TABLE 4.
Diagnostic Performance of Tumor Volume and Monoexponential, SEM, and IVIM Parameters in Predicting NACT Treatment Outcomes
Parameter | Pretreatment (n = 37) | After One Cycle of NACT (n = 37) | After Three Cycles of NACT (n = 35) | ||||||
---|---|---|---|---|---|---|---|---|---|
AUC | 95% Confidence Interval | P | AUC | 95% Confidence Interval | P | AUC | 95% Confidence Interval | P | |
Tumor volume (cm3) | 0.838 | 0.707–0.969 | <0.001 | 0.868 | 0.747–0.989 | <0.001 | 0.872 | 0.756–0.987 | <0.001 |
ADC (×10−3 mm2 s−1) | 0.582 | 0.393–0.772 | 0.39 | 0.521 | 0.326–0.715 | 0.83 | 0.503 | 0.307–0.699 | 0.97 |
DDC (×10−3 mm2 s−1) | 0.579 | 0.391–0.768 | 0.41 | 0.508 | 0.312–0.706 | 0.92 | 0.520 | 0.325–0.715 | 0.84 |
α (unitless) | 0.585 | 0.396–0.774 | 0.37 | 0.732 | 0.564–0.901 | 0.01 | 0.595 | 0.392–0.798 | 0.34 |
D t (×10−3 mm2 s−1) | 0.541 | 0.351–0.761 | 0.67 | 0.526 | 0.333–0.720 | 0.78 | 0.587 | 0.395–0.788 | 0.38 |
D p (×10−3 mm2 s−1) | 0.509 | 0.313–0.705 | 0.92 | 0.662 | 0.478–0.845 | 0.09 | 0.628 | 0.429–0.827 | 0.20 |
f (%) | 0.664 | 0.488–0.842 | 0.08 | 0.726 | 0.555–0.898 | 0.01 | 0.628 | 0.424–0.832 | 0.20 |
f × D p (×10−3 mm2 s−1) | 0.620 | 0.438–0.803 | 0.21 | 0.744 | 0.582–0.906 | 0.01 | 0.670 | 0.481–0.859 | 0.09 |
Statistically significant results are highlighted in bold font. SEM = stretched‐exponential model; IVIM = intravoxel incoherent motion; NACT = neoadjuvant chemotherapy; AUC = Area under the receiver operating characteristic curve; ADC = apparent diffusion coefficient; DDC = distributed diffusion coefficient; α = diffusion heterogeneity index; D t = tissue diffusion; D p = pseudo‐diffusion coefficient; f = perfusion fraction.