Abstract
IntroductionMicrowave tomography recovers images of tissue dielectric properties, which appear to be specific for breast cancer, with low-cost technology that does not present an exposure risk, suggesting the modality may be a good candidate for monitoring neoadjuvant chemotherapy.MethodsEight patients undergoing neoadjuvant chemotherapy for locally advanced breast cancer were imaged longitudinally five to eight times during the course of treatment. At the start of therapy, regions of interest (ROIs) were identified from contrast-enhanced magnetic resonance imaging studies. During subsequent microwave examinations, subjects were positioned with their breasts pendant in a coupling fluid and surrounded by an immersed antenna array. Microwave property values were extracted from the ROIs through an automated procedure and statistical analyses were performed to assess short term (30 days) and longer term (four to six months) dielectric property changes.ResultsTwo patient cases (one complete and one partial response) are presented in detail and demonstrate changes in microwave properties commensurate with the degree of treatment response observed pathologically. Normalized mean conductivity in ROIs from patients with complete pathological responses was significantly different from that of partial responders (P value = 0.004). In addition, the normalized conductivity measure also correlated well with complete pathological response at 30 days (P value = 0.002).ConclusionsThese preliminary findings suggest that both early and late conductivity property changes correlate well with overall treatment response to neoadjuvant therapy in locally advanced breast cancer. This result is consistent with earlier clinical outcomes that lesion conductivity is specific to differentiating breast cancer from benign lesions and normal tissue.
Highlights
Microwave tomography recovers images of tissue dielectric properties, which appear to be specific for breast cancer, with low-cost technology that does not present an exposure risk, suggesting the modality may be a good candidate for monitoring neoadjuvant chemotherapy
While Neoadjuvant chemotherapy (NCT) is emerging as a promising treatment strategy for locally advanced breast cancer, deploying monitoring methods during the course of therapy is important for making further advances
The patient was treated with four cycles of doxorubicin and cyclophosphamide, followed by four cycles of weekly paclitaxel and traztuzumab (PT) and underwent modified radical right mastectomy
Summary
Microwave tomography recovers images of tissue dielectric properties, which appear to be specific for breast cancer, with low-cost technology that does not present an exposure risk, suggesting the modality may be a good candidate for monitoring neoadjuvant chemotherapy. Neoadjuvant chemotherapy (NCT) for breast cancer has become an increasingly important treatment option [1] that offers potential therapeutic advantages. Various clinical trials have demonstrated that treatment response, including tumor shrinkage, leads to substantial downstaging of disease which in turn allows for increased use of more limited surgery [1]. Assessing tumor shrinkage by clinical breast examination is possible as well but is poorly correlated with treatment response [1]
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