Abstract
Characterization of breast parenchyma on dynamic contrast-enhanced magnetic resonance imaging (DCE-MRI) is a challenging task owing to the complexity of underlying tissue structures. Current quantitative approaches, including radiomics and deep learning models, do not explicitly capture the complex and subtle parenchymal structures, such as fibroglandular tissue. In this paper, we propose a novel method to direct a neural network’s attention to a dedicated set of voxels surrounding biologically relevant tissue structures. By extracting multi-dimensional topological structures with high saliency, we build a topology-derived biomarker, TopoTxR. We demonstrate the efficacy of TopoTxR in predicting response to neoadjuvant chemotherapy in breast cancer. Our qualitative and quantitative results suggest differential topological behavior of breast tissue on treatment-naïve imaging, in patients who respond favorably to therapy versus those who do not.
This work was partially supported by grants NSF IIS-1909038, CCF-1855760, and NCI 1R01CA253368-01. This work used the Extreme Science and Engineering Discovery Environment (XSEDE) [27] Bridges-2 at the Pittsburgh Supercomputing Center through allocation TG-CIS210012, which is supported by NSF ACI-1548562.
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Wang, F., Kapse, S., Liu, S., Prasanna, P., Chen, C. (2021). TopoTxR: A Topological Biomarker for Predicting Treatment Response in Breast Cancer. In: Feragen, A., Sommer, S., Schnabel, J., Nielsen, M. (eds) Information Processing in Medical Imaging. IPMI 2021. Lecture Notes in Computer Science(), vol 12729. Springer, Cham. https://doi.org/10.1007/978-3-030-78191-0_30
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