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Staging Breast Cancer with MRI, the T. A Key Role in the Neoadjuvant Setting.

Published version
Peer-reviewed

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Authors

Ferrara, Francesca 
Woitek, Ramona 

Abstract

Breast cancer (BC) is the most common cancer among women worldwide. Neoadjuvant chemotherapy (NACT) indications have expanded from inoperable locally advanced to early-stage breast cancer. Achieving a pathological complete response (pCR) has been proven to be an excellent prognostic marker leading to better disease-free survival (DFS) and overall survival (OS). Although diagnostic accuracy of MRI has been shown repeatedly to be superior to conventional methods in assessing the extent of breast disease there are still controversies regarding the indication of MRI in this setting. We intended to review the complex literature concerning the tumor size in staging, response and surgical planning in patients with early breast cancer receiving NACT, in order to clarify the role of MRI. Morphological and functional MRI techniques are making headway in the assessment of the tumor size in the staging, residual tumor assessment and prediction of response. Radiomics and radiogenomics MRI applications in the setting of the prediction of response to NACT in breast cancer are continuously increasing. Tailored therapy strategies allow considerations of treatment de-escalation in excellent responders and avoiding or at least postponing breast surgery in selected patients.

Description

Peer reviewed: True


Funder: Fondazione Policlinico Agostino Gemelli—IRCCS

Keywords

Review, early-stage breast cancer, magnetic resonance imaging, neoadjuvant chemotherapy, pathological complete response

Journal Title

Cancers (Basel)

Conference Name

Journal ISSN

2072-6694
2072-6694

Volume Title

Publisher

MDPI AG
Sponsorship
Mark Foundation for Cancer Research and Cancer Research UK Cambridge Centre (C9685/A25177)
Austrian Science Fund (FWF) (J4025-B26)
National Institute of Health Research (NIHR) Cambridge Biomedical Research Centre (BRC-1215-20014)