Evidence map›Paper›PMID 33298938›Full record

ArticleNPJ breast cancer2020

Predicting breast cancer response to neoadjuvant treatment using multi-feature MRI: results from the I-SPY 2 TRIAL.

Wen Li, David C Newitt, Jessica Gibbs, Lisa J Wilmes, Ella F Jones, Vignesh A Arasu, Fredrik Strand, Natsuko Onishi, Alex Anh-Tu Nguyen, John Kornak and 52 more

Abstract read
In one paragraph

Article in NPJ breast cancer, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 50 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

50 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

62 authors.

Wen LiUniversity of California, San Francisco, CA, USA.ORCID http://orcid.org/0000-0001-6584-363X
David C NewittUniversity of California, San Francisco, CA, USA.ORCID http://orcid.org/0000-0002-1735-6682
Jessica GibbsUniversity of California, San Francisco, CA, USA.
Lisa J WilmesUniversity of California, San Francisco, CA, USA.
Ella F JonesUniversity of California, San Francisco, CA, USA.ORCID http://orcid.org/0000-0001-8700-2129
Vignesh A ArasuUniversity of California, San Francisco, CA, USA.
Fredrik StrandUniversity of California, San Francisco, CA, USA.
Natsuko OnishiUniversity of California, San Francisco, CA, USA.ORCID http://orcid.org/0000-0003-4495-9187
Alex Anh-Tu NguyenUniversity of California, San Francisco, CA, USA.
John KornakUniversity of California, San Francisco, CA, USA.
Bonnie N JoeUniversity of California, San Francisco, CA, USA.
Elissa R PriceUniversity of California, San Francisco, CA, USA.
Haydee Ojeda-FournierUniversity of California, San Diego, CA, USA.
Mohammad EghtedariUniversity of California, San Diego, CA, USA.ORCID http://orcid.org/0000-0002-4242-2637
Kathryn W ZamoraUniversity of Alabama, Birmingham, AL, USA.
Stefanie A WoodardUniversity of Alabama, Birmingham, AL, USA.
Heidi UmphreyUniversity of Alabama, Birmingham, AL, USA.
Wanda BernreuterUniversity of Alabama, Birmingham, AL, USA.
Michael NelsonUniversity of Minnesota, Minneapolis, MN, USA.
An Ly ChurchUniversity of Minnesota, Minneapolis, MN, USA.ORCID http://orcid.org/0000-0002-9544-8638
Patrick BolanUniversity of Minnesota, Minneapolis, MN, USA.
Theresa KuritzaLoyola University, Maywood, IL, USA.
Kathleen WardLoyola University, Maywood, IL, USA.
Kevin MorleyLoyola University, Maywood, IL, USA.
Dulcy WolvertonUniversity of Colorado, Denver, CO, USA.ORCID http://orcid.org/0000-0002-2638-1548
Kelly FountainUniversity of Colorado, Denver, CO, USA.
Dan Lopez-PaniaguaUniversity of Colorado, Denver, CO, USA.
Lara HardestyUniversity of Colorado, Denver, CO, USA.
Kathy BrandtMayo Clinic, Rochester, NY, USA.
Elizabeth S McDonaldUniversity of Pennsylvania, Philadelphia, PA, USA.
Mark RosenUniversity of Pennsylvania, Philadelphia, PA, USA.
Despina KontosUniversity of Pennsylvania, Philadelphia, PA, USA.
Hiroyuki AbeUniversity of Chicago, Chicago, IL, USA.
Deepa ShethUniversity of Chicago, Chicago, IL, USA.ORCID http://orcid.org/0000-0003-0314-3333
Erin P CraneGeorgetown University, Georgetown, DC, USA.
Charlotte DillisGeorgetown University, Georgetown, DC, USA.
Pulin ShethUniversity of Southern California, Los Angeles, CA, USA.
Linda Hovanessian-LarsenUniversity of Southern California, Los Angeles, CA, USA.
Dae Hee BangSwedish Cancer Institute, Seattle, WA, USA.
Bruce PorterSwedish Cancer Institute, Seattle, WA, USA.
Karen Y OhOregon Health & Science University, Portland, OR, USA.
Neda JafarianOregon Health & Science University, Portland, OR, USA.
Alina TudoricaOregon Health & Science University, Portland, OR, USA.
Bethany L NiellMoffitt Cancer Center, Tampa, FL, USA.ORCID http://orcid.org/0000-0003-0350-7942
Jennifer DrukteinisMoffitt Cancer Center, Tampa, FL, USA.
Mary S NewellEmory University, Atlanta, GA, USA.
Michael A CohenEmory University, Atlanta, GA, USA.
Marina GiurescuMayo Clinic, Scottsdale, AZ, USA.
Elise BermanInova Health System, Falls Church, VA, USA.
Constance LehmanUniversity of Washington, Seattle, WA, USA.
Savannah C PartridgeUniversity of Washington, Seattle, WA, USA.
Kimberly A FitzpatrickUniversity of Arizona, Tucson, AZ, USA.
Marisa H BordersUniversity of Arizona, Tucson, AZ, USA.
Wei T YangUniversity of Texas, M.D. Anderson Cancer Center, Houston, TX, USA.
Basak DoganUniversity of Texas, M.D. Anderson Cancer Center, Houston, TX, USA.
Sally GoudreauUniversity of Texas Southwestern, Dallas, TX, USA.ORCID http://orcid.org/0000-0001-8312-0494
Thomas ChenevertUniversity of Michigan, Ann Arbor, MI, USA.
Christina YauUniversity of California, San Francisco, CA, USA.
Angela DeMicheleUniversity of Pennsylvania, Philadelphia, PA, USA.
Don BerryBerry Consultants, LLC, Austin, TX, USA.
Laura J EssermanUniversity of California, San Francisco, CA, USA.ORCID http://orcid.org/0000-0001-9202-4568
Nola M HyltonUniversity of California, San Francisco, CA, USA. nola.hylton@ucsf.edu.ORCID http://orcid.org/0000-0002-6747-1662

