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Treatment Response (pCR)
Predict whether breast cancer will respond completely to neoadjuvant chemotherapy, from MRI before and early in treatment.
How it works
Both scans are resampled to 1 mm, z-scored and cropped to a 150 mm cube around the tumour. The amplitude spectrum is replaced by a cohort average, so scanner-specific contrast is removed while the image phase (the structure) is kept. A k-means model on local radiomics features splits each tumour into three subregions. A Siamese 3-D ResNet-18 encodes the whole tumour and each subregion at both time points; a temporal transformer reads the change together with the number of days between the scans and outputs the probability of pathological complete response (pCR).
Input
- Pre-treatment breast DCE-MRI volume (NIfTI, .nii or .nii.gz)
- Its tumour segmentation mask (same size, tumour = 1)
- Early-treatment DCE-MRI volume and its tumour mask
- Days between the two scans
Output
- Probability of pCR (≥ 0.5 → predicted pCR)
- Slices of the preprocessed tumours with the three subregions
Tang W, Jin C, et al. eClinicalMedicine 2025; 85: 103298. External validation AUC 0.892–0.923 (5 centres, 1,044 patients). Typical run time: About 15–60 s, most of it CPU preprocessing.
Run it
Before treatment
Early in treatment
Preview the volumes in your browser (nothing is uploaded)
Voxel axes as stored in the file; the mask is drawn in orange.