Evidence map›Paper›PMID 32985694›Full record

Observational studyCancer2020

Trends in screening breast magnetic resonance imaging use among US women, 2006 to 2016.

Karen J Wernli, Katherine A Callaway, Louise M Henderson, Karla Kerlikowske, Janie M Lee, Dennis Ross-Degnan, Jamie K Wallace, J Frank Wharam, Fang Zhang, Natasha K Stout

Registry-linked trialOpen access · greenAbstract readObservational Study
In one paragraph

Observational study in Cancer, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06629896 (Comparison Between Contrast-Enhanced Mammography and Magnetic Resonance Imaging in the Surveillance of High-Risk Women for Breast Cancer), which is not on this map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
2.7field-weighted citation impact, top 10% 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.

NCT06629896 narecruitingnot on this mapstarted 2025, after this paper: background citation

Comparison Between Contrast-Enhanced Mammography and Magnetic Resonance Imaging in the Surveillance of High-Risk Women for Breast Cancer: The Randomized Controlled Trial 'Con-trust. Funded by European Commission NextGenerationEU - Ministero Della Salute PNRR: M6/C2_CALL 2023 Full Proposal

TypeinterventionalSponsorAzienda USL Reggio Emilia - IRCCSRan2025 to 2030Enrolled2,200ConditionsBreast Cancer Screening and DiagnosisArmsContrast Enhancement Mammography, magnetic resonance imaging (MRI) and digital mammography (DM)
3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 24 citations in OpenAlex.

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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 at 5 institutions in 1 country.

Karen J WernliKaiser Permanente Washington Health Research Institute, Seattle, Washington.ORCID 0000-0001-7945-0327
Katherine A CallawayDepartment of Population Medicine, Harvard Medical School, Harvard Pilgrim Health Care Institute, Boston, Massachusetts.
Louise M HendersonDepartment of Radiology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.ORCID 0000-0001-8356-9267
Karla KerlikowskeDepartment of Medicine, University of California at San Francisco, San Francisco, California.
Janie M LeeDepartment of Radiology, University of Washington, Seattle, Washington.
Dennis Ross-DegnanDepartment of Population Medicine, Harvard Medical School, Harvard Pilgrim Health Care Institute, Boston, Massachusetts.
Jamie K WallaceDepartment of Population Medicine, Harvard Medical School, Harvard Pilgrim Health Care Institute, Boston, Massachusetts.
J Frank WharamDepartment of Population Medicine, Harvard Medical School, Harvard Pilgrim Health Care Institute, Boston, Massachusetts.
Fang ZhangDepartment of Population Medicine, Harvard Medical School, Harvard Pilgrim Health Care Institute, Boston, Massachusetts.
Natasha K StoutDepartment of Population Medicine, Harvard Medical School, Harvard Pilgrim Health Care Institute, Boston, Massachusetts.
Harvard University · USKaiser Permanente Washington Health Research Institute · USSan Francisco VA Medical Center · USUniversity of North Carolina at Chapel Hill · USUniversity of Washington · US

Funding

Advanced Breast Imaging: Trends and Outcomes Associated with Recent Breast Density Reporting LegislationR01CA207373 · NCI · HARVARD PILGRIM HEALTH CARE, INC. · PI STOUT, NATASHA KAY · 2017 to 2020
$2.2M
NCI NIH HHS R01 CA207373
6 · The paper itself

Abstract

backgroundSupplemental breast cancer screening with breast magnetic resonance imaging (MRI) is recommended for women at high risk of breast cancer. To the authors' knowledge, recent national trends in breast MRI use are unknown.

methodsThe authors used claims data from a large national insurer to calculate screening breast MRI rates from 2006 to 2016 in a US cohort of 10 million women aged 20 to 64 years. Use was stratified by subgroups of women with a BRCA mutation, family history of breast cancer, and prior breast cancer history and stratified by age. Joinpoint regression evaluated annual changes in trends.

resultsThe total sample included 37,447 screening breast MRI examinations in 25,617 women. Overall screening breast MRI rates were low and increased from 2.9 to 12.1 examinations per 10,000 women from 2006 to 2016. MRI use in women with a BRCA mutation increased by 21% on average annually from 210.8 per 10,000 women to 1562.0 per 10,000 women from 2006 to 2016. By 2016, women aged 50 to 64 years who had a BRCA mutation had the highest use of breast MRI (1669.6 MRI examinations per 10,000 women) compared with younger women (1198.4 MRI examinations per 10,000 women, 1519.1 MRI examinations per 10,000 women, and 1567.2 MRI examinations per 10,000 women, respectively, among women aged 20-29 years, 30-39 years, and 40-49 years). Women with a BRCA mutation comprised <1% of the current study population but received approximately 9% of screening breast MRI examinations. Breast MRI rates among women with a family history of breast cancer or prior breast cancer history initially increased from 2006 to 2008, but then stabilized or decreased.

conclusionsThe increases in breast MRI use observed in the current study have indicated improvements in concordance with breast imaging guidelines. However, women with BRCA mutations remain underscreened, particularly younger women, thereby identifying a clear gap with which to enhance access.

Indexed as

AdultAge DistributionBRCA1 ProteinBreast NeoplasmsEarly Detection of CancerFemaleGenetic Predisposition to DiseaseHumansMagnetic Resonance ImagingMiddle AgedMutationPractice Guidelines as TopicYoung AdultBRCA1 ProteinBRCA1 protein, humanBRCAbreast cancercohort studiesfemalemagnetic resonance imagingscreening

Identifiers

PMID32985694
PMCPMC8568334
OpenAlexW3089119498

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.