Evidence map›Paper›PMID 22579527›Full record

ArticleEuropean journal of radiology2012

Bilateral mammographic density asymmetry and breast cancer risk: a preliminary assessment.

Bin Zheng, Jules H Sumkin, Margarita L Zuley, Xingwei Wang, Amy H Klym, David Gur

Open access · greenAbstract read
In one paragraph

Article in European journal of radiology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 1 pooled it
3.9field-weighted citation impact, top 6% 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

32 citing papers in PubMed, 1 synthesis or guideline pooled it, 79 citations in OpenAlex.

  1. Pooled it
  2. Cancer: A bioelectric disease?Clinical and translational medicine · 2026
    Review
  3. Characterization of mammographic markers of inflammatory breast cancer (IBC).Physica medica : PM : an international journal devoted to the applications of physics to medicine and biology : official journal of the Italian Association of Biomedical Physics (AIFB) · 2025
    Article
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  12. Developing global image feature analysis models to predict cancer risk and prognosis.Visual computing for industry, biomedicine, and art · 2019
    Article
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  20. Left-right analysis of mammary gland development in retinoid X receptor-α+/- mice.Philosophical transactions of the Royal Society of London. Series B, Biological sciences · 2016
    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

6 authors at 2 institutions in 1 country.

Bin ZhengDepartment of Radiology, University of Pittsburgh, Magee Womens Hospital, 3362 Fifth Ave, Pittsburgh, PA 15213, USA. zhengb@upmc.edu
Jules H Sumkin
Margarita L Zuley
Xingwei Wang
Amy H Klym
David Gur
Magee-Womens Hospital · USUniversity of Pittsburgh · US

Funding

RULE-BASED CAD OF DIGITIZED MAMMOGRAMSR01CA077850 · NCI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI ZHENG, BIN · 1997 to 2011
$2.3M
Mammographic Density and Tissue Asymmetry Based Breast Cancer Risk StratificationR01CA160205 · NCI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI ZHENG, BIN · 2012 to 2015
$895k
NCI NIH HHS CA160205NCI NIH HHS CA77850NCI NIH HHS R01 CA077850NCI NIH HHS R01 CA160205
6 · The paper itself

Abstract

To improve efficacy of breast cancer screening and prevention programs, it requires a risk assessment model with high discriminatory power. This study aimed to assess classification performance of using computed bilateral mammographic density asymmetry to predict risk of individual women developing breast cancer in near-term. The database includes 451 cases with multiple screening mammography examinations. The first (baseline) examinations of all case were interpreted negative. In the next sequential examinations, 187 cases developed cancer or surgically excised high-risk lesions, 155 remained negative (not-recalled), and 109 were recalled benign cases. From each of two bilateral cranio-caudal view images acquired from the baseline examination, we computed two features of average pixel value and local pixel value fluctuation. We then computed mean and difference of each feature computed from two images. When applying the computed features and other two risk factors (woman's age and subjectively rated mammographic density) to predict risk of cancer development, areas under receiver operating characteristic curves (AUC) were computed to evaluate the discriminatory/classification performance. The AUCs are 0.633±0.030, 0.535±0.036, 0.567±0.031, and 0.719±0.027 when using woman's age, subjectively rated, computed mean and asymmetry of mammographic density, to classify between two groups of cancer-verified and negative cases, respectively. When using an equal-weighted fusion method to combine woman's age and computed density asymmetry, AUC increased to 0.761±0.025 (p<0.05). The study demonstrated that bilateral mammographic density asymmetry could be a significantly stronger risk factor associated to the risk of women developing breast cancer in near-term than woman's age and assessed mean mammographic density.

Indexed as

AdultAgedAged, 80 and overBreast NeoplasmsDensitometryFemaleHumansIncidenceMass ScreeningMiddle AgedPennsylvaniaPilot ProjectsReproducibility of ResultsRisk AssessmentSensitivity and SpecificityUltrasonography, Mammary

Identifiers

PMID22579527
PMCPMC3430819
OpenAlexW2064473418

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.