Evidence map›Paper›PMID 33277192›Full record

ArticleClinical breast cancer2021

Dynamic Changes of Convolutional Neural Network-based Mammographic Breast Cancer Risk Score Among Women Undergoing Chemoprevention Treatment.

Haley Manley, Simukayi Mutasa, Peter Chang, Elise Desperito, Katherine Crew, Richard Ha

Open access · greenAbstract read
In one paragraph

Article in Clinical breast cancer, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 pooled it
0.5field-weighted citation impact, top 43% 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

9 citing papers in PubMed, 2 syntheses or guidelines pooled it, 11 citations in OpenAlex.

  1. Pooled it
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  5. 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

6 authors at 3 institutions in 1 country.

Haley ManleyCenter for Medical Ethics and Health Policy, Baylor College of Medicine, Houston, TX.
Simukayi MutasaDepartment of Radiology, New York-Presbyterian/Columbia University Medical Center, New York, NY.
Peter ChangDepartment of Radiological Sciences and Center for Artificial Intelligence in Diagnostic Medicine, University of California, Irvine, Irvine, CA.
Elise DesperitoDepartment of Radiology, New York-Presbyterian/Columbia University Medical Center, New York, NY.
Katherine CrewDepartments of Medicine and Epidemiology, New York-Presbyterian/Columbia University Medical Center, New York, NY.
Richard HaDepartment of Radiology and Breast Imaging Section, New York-Presbyterian/Columbia University Medical Center, New York, NY. Electronic address: rh2616@columbia.edu.
Columbia University Irving Medical Center · USBaylor College of Medicine · USIntel (United States) · US

Funding

Multicenter trial of decision support for breast cancer chemopreventionR01CA226060 · NCI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI CREW, KATHERINE D, KUKAFKA, RITA · 2019 to 2023
$3.3M
CAPRI: Columbia Cancer Training Program for Resident-InvestigatorsR38CA231577 · NCI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI CREW, KATHERINE D, SCHWARTZ, GARY K · 2018 to 2021
$1.4M
NCI NIH HHS R01 CA226060NCI NIH HHS R38 CA231577
6 · The paper itself

Abstract

introductionWe investigated whether our convolutional neural network (CNN)-based breast cancer risk model is modifiable by testing it on women who had undergone risk-reducing chemoprevention treatment. MATERIALS AND

methodsWe conducted a retrospective cohort study of patients diagnosed with atypical hyperplasia, lobular carcinoma in situ, or ductal carcinoma in situ at our institution from 2007 to 2015. The clinical characteristics, chemoprevention use, and mammography images were extracted from the electronic health records. We classified two groups according to chemoprevention use. Mammograms were performed at baseline and subsequent follow-up evaluations for input to our CNN risk model. The 2 chemoprevention groups were compared for the risk score change from baseline to follow-up. The change categories included stayed high risk, stayed low risk, increased from low to high risk, and decreased from high to low risk. Unordered polytomous regression models were used for statistical analysis, with P < .05 considered statistically significant.

resultsOf 541 patients, 184 (34%) had undergone chemoprevention treatment (group 1) and 357 (66%) had not (group 2). Using our CNN breast cancer risk score, significantly more women in group 1 had shown a decrease in breast cancer risk compared with group 2 (33.7% vs. 22.9%; P < .01). Significantly fewer women in group 1 had an increase in breast cancer risk compared with group 2 (11.4% vs. 20.2%; P < .01). On multivariate analysis, an increase in breast cancer risk predicted by our model correlated negatively with the use of chemoprevention treatment (P = .02).

conclusionsOur CNN-based breast cancer risk score is modifiable with potential utility in assessing the efficacy of known chemoprevention agents and testing new chemoprevention strategies.

Indexed as

AdultAgedAged, 80 and overAntineoplastic AgentsBreast NeoplasmsCarcinomaChemopreventionFemaleHumansMammographyMiddle AgedNeural Networks, ComputerPredictive Value of TestsRetrospective StudiesRisk AssessmentAntineoplastic AgentsBreast cancer riskBreast densityCNNDeep learningTamoxifen

Identifiers

PMID33277192
PMCPMC8126568
OpenAlexW3106458360

What OpenQuestion holds

Textmetadata
LicenceTDM
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.