Evidence map›Paper›PMID 33970392›Full record

ArticleBreast cancer research and treatment2021

Early Assessment Window for Predicting Breast Cancer Neoadjuvant Therapy using Biomarkers, Ultrasound, and Diffuse Optical Tomography.

Quing Zhu, Foluso O Ademuyiwa, Catherine Young, Catherine Appleton, Matthew F Covington, Cynthia Ma, Souzan Sanati, Ian S Hagemann, Atahar Mostafa, K M Shihab Uddin and 4 more

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Breast cancer research and treatment, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02891681 (Ultrasound and Near Infrared Imaging for Predicting and Monitoring Neoadjuvant Treatment), which is not on this map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.0field-weighted citation impact, top 28% 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.

NCT02891681 nacompletednot on this map

Ultrasound and Near Infrared Imaging for Predicting and Monitoring Neoadjuvant Treatment

TypeinterventionalSponsorWashington University School of MedicineRan2016 to 2020Enrolled41ConditionsBreast Cancer, Breast Tumors, Cancer of Breast, Cancer of the BreastArmsOptical Tomography Using Near Infrared Diffused Light Assisted with Ultrasound
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 17 citations in OpenAlex.

  1. Review
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
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

14 authors at 5 institutions in 1 country.

Quing ZhuBiomedical Engineering and Radiology, Washington University in St Louis, One Brookings Drive, Mail Box 1097, Whitaker Hall 200F, St. Louis, MO, 63130, USA. zhu.q@wustl.edu.ORCID http://orcid.org/0000-0002-1837-2588
Foluso O AdemuyiwaMedical Oncology, Washington University School of Medicine in St Louis, St. Louis, USA.
Catherine YoungWashington Baylor Scott & White Health, Medical Center, Texas, Dallas, USA.
Catherine AppletonDiagnostic Imaging Associates, Ltd. St. Luke's Hospital, Chesterfield, USA.
Matthew F CovingtonDepartment of Radiology and Imaging Sciences, University of Utah, Salt Lake City, USA.
Cynthia MaMedical Oncology, Washington University School of Medicine in St Louis, St. Louis, USA.
Souzan SanatiPathology, Department of Pathology, Cedars-Sinai Medical Center, Los Angeles, USA.
Ian S HagemannWashington University School of Medicine in St Louis, St. Louis, USA.
Atahar MostafaBiomedical Engineering and Radiology, Washington University in St Louis, One Brookings Drive, Mail Box 1097, Whitaker Hall 200F, St. Louis, MO, 63130, USA.
K M Shihab UddinBiomedical Engineering and Radiology, Washington University in St Louis, One Brookings Drive, Mail Box 1097, Whitaker Hall 200F, St. Louis, MO, 63130, USA.
Isabella GrigsbyMedical Oncology, Washington University School of Medicine in St Louis, St. Louis, USA.
Ashley E FrithMedical Oncology, Washington University School of Medicine in St Louis, St. Louis, USA.
Leonel F Hernandez-AyaMedical Oncology, Washington University School of Medicine in St Louis, St. Louis, USA.
Steven S PoplackWashington University School of Medicine in St Louis, St. Louis, USA.
Washington University in St. Louis · USBaylor Scott & White Health · USCedars-Sinai Medical Center · USSt. Luke's Hospital · USUniversity of Utah · US

Funding

Near Infrared Diffused Light Imaging with Ultrasound Guidance: Predicting Neoadjuvant Chemotherapy ResponseR01EB002136 · NIBIB · WASHINGTON UNIVERSITY · PI ZHU, QUING · 2003 to 2016
$3.4M
Improving diagnostic US for reduction of benign breast biopsies using US-guided Optical TomographyR01CA228047 · NCI · WASHINGTON UNIVERSITY · PI POPLACK, STEVEN, ZHU, QUING · 2019 to 2023
$1.9M
NCI NIH HHS R01 CA228047NIBIB NIH HHS R01 EB002136NIBIB NIH HHS R01EB002136
6 · The paper itself

Abstract

purposeThe purpose of the study was to assess the utility of tumor biomarkers, ultrasound (US) and US-guided diffuse optical tomography (DOT) in early prediction of breast cancer response to neoadjuvant therapy (NAT).

methodsThis prospective HIPAA compliant study was approved by the institutional review board. Forty one patients were imaged with US and US-guided DOT prior to NAT, at completion of the first three treatment cycles, and prior to definitive surgery from February 2017 to January 2020. Miller-Payne grading was used to assess pathologic response. Receiver operating characteristic curves (ROCs) were derived from logistic regression using independent variables, including: tumor biomarkers, US maximum diameter, percentage reduction of the diameter (%US), pretreatment maximum total hemoglobin concentration (HbT) and percentage reduction in HbT (%HbT) at different treatment time points. Resulting ROCs were compared using area under the curve (AUC). Statistical significance was tested using two-sided two-sample student t-test with P < 0.05 considered statistically significant. Logistic regression was used for ROC analysis.

resultsThirty-eight patients (mean age = 47, range 24-71 years) successfully completed the study, including 15 HER2 + of which 11 were ER + ; 12 ER + or PR + /HER2-, and 11 triple negative. The combination of HER2 and ER biomarkers, %HbT at the end of cycle 1 (EOC1) and %US (EOC1) provided the best early prediction, AUC = 0.941 (95% CI 0.869-1.0). Similarly an AUC of 0.910 (95% CI 0.810-1.0) with %US (EOC1) and %HbT (EOC1) can be achieved independent of HER2 and ER status. The most accurate prediction, AUC = 0.974 (95% CI 0.933-1.0), was achieved with %US at EOC1 and %HbT (EOC3) independent of biomarker status.

conclusionThe combined use of tumor HER2 and ER status, US, and US-guided DOT may provide accurate prediction of NAT response as early as the completion of the first treatment cycle. CLINICAL TRIAL REGISTRATION NUMBER: NCT02891681. https://clinicaltrials.gov/ct2/show/NCT02891681 , Registration time: September 7, 2016.

Indexed as

Breast NeoplasmsTomography, OpticalAdultAgedAntineoplastic Combined Chemotherapy ProtocolsBiomarkers, TumorErb-b2 Receptor Tyrosine KinasesFemaleHumansMiddle AgedNeoadjuvant TherapyProspective StudiesTreatment OutcomeYoung AdultBiomarkers, TumorErb-b2 Receptor Tyrosine KinasesNear Infrared imagingPersonalized medicinePredicting neoadjuvant therapyUltrasound

Identifiers

PMID33970392
PMCPMC8487763
OpenAlexW3128384924

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.