Table 1.
Description of studies included in the meta-analysis.
Study | Year | No. of patients | Patient age, mean (range) | Initial clinical stage | Histological subtype | Receptor status | Preoperative therapy regimen | Time between start of NAT and MRI | pCr rate | MRI magnetic field strength | Contrast agent | DCE temporal resolution (s) | DW-MRI values | Sensitivity | Specificity |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Semiquantitative DCE-MRI studies | |||||||||||||||
Parikh47 | 2014 | 36 | 49.8 (24–67) | I–III | 35 IDC, 1 ILC | 21 ER+, 6 HER2+ | 3*FEC → 4*T, 4*EC → 4*T HER2+ patients after 2010 received trastuzumab | 3 cycles NAT | 22.22% | 1.5T | Dotarem (20 mL) | 92 | 87.5% | 82.1% | |
Rigter48 | 2013 | 246 | 48 (18–68) | I–IV | 190 IDC, 33 ILC, 6 IDC/ILC | 190 ER+, 246 PR+ | 3*AC → 3*AC, 3*AC → 3*TCa | 3 cycles NAT | 1.63% | 1.5T | Gadolinium CA () | 90 | 75.0% | 33.2% | |
Yang46 | 2012 | 22 | 45 (35–67) | II–III | Not reported | Not reported | Antiangiogenic-cytotoxic combination therapy | 2 cycles NAT | 27.27% | 1.5T | Magnevist () | 70 | 78.0% | 100.0% | |
Quantitative DCE-MRI studies | |||||||||||||||
Tateishi49 | 2012 | 143 | 57 (43–72) | I–III | 131 IDC, 11 ILC | 100 ER+, 82 PR+, 111 HER2+ | 4*FEC → 12*T, 4*AC → 12*T, HER2+ patients received trastuzumab | 2 cycles NAT | 16.90% | 3T | Magnevist () | 10 | 51.7% | 92.0% | |
Ah-See50 | 2008 | 28 | 46 (29–70) | II–III | 21 IDC, 3 ILC | Not reported | 6*FEC | 2 cycles NAT | 39.28% | 1.5T | Magnevist () | 12 | 94.0% | 82.0% | |
DWI-MRI studies | |||||||||||||||
Fangberget51 | 2011 | 31 | 50.7 (37–72) | Not reported | 24 IDC, 7 ILC | 21 ER+, 18 PR+, 11 HER2+, 5 TNBC | 4*FEC → 2*FEC, 4*FEC-> 2*T, HER2+ patients received trastuzumab | 4 cycles NAT | 35.48% | 1.5T | 100, 250, 800 | 88.0% | 80.0% | ||
Minarikova44 | 2017 | 42 | 52 (29–74) | I–III | 41 ID, 1 ILC | 27 ER+, 13 PR+, 5 HER2+ | ACT*6, ACT*8, AC → T | 2 cycles NAT | 16.67% | 3.0T | 0, 850 | 66.67% | 100% | ||
Multiparametric MRI studies | |||||||||||||||
Li39 | 2015 | 37 | 45 (28–67) | II–III | Not reported | 16 ER+, 16 PR+, 12 HER2+, 12 TNBC | 4*AC → 4*T, 4*AC → 12*T, HER2+ patients received trastuzumab or other treatments | 1 cycle NAT | 35.14% | 3T | Magnevist () | 16 | 0, 500 | 92.0% | 75.0% |
Wu45 | 2015 | 31 | 48.4 (33–62) | II–III | Not Reported | 24 ER+, 23 PR+, 16 HER2+ | FEC, FEC → T, T, or other treatments | 1 cycle NAT | 9.70% | 3.0T | Gadovist () | 40–50 | 50, 600, 1000 | 90.9% | 83.8% |
Note: IDC, invasive ductal carcinoma; ILC, invasive lobular carcinoma; TNBC, triple negative breast cancer; A, doxorubicin; C, cyclophosphamide; T, taxane; F, fluorouracil; E, epirubicin; D, docetaxel; Ca = capecitabine.