Computer-aided classification of MRI for pathological complete response to neoadjuvant chemotherapy in breast cancer.

Background: To determine suitable optimal classifiers and examine the general applicability of computer-aided classification to compare the differences between a computer-aided system and radiologists in predicting pathological complete response (pCR) from patients with breast cancer receiving neoad...

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Publicado en:Future Oncology Vol. 18; no. 8; pp. 991 - 1002
Autores principales: Yan, Shaolei, Peng, Haiyong, Yu, Qiujie, Chen, Xiaodan, Liu, Yue, Zhu, Ye, Chen, Kaige, Wang, Ping, Li, Yujiao, Zhang, Xiushi, Meng, Wei
Formato: Journal Article
Publicado: Taylor & Francis Ltd Apr2022
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Apr2022
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      pub: Taylor & Francis Ltd
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        atl: Computer-aided classification of MRI for pathological complete response to neoadjuvant chemotherapy in breast cancer.
      aug:
        au:
          Yan, Shaolei
          Peng, Haiyong
          Yu, Qiujie
          Chen, Xiaodan
          Liu, Yue
          Zhu, Ye
          Chen, Kaige
          Wang, Ping
          Li, Yujiao
          Zhang, Xiushi
          Meng, Wei
        affil: Radiology Department, Harbin Medical University, Harbin Medical University Cancer Hospital, 150 Haping Road, Harbin, Heilongjiang, 150081, China
      sug:
        subj:
          Neoadjuvant Therapy
          Magnetic Resonance Imaging
          Breast Neoplasms
          Image Processing, Computer Assisted
          Retrospective Design
          Middle Age
          Aged
          Breast Neoplasms Drug Therapy
          Female
          Aged, 80 and Over
          Predictive Value of Tests
          Adult
          ROC Curve
          Questionnaires
          Middle Aged: 45-64 years
          Aged: 65+ years
          Aged, 80 & over
          Adult: 19-44 years
          Female
      ab: Background: To determine suitable optimal classifiers and examine the general applicability of computer-aided classification to compare the differences between a computer-aided system and radiologists in predicting pathological complete response (pCR) from patients with breast cancer receiving neoadjuvant chemotherapy. Methods: We analyzed a total of 455 masses and used the U-Net network and ResNet to execute MRI segmentation and pCR classification. The diagnostic performance of radiologists, the computer-aided system and a combination of radiologists and computer-aided system were compared using receiver operating characteristic curve analysis. Results: The combination of radiologists and computer-aided system had the best performance for predicting pCR with an area under the curve (AUC) value of 0.899, significantly higher than that of radiologists alone (AUC: 0.700) and computer-aided system alone (AUC: 0.835). Conclusion: An automated classification system is feasible to predict the pCR to neoadjuvant chemotherapy in patients with breast cancer and can complement MRI.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: English
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