PT - JOURNAL ARTICLE AU - WARM, MATHIAS AU - DUDA, VOLKER AU - EICHLER, CHRISTIAN AU - HARBECK, NADIA AU - GOSSMANN, AXEL AU - THOMAS, ANKE AU - HOOPMANN, MARKUS AU - OHLINGER, RALF AU - BREIDENBACH, MARTINA AU - KATES, RONALD E. TI - 3D Breast Ultrasound: A Significant Predictor in Breast Cancer Reduction under Pre-operative Chemotherapy DP - 2011 Nov 01 TA - Anticancer Research PG - 4039--4042 VI - 31 IP - 11 4099 - http://ar.iiarjournals.org/content/31/11/4039.short 4100 - http://ar.iiarjournals.org/content/31/11/4039.full SO - Anticancer Res2011 Nov 01; 31 AB - Background: The objective was the investigation of a possible predictive quantitative impact of initial tumor sphericity, measured by 3D sonography, on response to pre-operative chemotherapy. Patients and Methods: This 3D ultrasound study was conducted on 41 consecutive primary breast cancer patients who received pre-operative epirubicin and paclitaxel chemotherapy; the tumors were measured by 3D sonography and by pathology after chemotherapy. Sphericity was defined as the ratio of the smallest to the largest extent by 3D sonography. Results: A predictive impact of initial tumor sphericity on response to pre-operative chemotherapy was quantitatively identified for the first time. Sphericity was a significant predictor of pathological complete remission with a rank difference of 0.34 or about 1/3 i.e., spherical tumors were more likely to show successful remission. Conclusion: Tumor sphericity as defined from 3D sonography could be predictive of response to pre-operative chemotherapy regimens; prospective investigation is suggested.