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The Royal Marsden

Assessing response

Method

Prospectively validated against DFS

outcomes

MRI DWI

No – many retrospective quantitative cut-offs and

qualitative assessments – none prospectively

validated

DCE-MRI

No – many retrospective values proposed –

none validated

PET-CT

No – but retrospective SUV cut-offs proposed –

unverified prospectively

mrVolume assessment

Yes: >80% volume reduction

mrTRG

Yes : TRG1-5 validated prospectively and

against outcomes

mrT and mrN stage

validated prospectively and against outcomes