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Poster
in
Workshop: Medical Imaging meets NeurIPS

Breast Cancer Pathologic Complete Response Prediction using Volumetric Deep Radiomic Features from Synthetic Correlated Diffusion Imaging

Chi-en Tai · Nedim Hodzic · Nic Flanagan · Hayden Gunraj · Alexander Wong


Abstract:

Breast cancer is the second most common type of cancer in women in Canada and the United States, representing over 25% of all new female cancer cases. Neoadjuvant chemotherapy treatment has recently risen in usage as it may result in a patient having a pathologic complete response (pCR), and it can shrink inoperable breast cancer tumors prior to surgery so that the tumor becomes operable, but it is difficult to predict a patient’s pathologic response to neoadjuvant chemotherapy. In this paper, we investigate the efficacy of leveraging learnt volumetric deep features from a newly introduced magnetic resonance imaging (MRI) modality called synthetic correlated diffusion imaging (CDI^s) for the purpose of pCR prediction. More specifically, we leverage a volumetric convolutional neural network to learn volumetric deep radiomic features from a pre-treatment cohort and construct a predictor based on the learnt features using the post-treatment response. As the first study to explore the utility of CDI^s within a deep learning perspective for clinical decision support, we evaluated the proposed approach using the ACRIN-6698 study against those learnt using gold-standard imaging modalities, and found that the proposed approach can provide enhanced pCR prediction performance and thus may be a useful tool to aid oncologists in improving recommendation of treatment of patients. Subsequently, this approach to leverage volumetric deep radiomic features (which we name Cancer-Net BCa) can be further extended to other applications of CDI^s in the cancer domain to further improve prediction performance.

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