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@dks2500 I’m being treated at another major medical center, UT Southwestern in Dallas. My doctor has two trials underway asking just that question: how to tell if you will respond. One is using high resolution images of tumors, then following patients for a few years to see if A.I. can predict which will respond and which will not. (To the human eye they all look the same.) The other is using fluid obtained during cystoscopies (sorry - “backwash” for lack of a better term) to ask the same question. My doctor says that right now there is no way to predict, so that’s what he and others are working on.

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@txtim thanks so much, very interesting. I’ve read elsewhere that some teams have successfully used bio markers, but I don’t have any more info on that.

@txtim
I am being treated at Moffitt Cancer Center, Tampa for Ta high risk NIMBC. After my TURBT last September, my pathology slides were examined by an AI system called Vesta from Valar Labs, but developed at the Univ of Omaha. Biomarkers showed that BCG would not work for me, so I’m on Gem/Doce. After the 6 week induction I was clear and have started the 12- month maintenance with 3-monthly cystoscopy, the first of which will be next month🤞