Evidence map›Paper›PMID 33624457›Full record

ArticleJournal of biomedical optics2021

Breast cancer differential diagnosis using diffuse optical spectroscopic imaging and regression with z-score normalized data.

Jeffrey M Cochran, Anais Leproux, David R Busch, Thomas D O'Sullivan, Wei Yang, Rita S Mehta, Alice M Police, Bruce J Tromberg, Arjun G Yodh

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Journal of biomedical optics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06360809 (Prehabilitation Exercise Program in Breast Cancer), which is not on this map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.9field-weighted citation impact, top 14% of its field
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.

NCT06360809 naunknown statusnot on this mapstarted 2024, after this paper: background citation

Prehabilitation Exercise Program in Breast Cancer: Effects on Quality of Life and Tumor Microenvironment (PEP_BC)

TypeinterventionalSponsorInstitut Nacional d'Educacio Fisica de CatalunyaRan2024 to 2025Enrolled76ConditionsBreast CancerArmsPrehabilitation exercise program
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 20 citations in OpenAlex.

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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

9 authors at 7 institutions in 2 countries.

Jeffrey M CochranUniversity of Pennsylvania, Department of Physics and Astronomy, Philadelphia, Pennsylvania, United States.
Anais LeprouxUniversity of California Irvine, Beckman Laser Institute and Medical Clinic, Irvine, California, United States.
David R BuschUniversity of Texas Southwestern Medical Center, Departments of Anesthesiology and Pain Management &, United States.
Thomas D O'SullivanUniversity of Notre Dame, Department of Electrical Engineering, Notre Dame, Indiana, United States.
Wei YangUniversity of Texas MD Anderson Cancer Center, Department of Diagnostic Radiology, Houston, Texas, United States.
Rita S MehtaUniversity of California Irvine, Department of Medicine, Irvine, California, United States.
Alice M PoliceNorthwell Health Breast Care Centers, Sleepy Hollow, New York, United States.
Bruce J TrombergUniversity of California Irvine, Beckman Laser Institute and Medical Clinic, Irvine, California, United States.
Arjun G YodhUniversity of Pennsylvania, Department of Physics and Astronomy, Philadelphia, Pennsylvania, United States.
University of California, Irvine · USUniversity of Pennsylvania · USBeckman Laser Institute and Medical Clinic · USNorthwell Health · USThe University of Texas MD Anderson Cancer Center · USThe University of Texas Southwestern Medical Center · USUniversity of Notre Dame · US

