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Congress: ECR25
Poster Number: C-28508
Type: Poster: EPOS Radiologist (scientific)
DOI: 10.26044/ecr2025/C-28508
Authorblock: S. Lo, R. F. Valenzuela, E. Duran-Sierra, M. Antony, B. Amini, J. E. Madewell, W. Murphy, J. Espinoza, C. M. Costelloe; Houston, TX/US
Disclosures:
Sam Lo: Nothing to disclose
Raul Fernando Valenzuela: Nothing to disclose
Elvis Duran-Sierra: Nothing to disclose
Mathew Antony: Nothing to disclose
Behrang Amini: Nothing to disclose
John Edward Madewell: Nothing to disclose
William Murphy: Nothing to disclose
Jossue Espinoza: Nothing to disclose
Colleen M Costelloe: Nothing to disclose
Keywords: Computer applications, Musculoskeletal soft tissue, Oncology, MR, MR-Diffusion/Perfusion, Imaging sequences, Radiation therapy / Oncology, Cancer
Results

The ADC-mean for 6 extremity RMS increased from 1,425±476x10-6mm2/s at baseline (BL) to 1,494±386x10-6mm2/s at presurgical (PS). The ADC-mean for 5 pelvic RMS increased from 1,03±342x10-6mm2/s at BL to 1,677±313x10-6mm2/s at PS. All responders and partial/non-responders presented presurgical RECIST, WHO, and volume stability. At PS, 50% of responders displayed CE-SWI Complete-Ring-pattern (P=0.5578), PWI/DCE Capsular-pattern (P=0.6065), and TIC Type-2 (P=0.6065). First- and High-order Radiomics at PS: No statistically significant differences were observed in ADC or CE-SWI first- or high-order radiomics and PWI/DCE semi-quantitative parameters comparing responders vs. partial/non-responders at PS. Presurgical Model ROC: The model based on the CE-SWI GLSZM Large-Area-High-Gray-Level-Emphasis yielded perfect classification performance (AUC=1.0) in responders vs. partial/non-responders, outperforming ADC-Maximum-2D-Diameter-Slice (0.83), CE-SWI Complete-Ring (AUC=0.67), PWI/DCE Capsular (0.67), RECIST (0.67), and TIC type-2 (0.6).

GALLERY