Evidence map›Paper›PMID 31045431›Full record

ArticleThe British journal of radiology2019

Strain wave elastography in response assessment to neo-adjuvant chemotherapy in patients with locally advanced breast cancer.

Amit Katyan, Mahesh Kumar Mittal, Chinta Mani, Ashish Kumar Mandal

Registry-linked trialAbstract read
In one paragraph

Article in The British journal of radiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04795349 (New Techniques to evAlUate Response to neOadjuvant Treatments in bReast cAncer), which is not on this map. Cited by 10 papers, 1 of them a synthesis that pooled it.

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10citing papers in PubMed, 1 pooled it
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1 · What the graph read from it

What it found

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2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04795349 naunknown statusnot on this mapstarted 2020, after this paper: background citation

New Techniques to evAlUate Response to neOadjuvant Treatments in bReast cAncer: Can Breast Surgery be Avoided

TypeinterventionalSponsorClinica Universidad de Navarra, Universidad de NavarraRan2020 to 2022Enrolled20ConditionsBreast CancerArmsVacuum-assisted breast biopsy
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Amit Katyan1 Department of Radiology, Vardhman Mahavir Medical College and Safdarjung Hospital , New Delhi , India.
Mahesh Kumar Mittal1 Department of Radiology, Vardhman Mahavir Medical College and Safdarjung Hospital , New Delhi , India.
Chinta Mani2 Department of Surgery Vardhman Mahavir Medical College and Safdarjung Hospital , New Delhi , India.
Ashish Kumar Mandal3 Department of Pathology Vardhman Mahavir Medical College and Safdarjung Hospital , New Delhi , India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe study was conducted to study the role of strain wave elastography in evaluating the response to neo-adjuvant chemotherapy (NACT) in patients with locally advanced breast cancer (LABC).

methodsIn this Institutional review board approved study, 86 patients of LABC were investigated with strain wave elastography. Females receiving NACT had the affected breast scanned by strain wave elastography before each cycle of chemotherapy and immediately before surgery by two independent observers. Changes in elastographic parameters (size ratio, strain ratio) were documented and then compared to clinical and pathologic tumor response as evaluated after mastectomy.

resultsElastographic strain ratio parameters demonstrated high sensitivity and moderate specificity for determining response even after the first cycle of neo-adjuvant chemotherapy [97.7% sensitivity (Sn), 68.7% specificity (Sp)]. Elastographic size ratio parameters showed moderate sensitivity and specificity for response detection after second and third cycle of neo-adjuvant chemotherapy (Sn, Sp: after second cycle of NACT Sn 83.3% Sp 80%; after third cycle of NACT Sn 77.8% Sp 100%).

conclusionStrain ratio is the earliest predictor of treatment response in patients of LABC. Serial imaging with elastography has the potential to predict treatment response early during the course of NACT, which may prove vital in management of patients with breast cancer. ADVANCES IN KNOWLEDGE: Strain wave elastography is a powerful tool to predict chemoresponse early during the course of management, thereby providing an optimal window to change treatment protocols.

Indexed as

BreastBreast NeoplasmsChemotherapy, AdjuvantElasticity Imaging TechniquesFemaleHumansMiddle AgedNeoadjuvant TherapySensitivity and SpecificityTreatment Outcome

Identifiers

PMID31045431
PMCPMC6636265

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