Funding

The I SPY 2.2 TRIAL: Evolving to Imaging and Molecular Biomarker Response Directed Adaptive Sequential Treatment to Optimize Breast Cancer OutcomesP01CA210961 · NCI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Nola M. Hylton-Watson · 2017 to 2026
$22.9M
Real-time In Vivo MRI Biomarkers for Breast Cancer Pre-Operative Treatment TrialsR01CA132870 · NCI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI HYLTON-WATSON, NOLA M., NEWITT, DAVID C · 2008 to 2019
$4.8M
Dedicated breast PET and MRI for characterization of breast cancer and its response to therapyR01CA227763 · NCI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Natsuko Onishi Yamashita · 2019 to 2026
$3.6M
Quantitative Imaging for Assessing Breast Cancer Response to TreatmentU01CA225427 · NCI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI HYLTON-WATSON, NOLA M. · 2018 to 2022
$3.2M
Quantitative Imaging for Assessing Breast Cancer Response to TreatmentU01CA151235 · NCI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI HYLTON-WATSON, NOLA M. · 2011 to 2015
$2.8M
Multi-parametric 4-D Imaging Biomarkers for Neoadjuvant Treatment ResponseR01CA197000 · NCI · UNIVERSITY OF PENNSYLVANIA · PI KONTOS, DESPINA · 2016 to 2020
$2.4M
NCI NIH HHS P01 CA210961NCI NIH HHS R01 CA132870NCI NIH HHS R01 CA197000NCI NIH HHS R01 CA227763NCI NIH HHS U01 CA151235NCI NIH HHS U01 CA225427
6 · The paper itself

Abstract

Dynamic contrast-enhanced (DCE) MRI provides both morphological and functional information regarding breast tumor response to neoadjuvant chemotherapy (NAC). The purpose of this retrospective study is to test if prediction models combining multiple MRI features outperform models with single features. Four features were quantitatively calculated in each MRI exam: functional tumor volume, longest diameter, sphericity, and contralateral background parenchymal enhancement. Logistic regression analysis was used to study the relationship between MRI variables and pathologic complete response (pCR). Predictive performance was estimated using the area under the receiver operating characteristic curve (AUC). The full cohort was stratified by hormone receptor (HR) and human epidermal growth factor receptor 2 (HER2) status (positive or negative). A total of 384 patients (median age: 49 y/o) were included. Results showed analysis with combined features achieved higher AUCs than analysis with any feature alone. AUCs estimated for the combined versus highest AUCs among single features were 0.81 (95% confidence interval [CI]: 0.76, 0.86) versus 0.79 (95% CI: 0.73, 0.85) in the full cohort, 0.83 (95% CI: 0.77, 0.92) versus 0.73 (95% CI: 0.61, 0.84) in HR-positive/HER2-negative, 0.88 (95% CI: 0.79, 0.97) versus 0.78 (95% CI: 0.63, 0.89) in HR-positive/HER2-positive, 0.83 (95% CI not available) versus 0.75 (95% CI: 0.46, 0.81) in HR-negative/HER2-positive, and 0.82 (95% CI: 0.74, 0.91) versus 0.75 (95% CI: 0.64, 0.83) in triple negatives. Multi-feature MRI analysis improved pCR prediction over analysis of any individual feature that we examined. Additionally, the improvements in prediction were more notable when analysis was conducted according to cancer subtype.

Identifiers

PMID33298938
PMCPMC7695723

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.