{Reference Type}: Journal Article
{Title}: Nomogram for the personalisation of radiotherapy treatments in breast cancer patients.
{Author}: Beato Tortajada I;Ferrer Albiach C;Morillo Macias V;
{Journal}: Breast
{Volume}: 60
{Issue}: 0
{Year}: Dec 2021 9
{Factor}: 4.254
{DOI}: 10.1016/j.breast.2021.11.004
{Abstract}: <B>BACKGROUND: </B>Numerous prospective studies have shown that the incorporation of genomic assays into clinical practice significantly impacts the choice of adjuvant treatments for patients with early-stage breast cancer. However, the same evidence does not exist for the treatment of locoregional recurrences.<BR><B>OBJECTIVE: </B>The main objective of this work was to identify the clinicopathological, molecular, and genetic parameters that allow patients to be more precisely categorised into risk groups, in order to create a locoregional recurrence riskclassification tool, the PersonalRT27.<BR><B>METHODS: </B>To create PersonalRT27, we retrospective assessed the variables of patients with early breast cancer (stages I or II) who had undergone the OncotypeDx ® and MammaPrint ® genetic tests. These variables and factors included in the tests were categorised and weighted to obtain scores between 1 and 5 pointsto represent a lower or higher risk of relapse, respectively, based on these factors and as determined by the researchers.<BR><B>RESULTS: </B>The mean follow-up time was 60.5 months (range 25-96 months); locoregional progression-free survival at the time of the analysis was 98.4%, and overall survival was 97.5%, of which 0.6% of the deaths had been cancer specific. The area under the curve for the PersonalRT27 was 0.76 (95% CI [0.70, 0.81]), sensitivity was 78%, and the specificity was 58.9%. We used these factors to create an inhospital web-based nomogram.<BR><B>CONCLUSIONS: </B>The PersonalRT27 is a novel tool that integrates clinical-pathological, molecular, and genetic parameters. External and independent validation will be required to implement its clinical use.