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The Royal Marsden

Conclusions restaging MRI – prognostic

and predictive imaging biomarkers for

DFS

– Persistent ymrEMVI seen twice as frequently as

ypEMVI and independent risk factor for poor DFS

– mrTRG 1-2 has similar DFS and OS as pCR but seen 4

times more frequently than pCR (prospective

randomised trial data)

– mrTRG1-2 represents a population of patients highly

likely to have no viable tumour hence suitable for MRI

monitoring in deferral of surgery trial

– Patients will be randomised to have an mrTRG defined

treatment strategy in the TRIGGER trial – do please

join us!