Restriction spectrum imaging (RSI) is an advanced diffusion imaging technique based on a model with increased sensitivity to cancer cells with high nuclear to cytoplasm ratio. This abstract is the initial evaluation comparing RSI to standard diffusion imaging in breast cancer in assessing response to chemotherapy. RSI Z-scores, in comparison to the ADC, demonstrated increased conspicuity and significance in evaluating response to chemotherapy. RSI may be a more reliable diffusion imaging technique in evaluating response to treatment.
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