Evidence map›Paper›PMID 34615978›Full record

ArticleScientific reports2021

Validation of a new fully automated software for 2D digital mammographic breast density evaluation in predicting breast cancer risk.

Paolo Giorgi Rossi, Olivera Djuric, Valerie Hélin, Susan Astley, Paola Mantellini, Andrea Nitrosi, Elaine F Harkness, Emilien Gauthier, Donella Puliti, Corinne Balleyguier and 6 more

Abstract read
In one paragraph

Article in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–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

6 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
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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

16 authors.

Paolo Giorgi RossiEpidemiology Unit, Azienda Unità Sanitaria Locale - IRCCS di Reggio Emilia, Via Amendola 2, 42122, Reggio Emilia, Italy.
Olivera DjuricEpidemiology Unit, Azienda Unità Sanitaria Locale - IRCCS di Reggio Emilia, Via Amendola 2, 42122, Reggio Emilia, Italy. olivera.djuric@ausl.re.it.ORCID 0000-0002-8574-5938
Valerie HélinPredlife, Espace Maurice Tubiana, 39 rue Camille Desmoulins, 94800, Villejuif, France.
Susan AstleyDivision of Informatics, Imaging and Data Sciences, Faculty of Biology, Medicine and Health, Manchester Academic Health Science Centre, University of Manchester, Stopford Building, Oxford Road, Manchester, M13 9PT, UK.
Paola MantelliniScreening Unit, ISPRO - Oncological Network, Prevention and Research Institute, via Cosimo il Vecchio 2, 50139, Florence, Italy.
Andrea NitrosiMedical Physics Unit, Department of Oncology and Advanced Technologies, Azienda Unità Sanitaria Locale - IRCCS di Reggio Emilia, Viale Umberto I 50, 42123, Reggio Emilia, Italy.
Elaine F HarknessDivision of Informatics, Imaging and Data Sciences, Faculty of Biology, Medicine and Health, Manchester Academic Health Science Centre, University of Manchester, Stopford Building, Oxford Road, Manchester, M13 9PT, UK.
Emilien GauthierPredlife, Espace Maurice Tubiana, 39 rue Camille Desmoulins, 94800, Villejuif, France.
Donella PulitiClinical Epidemiology Unit, ISPRO - Oncological Network, Prevention and Research Institute, via Cosimo il Vecchio 2, 50139, Florence, Italy.
Corinne BalleyguierDepartment of Radiology, Institut Gustave-Roussy, 114 rue Edouard Vaillant, 94800, Villejuif, France.
Camille BaronUNICANCER, Institut Bergonié, 229, cours de l'Argonne CS 61283, 33076, Bordeaux Cedex, France.
Fiona J GilbertDepartment of Radiology, NIHR Cambridge Biomedical Research Centre, University of Cambridge, Cambridge, CB2 0QQ, UK.
André GrivegnéeSenology Unit, Institute Jules Bordet, Boulevard de Waterloo 121, 1000, Brussels, Belgium.
Pierpaolo PattaciniDepartment of Diagnostic Imaging, Azienda Unità Sanitaria Locale - IRCCS di Reggio Emilia, Viale Umberto I 50, 42123, Reggio Emilia, Italy.
Stefan MichielsBiostatistics and Epidemiology Service, Centre de Recherche en Epidémiologie et Santé des Populations, Gustave Roussy, Université Paris-Sud, 114, rue Edouard-Vaillant, 94805, Villejuif, France.
Suzette DelalogeDepartment of Radiology, Institut Gustave-Roussy, 114 rue Edouard Vaillant, 94800, Villejuif, France.

Funding

Cancer Research UK 26884
6 · The paper itself

Abstract

We compared accuracy for breast cancer (BC) risk stratification of a new fully automated system (DenSeeMammo-DSM) for breast density (BD) assessment to a non-inferiority threshold based on radiologists' visual assessment. Pooled analysis was performed on 14,267 2D mammograms collected from women aged 48-55 years who underwent BC screening within three studies: RETomo, Florence study and PROCAS. BD was expressed through clinical Breast Imaging Reporting and Data System (BI-RADS) density classification. Women in BI-RADS D category had a 2.6 (95% CI 1.5-4.4) and a 3.6 (95% CI 1.4-9.3) times higher risk of incident and interval cancer, respectively, than women in the two lowest BD categories. The ability of DSM to predict risk of incident cancer was non-inferior to radiologists' visual assessment as both point estimate and lower bound of 95% CI (AUC 0.589; 95% CI 0.580-0.597) were above the predefined visual assessment threshold (AUC 0.571). AUC for interval (AUC 0.631; 95% CI 0.623-0.639) cancers was even higher. BD assessed with new fully automated method is positively associated with BC risk and is not inferior to radiologists' visual assessment. It is an even stronger marker of interval cancer, confirming an appreciable masking effect of BD that reduces mammography sensitivity.

Indexed as

Breast DensitySoftwareAdultArea Under CurveAutomationBreast NeoplasmsCase-Control StudiesEarly Detection of CancerFemaleHumansImage Processing, Computer-AssistedMammographyMiddle AgedRadiographic Image Interpretation, Computer-AssistedReproducibility of ResultsRisk

Identifiers

PMID34615978
PMCPMC8494838

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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.