Evidence map›Paper›PMID 29330631›Full record

ArticleEuropean radiology2018

Apparent diffusion coefficient mapping using diffusion-weighted MRI: impact of background parenchymal enhancement, amount of fibroglandular tissue and menopausal status on breast cancer diagnosis.

Joao V Horvat, Manuela Durando, Soledad Milans, Sujata Patil, Jessica Massler, Girard Gibbons, Dilip Giri, Katja Pinker, Elizabeth A Morris, Sunitha B Thakur

Abstract read
In one paragraph

Article in European radiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. A multiparametric [European journal of nuclear medicine and molecular imaging · 2019
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  13. MultiparametricJournal of nuclear medicine : official publication, Society of Nuclear Medicine · 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

10 authors.

Joao V HorvatDepartment of Radiology, Breast Imaging Service, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Manuela DurandoDepartment of Radiology, Breast Imaging Service, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Soledad MilansDepartment of Radiology, Breast Imaging Service, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Sujata PatilDepartment of Biostatistics, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Jessica MasslerDepartment of Radiology, Breast Imaging Service, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Girard GibbonsDepartment of Radiology, Breast Imaging Service, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Dilip GiriDepartment of Pathology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Katja PinkerDepartment of Radiology, Breast Imaging Service, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Elizabeth A MorrisDepartment of Radiology, Breast Imaging Service, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Sunitha B ThakurDepartment of Radiology, Breast Imaging Service, Memorial Sloan Kettering Cancer Center, New York, NY, USA. thakurs@mskcc.org.

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
National Cancer Institute P30 CA008748NCI NIH HHS P30 CA008748U.S. Department of Defense W81XWH-09-1-0042
6 · The paper itself

Abstract

objectivesTo investigate the impact of background parenchymal enhancement (BPE), amount of fibroglandular tissue (FGT) and menopausal status on apparent diffusion coefficient (ADC) values in differentiation between malignant and benign lesions.

methodsIn this HIPAA-compliant study, mean ADC values of 218 malignant and 130 benign lesions from 288 patients were retrospectively evaluated. The differences in mean ADC values between benign and malignant lesions were calculated within groups stratified by BPE level (high/low), amount of FGT (dense/non-dense) and menopausal status (premenopausal/postmenopausal). Sensitivities and specificities for distinguishing malignant from benign lesions within different groups were compared for statistical significance.

resultsThe mean ADC value for malignant lesions was significantly lower compared to that for benign lesions (1.07±0.21 x 10

conclusionsDifferentiation between benign and malignant lesions on ADC values is not significantly affected by BPE level, amount of FGT or menopausal status. KEY POINTS: • ADC allows differentiation between benign and malignant lesions. • ADC is useful for breast cancer diagnosis despite different patient characteristics. • BPE, FGT or menopause do not significantly affect sensitivity and specificity.

Indexed as

AdultAgedAged, 80 and overBreast NeoplasmsDiagnosis, DifferentialDiffusion Magnetic Resonance ImagingFemaleHumansMiddle AgedParenchymal TissuePostmenopausePremenopauseRetrospective StudiesROC CurveSensitivity and SpecificityYoung AdultBreast densityBreast neoplasmsDiagnostic imagingDiffusion magnetic resonance imagingMenopause

Identifiers

PMID29330631
PMCPMC6089248

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Registered trials

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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.