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September 3, 2026Journal of Computer Assisted Tomography

Prediction of Ki-67 Status in Breast Cancer Using a Habitat-Guided 2.5D Multiparametric MRI Deep Learning Model

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Authors

ZMZeyang MiaoShanghai University of Traditional Chinese MedicineRXRun XuMGMengyao GuoLudong University

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Overview

Retrospective study demonstrates noninvasive Ki-67 status prediction in breast cancer using habitat-guided deep learning MRI, suggesting potential for noninvasive preoperative risk assessment.

Key Points

  • Develop and validate a habitat-guided 2.5D deep learning model based on multiparametric MRI for noninvasive preoperative prediction of Ki-67 expression in invasive breast cancer.
  • Retrospective multicohort study involving 333 patients with invasive breast carcinoma from two distinct MRI vendor cohorts (training set, n=233; independent test set, n=100).
  • Dynamic contrast-enhanced MRI and diffusion-weighted imaging parameters were clustered via K-means (k=3) into functional habitat masks to create a 7-channel 2.5D input tensor evaluated on a ResNet18 backbone.
  • In the independent cross-vendor test set, the habitat-guided 2.5D model achieved an AUC of 0.821 (95% CI: 0.736–0.906) and a sensitivity of 0.804.
  • The habitat-guided model significantly outperformed a conventional 2D deep learning model (AUC: 0.654, P=0.002) and a clinical model (AUC: 0.686, P=0.019), with clinical variables providing no incremental benefit (combined AUC: 0.837, P=0.483).

Cite This Study

Miao et al. (2026) studied this question.

synapsesocial.com/papers/6a99351f636c6408cfa7d0f0https://doi.org/10.1097/rct.0000000000001923
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