Evidence map›Paper›PMID 31807966›Full record

ArticleJournal of mammary gland biology and neoplasia2019

Calcification Microstructure Reflects Breast Tissue Microenvironment.

Sarah Gosling, Robert Scott, Charlene Greenwood, Pascaline Bouzy, Jayakrupakar Nallala, Iain D Lyburn, Nicholas Stone, Keith Rogers

Open access · hybridAbstract read
In one paragraph

Article in Journal of mammary gland biology and neoplasia, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
3.1field-weighted citation impact, top 9% 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

20 citing papers in PubMed, 42 citations in OpenAlex.

  1. Review
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  14. Review
  15. Breast calcification micromorphology classification.The British journal of radiology · 2022
    Article
  16. Article
  17. A time-course Raman spectroscopic analysis of spontaneous in vitro microcalcifications in a breast cancer cell line.Laboratory investigation; a journal of technical methods and pathology · 2021
    Article
  18. Review
  19. Review
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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

8 authors at 4 institutions in 1 country.

Sarah GoslingCranfield Forensic Institute, Cranfield University, Shrivenham, UK. sarah.gosling@cranfield.ac.uk.ORCID http://orcid.org/0000-0002-7034-6547
Robert ScottCranfield Forensic Institute, Cranfield University, Shrivenham, UK.
Charlene GreenwoodSchool of Chemical and Physical Sciences, Keele University, Keele, Staffordshire, UK.
Pascaline BouzySchool of Physics and Astronomy, University of Exeter, Exeter, UK.
Jayakrupakar NallalaSchool of Physics and Astronomy, University of Exeter, Exeter, UK.
Iain D LyburnThirlestaine Breast Centre, Gloucestershire Hospitals NHS Foundation Trust, Cheltenham, Gloucestershire, UK.
Nicholas StoneSchool of Physics and Astronomy, University of Exeter, Exeter, UK.
Keith RogersCranfield Forensic Institute, Cranfield University, Shrivenham, UK.
Cranfield University · GBUniversity of Exeter · GBGloucestershire Hospitals NHS Foundation Trust · GBKeele University · GB

Funding

Cancer Research UK C38317/A24043Medical Research Council MR/T000406/1
6 · The paper itself

Abstract

Microcalcifications are important diagnostic indicators of disease in breast tissue. Tissue microenvironments differ in many aspects between normal and cancerous cells, notably extracellular pH and glycolytic respiration. Hydroxyapatite microcalcification microstructure is also found to differ between tissue pathologies, including differential ion substitutions and the presence of additional crystallographic phases. Distinguishing between tissue pathologies at an early stage is essential to improve patient experience and diagnostic accuracy, leading to better disease outcome. This study explores the hypothesis that microenvironment features may become immortalised within calcification crystallite characteristics thus becoming indicators of tissue pathology. In total, 55 breast calcifications incorporating 3 tissue pathologies (benign - B2, ductal carcinoma in-situ - B5a and invasive malignancy - B5b) from archive formalin-fixed paraffin-embedded core needle breast biopsies were analysed using X-ray diffraction. Crystallite size and strain were determined from 548 diffractograms using Williamson-Hall analysis. There was an increased crystallinity of hydroxyapatite with tissue malignancy compared to benign tissue. Coherence length was significantly correlated with pathology grade in all basis crystallographic directions (P < 0.01), with a greater difference between benign and in situ disease compared to in-situ disease and invasive malignancy. Crystallite size and non-uniform strain contributed to peak broadening in all three pathologies. Furthermore, crystallite size and non-uniform strain normal to the basal planes increased significantly with malignancy (P < 0.05). Our findings support the view that tissue microenvironments can influence differing formation mechanisms of hydroxyapatite through acidic precursors, leading to differential substitution of carbonate into the hydroxide and phosphate sites, causing significant changes in crystallite size and non-uniform strain.

Indexed as

Breast NeoplasmsCalcinosisCarcinoma, Ductal, BreastCarcinoma, Intraductal, NoninfiltratingFemaleHumansX-Ray DiffractionBreast CancerCalcificationCarbonateHydroxyapatiteX-ray diffraction

Identifiers

PMID31807966
PMCPMC6908550
OpenAlexW2993947244

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.