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Table 2 Univariable Cox proportional hazard analysis of relationship between MRI variables and recurrence-free survival

From: Survival is associated with complete response on MRI after neoadjuvant chemotherapy in ER-positive HER2-negative breast cancer

 

Number of

Number of

Recurrence free survival

Variable

patients

events

P value

Hazard ratio

95 % CI

Lesion morphology baseline MRI

  

0.612

  

 Mass unifocal

91

10

   

 Mass multifocal

96

12

 

1.29

0.71, 3.70

 Non mass (diffuse)

77

13

 

1.60

0.57, 3.01

 Mass and non mass

8

0

 

4.38

0.03, 41.66

Pattern of reduction at MRI after NAC

  

0.029

  

 No change

23

4

   

 Shrinking mass

96

10

 

0.56

0.19, 1.89

 Diffuse decrease

56

10

 

0.78

0.27, 2.64

 Small foci

53

11

 

0.95

0.34, 3.19

 No enhancement

44

0

 

0.06

0, 0.53

Dynamic curve type after NAC

  

0.008

  

 No enhancement

44

0

   

 Continuous

89

16

 

13.54

1.83, 1728.03

 Plateau

82

5

 

7.46

0.84, 980.87

 Washout

57

14

 

17.59

2.35, 2248.46

Radiological complete response

  

0.004

  

 Yes

44

0

   

 No

228

35

 

12.81

–a, 1621.10

RECIST evaluation MRI initial after NAC - baseline

 

0.009

  

 No enhancement after NAC

44

0

   

 Part Rem (LD initial↓ ≥30 %)

154

23

 

11.63

–a, 1477.68

 NR (LD initial↓ <30 %)

74

12

 

16.53

2.17, 2119.55

RECIST evaluation MRI initial after NAC – during

  

0.037

  

 No enhancement during and after NAC

10

0

   

 No enhancement after NAC

36

0

 

0.44

0, 80.78

 Part Rem (LD initial↓ ≥30 %)

82

11

 

3.99

0.52, 513.45

 NR (LD initial ↓ <30 %)

144

24

 

4.95

0.68, 629.57

RECIST evaluation MRI late after NAC - baseline

  

0.05

  

 No washout/plateau baseline and after NAC

8

0

   

 No washout/plateau after NAC

136

17

 

3.08

0.41, 394.53

 Part Rem (LD late ↓ ≥30 %)

93

12

 

3.54

0.46, 455.8

 NR (LD late ↓ <30 %)

35

6

 

11.57

1.31, 1525.99

RECIST evaluation MRI late after NAC - during

  

0.46

  

 No plateau/washout during and after NAC

61

6

   

 No plateau/washout after NAC

84

11

 

1.17

0.43, 3.17

 Part Rem (LD late ↓ ≥30 %)

58

9

 

1.65

0.59, 4.64

 NR (LD late ↓ <30 %)

69

9

 

2.08

0.74, 5.87

  1. Univariable Cox proportional hazard analysis of magnetic resonance imaging (MRI) variables with recurrence-free survival. aCI boundary could not be estimated. CI confidence interval, LD largest diameter, Part Rem partial remission, initial enhancement 90 s, late washout/plateau enhancement 450 s, MRI magnetic resonance imaging, NAC neoadjuvant chemotherapy, NR non responder, RECIST response evaluation criteria in solid tumors. Arrow (↓) indicates decrease. Numbers in bold are significant values