Evidence map›Paper›PMID 28132393›Full record

ArticleBreast cancer research and treatment2017

Breast MRI increases the number of mastectomies for ductal cancers, but decreases them for lobular cancers.

Marc B I Lobbes, Ingeborg J H Vriens, Annelotte C M van Bommel, Grard A P Nieuwenhuijzen, Marjolein L Smidt, Liesbeth J Boersma, Thijs van Dalen, Carolien Smorenburg, Henk Struikmans, Sabine Siesling and 2 more

Open access · hybridAbstract read
In one paragraph

Article in Breast cancer research and treatment, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 16% 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

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 72 citations in OpenAlex.

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  13. Current and Future Directions of Breast MRI.Journal of clinical medicine · 2021
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  16. Observational
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  18. Retrospective Comparison of Contrast-Enhanced Spectral Mammography with Digital Mammography in Assessing Tumor Size in 668 Cases of Breast Cancer.Medical science monitor : international medical journal of experimental and clinical research · 2020
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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

12 authors at 8 institutions in 2 countries.

Marc B I LobbesMaastricht University Medical Center, Department of Radiology and Nuclear Medicine, 5800, 6202 AZ, Maastricht, The Netherlands. marc.lobbes@mumc.nl.ORCID 0000-0002-2103-6956
Ingeborg J H VriensMaastricht University Medical Center, Department of Medical Oncology, Maastricht, The Netherlands.
Annelotte C M van BommelLeiden University Medical Center, Leiden, The Netherlands.
Grard A P NieuwenhuijzenCatharina Hospital, Department of Surgery, Eindhoven, The Netherlands.
Marjolein L SmidtMaastricht University Medical Center, Department of Surgery, Maastricht, The Netherlands.
Liesbeth J BoersmaMaastricht University Medical Center, Department of Radiation Oncology (MAASTRO Clinic), Maastricht, The Netherlands.
Thijs van DalenDiakonessenhuis Utrecht, Utrecht, The Netherlands.
Carolien SmorenburgAntoni van Leeuwenhoek Hospital, Amsterdam, The Netherlands.
Henk StruikmansMedical Center Haaglanden, The Hague, The Netherlands.
Sabine SieslingComprehensive Cancer Organisation the Netherlands, Utrecht, The Netherlands.
Adri C VoogdMaastricht University Medical Center, Department of Medical Oncology, Maastricht, The Netherlands.
Vivianne C G Tjan-HeijnenMaastricht University Medical Center, Department of Medical Oncology, Maastricht, The Netherlands.
Maastricht University · NLDiakonessenhuis hospital · NLLeiden University Medical Center · NLMaastricht University Medical Centre · NLMedisch Centrum Haaglanden · NLNetherlands Comprehensive Cancer Organisation · NLRadboud University Nijmegen · NLThe Netherlands Cancer Institute · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeIn this retrospective population-based cohort study, we analyzed breast MRI use and its impact on type of surgery, surgical margin involvement, and the diagnosis of contralateral breast cancer.

methodsAll Dutch patients with cT

resultsMRI was performed in 10,740 out of 36,050 patients (29.8%). Patients with invasive ductal cancer undergoing MRI were more likely to undergo primary mastectomy than those without MRI (OR 1.30, 95% confidence interval (CI) 1.22-1.39, p < 0.0001). Patients with invasive lobular cancer undergoing MRI were less likely to undergo primary mastectomy than those without MRI (OR 0.86, 95% CI 0.76-0.99, p = 0.0303). A significantly lower risk of positive surgical margins after breast-conserving surgery was only seen in patients with lobular cancer who had undergone MRI as compared to those without MRI (OR 0.59, 95% CI 0.44-0.79, p = 0.0003) and, consequently, a lower risk of secondary mastectomy (OR 0.61, 95% CI 0.42-0.88, p = 0.0088). Patients who underwent MRI were almost four times more likely to be diagnosed with CBC (OR 3.55, 95% CI 3.01-4.17, p < 0.0001).

conclusionsBreast MRI use was associated with a reduced number of mastectomies and less positive surgical margins in invasive lobular cancer, but with an increased number of mastectomies in ductal cancers. Breast MRI use was associated with a fourfold higher incidence of CBC.

Indexed as

Magnetic Resonance ImagingMastectomyAdultAgedAged, 80 and overBreast NeoplasmsCarcinoma, Ductal, BreastFemaleHumansMiddle AgedNeoplasm GradingNeoplasm MetastasisNeoplasm StagingNetherlandsPopulation SurveillanceRetrospective StudiesBreast cancerContralateral breast cancerLobular cancerMRISurgery

Identifiers

PMID28132393
PMCPMC5326630
OpenAlexW2580640093

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.