Evidence map›Paper›PMID 19609668›Full record

Trial reportBreast cancer research and treatment2009

Prospective study of breast MRI in BRCA1 and BRCA2 mutation carriers: effect of mutation status on cancer incidence.

P Shah, M Rosen, J Stopfer, J Siegfried, R Kaltman, B Mason, K Armstrong, K L Nathanson, M Schnall, S M Domchek

Open access · greenAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in Breast cancer research and treatment, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
1.7field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 35 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Magnetic Resonance Imaging in Screening of Breast Cancer.Radiologic clinics of North America · 2021
    Review
  5. Intensive Surveillance with Biannual Dynamic Contrast-Enhanced Magnetic Resonance Imaging Downstages Breast Cancer inClinical cancer research : an official journal of the American Association for Cancer Research · 2019
    Observational
  6. Review
  7. Review
  8. Article
  9. Breast cancer screening: an evidence-based update.The Medical clinics of North America · 2015
    Review
  10. Salpingectomy as a means to reduce ovarian cancer risk.Cancer prevention research (Philadelphia, Pa.) · 2015
    Review
  11. Article
  12. Breast care.Breast care (Basel, Switzerland) · 2012
    Article
  13. Review
  14. Article
  15. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 1 country.

P ShahDepartment of Medicine, University of Pennsylvania School of Medicine, Philadelphia, PA, USA.
M Rosen
J Stopfer
J Siegfried
R Kaltman
B Mason
K Armstrong
K L Nathanson
M Schnall
S M Domchek
University of Pennsylvania · USAbramson Cancer CenterPennsylvania Hospital · US

Funding

RACE VARIABILITY IN GENOTYPIC DETERMINANTS OF BREAST CAP01CA082707 · NCI · UNIVERSITY OF PENNSYLVANIA · PI REBBECK, TIMOTHY R · 2000 to 2004
$11.0M
NCI NIH HHS P01 CA082707
6 · The paper itself

Abstract

Annual MRI screening is recommended as an adjunct to mammography for BRCA1 and BRCA2 mutation carriers. Prophylactic oophorectomy has been shown to decrease breast cancer risk in BRCA1/2 mutation carriers. Here, we aimed to examine the combined effects of MRI and oophorectomy. For this purpose, 93 BRCA1/2 mutation carriers were screened with yearly mammograms and yearly MRI scans. Study endpoints were defined as date of breast cancer diagnosis, date of prophylactic mastectomy, or date of most recent contact. Of 93 women, with a median age of 47, 80 (86%) had prophylactic oophorectomy. Fifty-one women (55%) had BRCA1 mutations. A total of 283 MRI scans were performed. Eleven breast cancers (9 invasive, 2 ductal carcinoma in situ) were detected in 93 women (12%) with a median follow-up of 3.2 years (incidence 40 per 1,000 person-years). Six cancers were first detected on MRI, three were first detected by mammogram, and two were "interval cancers." All breast cancers occurred in BRCA1 mutation carriers (incidence 67 per 1,000 person-years). Apart from BRCA1 vs. BRCA2 mutation status, there were no other significant predictors of breast cancer incidence. Most invasive breast cancers were estrogen receptor negative (7 of 9) and lymph node negative (7 of 9). There have been no systemic recurrences with a median follow-up of 19 months after cancer diagnosis. Finally, it was concluded that all breast cancers occurred in BRCA1 mutation carriers, in most cases despite oophorectomy. These data suggest that surveillance and prevention strategies may have different outcomes in BRCA1 and BRCA2 mutation carriers.

Indexed as

Genes, BRCA1Genes, BRCA2AdultBreast NeoplasmsFemaleGenetic Predisposition to DiseaseHeterozygoteHumansIncidenceMagnetic Resonance ImagingMammographyMass ScreeningMiddle AgedMutationOvariectomy

Identifiers

PMID19609668
PMCPMC3342814
OpenAlexW2075703546

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.