Case Western Reserve University

Kavya Ravichandran

Anant Madabhushi

Nathaniel Braman

Andrew Janowczyk

Embodiments predict response to neoadjuvant chemotherapy (NAC) in breast cancer (BCa) from pre-treatment dynamic contrast enhanced magnetic resonance imaging (DCE-MRI). Embodiments compute, using a machine learning (ML) classifier, a first probability of response based on a set of radiomic features extracted from a tumoral region represented in a pre-treatment DCE-MRI image of a region of tissue (ROT) demonstrating BCa; extract patches from the tumoral region; provide the patches to a convolutional neural network (CNN); receive, from the CNN, a pixel-level localized patch probability of response; compute a second probability of response based on the pixel-level localized patch probability; compute a combined ML probability from the first and second probabilities; compute a final probability of response based on the combined ML probability and clinical information associated with the ROT; classify the ROT as a responder or non-responder based on the final probability of response; and display the classification.

Predicting neo-adjuvant chemotherapy response from pre-treatment breast magnetic resonance imaging using artificial intelligence and HER2 status

Embodiments access a pre-neoadjuvant chemotherapy (NAC) radiological image of a region of tissue demonstrating breast cancer (BCa), the region of tissue including a tumoral region, the image having a plurality of pixels; extract a set of patches from the tumoral region; provide the set of patches to a convolutional neural network (CNN) configured to discriminate tissue that will experience pathological complete response (pCR) post-NAC from tissue that will not; receive, from the CNN, a pixel-level localized patch probability of pCR; compute a distribution of predictions across analyzed patches based on the pixel-level localized patch probability; classify the region of tissue as a responder or non-responder based on the distribution of predictions, and display the classification. Embodiments may further generate a probability mask based on the pixel-level localized patch probability; and generate a heatmap of likelihood of response to NAC based on the probability mask and the pre-NAC radiological image.

Predicting pathological complete response to neoadjuvant chemotherapy from baseline breast dynamic contrast enhanced magnetic resonance imaging (DCE-MRI)

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Cleveland, OH, United States of America

Kavya Ravichandran