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Using computer‐extracted image phenotypes from tumors on breast magnetic resonance imaging to predict breast cancer pathologic stage
Author(s) -
Burnside Elizabeth S.,
Drukker Karen,
Li Hui,
Bonaccio Ermelinda,
Zuley Margarita,
Ganott Marie,
Net Jose M.,
Sutton Elizabeth J.,
Brandt Kathleen R.,
Whitman Gary J.,
Conzen Suzanne D.,
Lan Li,
Ji Yuan,
Zhu Yitan,
Jaffe Carl C.,
Huang Erich P.,
Freymann John B.,
Kirby Justin S.,
Morris Elizabeth A.,
Giger Maryellen L.
Publication year - 2016
Publication title -
cancer
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.052
H-Index - 304
eISSN - 1097-0142
pISSN - 0008-543X
DOI - 10.1002/cncr.29791
Subject(s) - medicine , breast cancer , stage (stratigraphy) , magnetic resonance imaging , lymph node , cancer , biopsy , radiology , receiver operating characteristic , lymph , pathology , oncology , paleontology , biology
BACKGROUND The objective of this study was to demonstrate that computer‐extracted image phenotypes (CEIPs) of biopsy‐proven breast cancer on magnetic resonance imaging (MRI) can accurately predict pathologic stage. METHODS The authors used a data set of deidentified breast MRIs organized by the National Cancer Institute in The Cancer Imaging Archive. In total, 91 biopsy‐proven breast cancers were analyzed from patients who had information available on pathologic stage (stage I, n = 22; stage II, n = 58; stage III, n = 11) and surgically verified lymph node status (negative lymph nodes, n = 46; ≥ 1 positive lymph node, n = 44; no lymph nodes examined, n = 1). Tumors were characterized according to 1) radiologist‐measured size and 2) CEIP. Then, models were built that combined 2 CEIPs to predict tumor pathologic stage and lymph node involvement, and the models were evaluated in a leave‐1‐out, cross‐validation analysis with the area under the receiver operating characteristic curve (AUC) as the value of interest. RESULTS Tumor size was the most powerful predictor of pathologic stage, but CEIPs that captured biologic behavior also emerged as predictive (eg, stage I and II vs stage III demonstrated an AUC of 0.83). No size measure was successful in the prediction of positive lymph nodes, but adding a CEIP that described tumor “homogeneity” significantly improved discrimination (AUC = 0.62; P = .003) compared with chance. CONCLUSIONS The current results indicate that MRI phenotypes have promise for predicting breast cancer pathologic stage and lymph node status. Cancer 2016;122:748–757. © 2015 American Cancer Society .