FIELD: medicine.
SUBSTANCE: invention relates to medicine, in particular to oncology, and concerns a method for predicting the likelihood of a positive status of the epidermal growth factor receptor Her2/neu in metastatic lymph nodes in patients with breast cancer, characterized by the fact that a radionuclide study of metastatic lymph nodes is performed prior to systemic therapy, for which the patient is injected with the radiopharmaceutical "99mTc - DARPin9_29" at a dose of 1200 mcg, 2 hours after administration, single-photon emission computed tomography (SPECT) of the chest organs is performed, while the accumulation of the labeled protein in the affected axillary lymph node and the symmetrical area of the opposite axillary region is assessed, the node / background ratio is determined and evaluated in points, while the ratio node/background is less than or equal to 5.0, the value is estimated at 1 point, and when the node/background ratio is more than 5.0, the value is estimated at 2 points, then the value of the regression equation Y is calculated using the formula. Next, the probability of a positive status of the epidermal growth factor receptor Her2/neu in the metastatic lymph node P is determined using the formula, where the probability P is expressed as a percentage. If P is more than or equal to 50%, a high probability is predicted, and if P is less than 50%, a low probability of a Her2-positive tissue status of a metastatic tumor node is predicted. Model confidence level: p = 0.000; χ2 = 55.45.
EFFECT: 100% sensitivity and specificity of the model is achieved.
1 cl, 2 ex
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Authors
Dates
2021-10-25—Published
2021-01-11—Filed