Ultrasound is at least as good as magnetic resonance imaging in predicting tumour size post-neoadjuvant chemotherapy in breast cancer
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Magnetic resonance imaging (MRI) and ultrasound (US) showed comparable agreement with post-therapy pathological tumour size.

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MRI estimated residual tumour size with <10-mm discordance in 54% of patients.

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US estimated residual tumour size with <10-mm discordance in 63% of patients.

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US has the advantage of lower cost and wider availability compared to MRI.

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Imaging post-therapy showed a low negative predictive value in hormone receptor-positive tumours.

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