Images and graphs of a pIR case with (a) DOST images prior, during and after NAC. In (b), axial post contrast subtraction MRI before NAC shows the index invasive breast cancer (upper image) in the lateral right breast at 9:00 o’clock and measuring 5.4 × 3.4 × 5.2 cm, and a subpectoral lymph node metastasis (lower image) at 12:00 o’clock measuring 2.5 × 1.9 × 3.0 cm. The yellow arrows show the dominant tumors in each image. Additionally, rim enhancing skin metastases exist overlying the index tumor at 9:00 o’clock (arrowheads). In (c),(d) and (e), HbT, StO2 and H2O are graphed for different time points.