richard L.
          Dehdashti, Farrokh
          Shoghi, Kooresh I.
        affil: Department of Radiology, Washington University School of Medicine, St. Louis, MO, USA
      sug:
        subj:
          Fludeoxyglucose F 18
          Positron-Emission Tomography
          Breast Neoplasms Drug Therapy
          Neoadjuvant Therapy
          Chemotherapy, Cancer
          Machine Learning
          Treatment Outcomes Evaluation
          Human
          Algorithms
          Regression
      ab: Purpose: We sought to exploit the heterogeneity afforded by patient-derived tumor xenografts (PDX) to first, optimize and identify robust radiomic features to predict response to therapy in subtype-matched triple negative breast cancer (TNBC) PDX, and second, to implement PDX-optimized image features in a TNBC co-clinical study to predict response to therapy using machine learning (ML) algorithms. Methods: TNBC patients and subtype-matched PDX were recruited into a co-clinical FDG-PET imaging trial to predict response to therapy. One hundred thirty-one imaging features were extracted from PDX and human-segmented tumors. Robust image features were identified based on reproducibility, cross-correlation, and volume independence. A rank importance of predictors using ReliefF was used to identify predictive radiomic features in the preclinical PDX trial in conjunction with ML algorithms: classification and regression tree (CART), Naïve Bayes (NB), and support vector machines (SVM). The top four PDX-optimized image features, defined as radiomic signatures (RadSig), from each task were then used to predict or assess response to therapy. Performance of RadSig in predicting/assessing response was compared to SUVmean, SUVmax, and lean body mass-normalized SULpeak measures. Results: Sixty-four out of 131 preclinical imaging features were identified as robust. NB-RadSig performed highest in predicting and assessing response to therapy in the preclinical PDX trial. In the clinical study, the performance of SVM-RadSig and NB-RadSig to predict and assess response was practically identical and superior to SUVmean, SUVmax, and SULpeak measures. Conclusions: We optimized robust FDG-PET radiomic signatures (RadSig) to predict and assess response to therapy in the context of a co-clinical imaging trial.
      pubtype: Academic Journal
      doctype:
        diagnostic images
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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