Evidence map›Paper›PMID 31984517›Full record

ArticleJournal of surgical oncology2020

Factors associated with MRI detection of occult lesions in newly diagnosed breast cancers.

Julie Wecsler, Young Ju Jeong, Akshara S Raghavendra, Wendy J Mack, Debasish Tripathy, Mary W Yamashita, Pulin A Sheth, Linda Hovanessian Larsen, Christy A Russell, Heather MacDonald and 2 more

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Journal of surgical oncology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05250674 (Clinical Evaluation of CEM-guided Biopsy), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.2field-weighted citation impact, top 44% 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.

NCT05250674 completednot on this map

Clinical Evaluation of CEM-guided Biopsy

TypeobservationalSponsorParc de Salut MarRan2019 to 2021Enrolled66ConditionsContrast Enhanced Mammography-guided BiopsyArmsCEM-guided biopsy
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Review
  3. Occult breast cancer in an older woman: A case report.Experimental and therapeutic medicine · 2025
    Article
  4. Article
  5. Article
  6. 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

12 authors at 3 institutions in 2 countries.

Julie WecslerDivision of Breast, Endocrine, and Soft Tissue Surgery, Department of Surgery, Norris Comprehensive Cancer Center, University of Southern California, Los Angeles, California.ORCID http://orcid.org/0000-0001-7936-9756
Young Ju JeongDepartment of Surgery, Catholic University of Daegu School of Medicine, Daegu, Republic of Korea.
Akshara S RaghavendraDivision of Cancer Medicine, Department of Breast Medical Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas.
Wendy J MackDepartment of Preventive Medicine, University of Southern California, Los Angeles, California.
Debasish TripathyDivision of Cancer Medicine, Department of Breast Medical Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas.
Mary W YamashitaDivision of Oncology Women's Imaging, Department of Radiology and Norris Comprehensive Cancer Center, University of Southern California, Los Angeles, California.
Pulin A ShethDivision of Oncology Women's Imaging, Department of Radiology and Norris Comprehensive Cancer Center, University of Southern California, Los Angeles, California.
Linda Hovanessian LarsenDivision of Oncology Women's Imaging, Department of Radiology and Norris Comprehensive Cancer Center, University of Southern California, Los Angeles, California.
Christy A RussellDivision of Medical Oncology, Department of Medicine and Norris Comprehensive Cancer Center, University of Southern California, Los Angeles, California.
Heather MacDonaldDivision of Breast, Endocrine, and Soft Tissue Surgery, Department of Surgery, Norris Comprehensive Cancer Center, University of Southern California, Los Angeles, California.
Stephen F SenerDivision of Breast, Endocrine, and Soft Tissue Surgery, Department of Surgery, Norris Comprehensive Cancer Center, University of Southern California, Los Angeles, California.ORCID http://orcid.org/0000-0003-4966-1670
Julie E LangDivision of Breast, Endocrine, and Soft Tissue Surgery, Department of Surgery, Norris Comprehensive Cancer Center, University of Southern California, Los Angeles, California.ORCID http://orcid.org/0000-0002-7534-6124
University of Southern California · USThe University of Texas MD Anderson Cancer Center · USDaegu Catholic University · KR

Funding

USC/NORRIS COMPREHENSIVE CANCER CENTER (CORE) SUPPORTP30CA014089 · NCI · UNIVERSITY OF SOUTHERN CALIFORNIA · PI Fumito Ito · 1985 to 2026
$181.4M
Southern California Clinical and Translational Science InstituteUL1TR001855 · NCATS · UNIVERSITY OF SOUTHERN CALIFORNIA · PI Thomas A Buchanan, Michele D. Kipke · 2016 to 2026
$81.3M
Southern California Clinical and Translational Science InstituteUL1TR000130 · NCATS · UNIVERSITY OF SOUTHERN CALIFORNIA · PI BUCHANAN, THOMAS A · 2012 to 2015
$36.0M
Center for Strategic Scientific Initiatives, National Cancer Institute P30CA014089NCATS NIH HHS UL1 TR000130NCATS NIH HHS UL1TR000130NCATS NIH HHS UL1 TR001855NCATS NIH HHS UL1TR001855NCI NIH HHS P30 CA014089Susan G. Komen for the Cure AACR Scholar-In-Training Award
6 · The paper itself

Abstract

backgroundThe use of preoperative magnetic resonance imaging (MRI) for newly diagnosed breast cancer remains controversial. We examined factors associated with detection of occult multicentric, multifocal, and contralateral malignant lesions only seen by MRI.

methodsWe performed a retrospective analysis of consecutive patients undergoing preoperative MRI for breast cancer. Clinicopathologic data were assessed regarding the findings of multifocality, multicentricity, and the presence of contralateral lesions. We analyzed the association of factors with these findings on MRI.

resultsOf 857 patients undergoing MRI, 770 patients met inclusion criteria. Mean age was 54.7 years. Biopsy-proven detection rates by MRI for multifocal, multicentric, and contralateral cancers were 6.2% (48 of 770), 1.9% (15 of 770) and 3.1% (24 of 770), respectively. African American race and heterogeneously or extremely dense mammographic density were associated with multifocal cancers on MRI. Larger lesion size and mammographic density were associated with multicentric cancers. Invasive lobular carcinoma (ILC) and progesterone receptor (PR)-positivity were associated with contralateral cancers.

conclusionsAfrican American race, heterogeneously or extremely dense mammographic density, ILC, and PR-positivity were associated with additional biopsy-proven cancers based on MRI. These factors should be considered when assessing the clinical utility of preoperative breast MRI.

Indexed as

Breast NeoplasmsFemaleHumansMagnetic Resonance ImagingMiddle AgedNeoplasms, Multiple PrimaryPreoperative CareRetrospective Studiescontralateral cancermulticentricitymultifocality

Identifiers

PMID31984517
PMCPMC7032991
OpenAlexW3004375954

What OpenQuestion holds

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Registered trials

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.