Funding

ARRA - ADOPT New Technologies for RDC/CDMSU01CA080098 · NCI · AMERICAN COLLEGE OF RADIOLOGY · PI SCHNALL, MITCHELL D. · 1999 to 2011
$182.7M
Univ.of Calif., Irvine Cancer Center Support GrantP30CA062203 · NCI · UNIVERSITY OF CALIFORNIA-IRVINE · PI Melanie Funes · 1994 to 2026
$57.9M
BIOSTATISTICS DATA MANAGEMENT CENTER FOR ACROINU01CA079778 · NCI · BROWN UNIVERSITY · PI GATSONIS, CONSTANTINE A. · 1999 to 2011
$48.6M
Training in Molecular Therapeutics for Pediatric CardiologyT32HL007915 · NHLBI · CHILDREN'S HOSP OF PHILADELPHIA · PI Robert J Levy, JOSEPH W ROSSANO · 1999 to 2026
$13.4M
Training and DisseminationP41EB015893 · NIBIB · UNIVERSITY OF PENNSYLVANIA · PI REDDY, RAVINDER · 2012 to 2019
$11.3M
Virtual Photonocs TechnologiesP41EB015890 · NIBIB · UNIVERSITY OF CALIFORNIA-IRVINE · PI DURKIN, ANTHONY · 2012 to 2017
$7.0M
Diffuse Optics for Acute Stroke ManagementR01NS060653 · NINDS · UNIVERSITY OF PENNSYLVANIA · PI YODH, ARJUN G. · 2008 to 2018
$5.5M
Developing DOSI Technology for Monitoring Response To Breast Cancer ChemotherapyR01CA142989 · NCI · UNIVERSITY OF CALIFORNIA-IRVINE · PI DURKIN, ANTHONY J · 2010 to 2017
$4.1M
Multi-Spectral Parallel-Plate Diffuse Optical Breast TomographyR01EB002109 · NIBIB · UNIVERSITY OF PENNSYLVANIA · PI YODH, ARJUN G. · 2003 to 2012
$3.9M
Detection of Cerebral Ischemia With a Noninvasive Neurometabolic Optical MonitorR01NS082309 · NINDS · UNIVERSITY OF PENNSYLVANIA · PI KOFKE, W ANDREW · 2014 to 2018
$2.9M
Augmented Physiologic Monitoring to Predict Brain Injury in Infants with CHDR01NS072338 · NINDS · CHILDREN'S HOSP OF PHILADELPHIA · PI LICHT, DANIEL JACQUES · 2011 to 2015
$1.7M
Monitoring Breast Cancer Chemotherapeutic Response Using DOSI, MRI and BiomarkersU54CA136400 · NCI · UNIVERSITY OF CALIFORNIA-IRVINE · PI TROMBERG, BRUCE J. · 2009 to 2011
$1.3M
NCI NIH HHS P30 CA062203NCI NIH HHS R01 CA142989NCI NIH HHS U01 CA079778NCI NIH HHS U01 CA080098NCI NIH HHS U54 CA136400NHLBI NIH HHS T32 HL007915NIBIB NIH HHS P41 EB015890NIBIB NIH HHS P41 EB015893NIBIB NIH HHS R01 EB002109NINDS NIH HHS R01 NS060653NINDS NIH HHS R01 NS072338NINDS NIH HHS R01 NS082309
6 · The paper itself

Abstract

significanceCurrent imaging paradigms for differential diagnosis of suspicious breast lesions suffer from high false positive rates that force patients to undergo unnecessary biopsies. Diffuse optical spectroscopic imaging (DOSI) noninvasively probes functional hemodynamic and compositional parameters in deep tissue and has been shown to be sensitive to contrast between normal and malignant tissues.

aimDOSI methods are under investigation as an adjunct to mammography and ultrasound that could reduce false positive rates and unnecessary biopsies, particularly in radiographically dense breasts.

methodsWe performed a retrospective analysis of 212 subjects with suspicious breast lesions who underwent DOSI imaging. Physiological tissue parameters were z-score normalized to the patient's contralateral breast tissue and input to univariate logistic regression models to discriminate between malignant tumors and the surrounding normal tissue. The models were then used to differentiate malignant lesions from benign lesions.

resultsModels incorporating several individual hemodynamic parameters were able to accurately distinguish malignant tumors from both the surrounding background tissue and benign lesions with area under the curve (AUC) ≥0.85. Z-score normalization improved the discriminatory ability and calibration of these predictive models relative to unnormalized or ratio-normalized data.

conclusionsFindings from a large subject population study show how DOSI data normalization that accounts for normal tissue heterogeneity and quantitative statistical regression approaches can be combined to improve the ability of DOSI to diagnose malignant lesions. This improved diagnostic accuracy, combined with the modality's inherent logistical advantages of portability, low cost, and nonionizing radiation, could position DOSI as an effective adjunct modality that could be used to reduce the number of unnecessary invasive biopsies.

Indexed as

Breast NeoplasmsBreastDiagnosis, DifferentialFemaleHumansMammographyRetrospective StudiesSpectrum Analysisbiopsybreast cancerdifferential diagnosisdiffuse optics

Identifiers

PMID33624457
PMCPMC7901858
OpenAlexW3129288147

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Registered trials

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.