Evidence map›Paper›PMID 41352211›Full record

ReviewBreast (Edinburgh, Scotland)2026

Emerging technologies for monitoring breast cancer response to neoadjuvant chemotherapy: a systematic scoping review.

Georgia C Wright, Luke T Glover, Thomas J E Hubbard

Abstract readScoping ReviewReview
In one paragraph

Review in Breast (Edinburgh, Scotland), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. 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

3 authors.

Georgia C WrightRoyal Devon University Hospitals NHS Foundation Trust, Barrack Road, Devon, Exeter, EX2 5DW, UK. Electronic address: georgia.wright15@nhs.net.
Luke T GloverUniversity Hospitals Plymouth NHS Trust, Derriford Road, Crownhill, Devon, Plymouth, PL6 8DH, UK.
Thomas J E HubbardRoyal Devon University Hospitals NHS Foundation Trust, Barrack Road, Devon, Exeter, EX2 5DW, UK; University of Exeter Medical School, St Luke's Campus, Heavitree Road, Exeter, EX1 2LU, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionNeoadjuvant chemotherapy (NACT) is increasingly used in early breast cancer treatment and responses are highly variable. Accurate monitoring of tumour response is crucial for enabling precise surgical de-escalation, yet current methods are inadequate. This systematic scoping review explores emerging technologies for predicting, monitoring, and diagnosing pre-operative breast cancer response to NACT.

methodsA search of Embase, Medline, PubMed, and Cochrane databases was conducted until January 26, 2024. Studies investigating ability to detect tumour response during or after NACT, and prior to surgery, were included, and placed into 12 technology categories. Those investigating novel technologies were further categorised by Technology Readiness Level.

resultsFrom 2497 studies, 1329 met the inclusion criteria. 479/1329 (36 %) investigated conventional imaging; 19 % (253) investigated MRI, 5 % (64) mammography/ultrasound, 0.5 % (6) computed tomography, 0.4 % (5) digital breast tomosynthesis. Established technologies included gene panels (134/1329; 10 %) and post treatment core biopsy 35/1329; (3 %). 107/1329 (8 %) of studies developed nomograms based on routine clinical investigations, and 493/1329 (37 %) correlated established biomarkers e.g. Ki-67 with pathological response. 81 studies (6 %) addressed novel technologies, such as circulating nucleic acids (49/81), diffuse optical imaging (17/81), and elastography (15/81). A Technology Readiness Assessment revealed that all were between Technology Readiness Level 2 (Invention and Research) and 6 (Large Scale).

conclusionsThe majority of current research activity focuses on optimising existing technologies which may never provide the step change in diagnostic accuracy required to advance surgical de-escalation. Research activity should be focused on identifying effective novel technologies and driving translation into the clinical environment.

Indexed as

Breast NeoplasmsNeoadjuvant TherapyChemotherapy, AdjuvantFemaleHumansMagnetic Resonance ImagingMammographyNomogramsCirculating nucleic acidDiffuse optical imagingElastographyNeoadjuvant chemotherapyNovel technologyPathological complete responseTechnology readiness level

Identifiers

PMID41352211
PMCPMC12723055

What OpenQuestion holds

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Registered trials

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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.