Evidence map›Paper›PMID 35501423›Full record

ArticleBreast cancer research and treatment2022

Association of breast cancer risk, density, and stiffness: global tissue stiffness on breast MR elastography (MRE).

Bhavika K Patel, Kay Pepin, Kathy R Brandt, Gina L Mazza, Barbara A Pockaj, Jun Chen, Yuxiang Zhou, Donald W Northfelt, Karen Anderson, Juliana M Kling and 4 more

Open access · greenAbstract read
In one paragraph

Article in Breast cancer research and treatment, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
4.6field-weighted citation impact, top 5% 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

21 citing papers in PubMed, 32 citations in OpenAlex.

  1. Trial
  2. Article
  3. Review
  4. Correlation Between Breast Parenchymal Stiffness Measured by 3T Magnetic Resonance Elastography and CT-Derived Hounsfield Units.Medical science monitor : international medical journal of experimental and clinical research · 2026
    Article
  5. Article
  6. Article
  7. Article
  8. A microfluidic rheometer for tumor mechanics and invasion studies.bioRxiv : the preprint server for biology · 2025
    Article
  9. Article
  10. Article
  11. Article
  12. Observational
  13. Color Maps: Facilitating the Clinical Impact of Quantitative MRI.Journal of magnetic resonance imaging : JMRI · 2025
    Review
  14. Article
  15. Review
  16. Article
  17. Review
  18. Article
  19. Article
  20. 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

14 authors at 4 institutions in 1 country.

Bhavika K PatelDiagnostic Radiology, Mayo Clinic, 5777 E. Mayo Blvd., Phoenix, AZ, 85054, USA. patel.bhavika@mayo.edu.ORCID http://orcid.org/0000-0002-8486-955X
Kay PepinDiagnostic Radiology, Mayo Clinic, Rochester, MN, USA.
Kathy R BrandtDiagnostic Radiology, Mayo Clinic, Rochester, MN, USA.
Gina L MazzaDepartment of Biostatistics, Mayo Clinic, Phoenix, AZ, USA.
Barbara A PockajDepartment of Surgery, Mayo Clinic, Phoenix, AZ, USA.
Jun ChenDiagnostic Radiology, Mayo Clinic, Rochester, MN, USA.
Yuxiang ZhouDiagnostic Radiology, Mayo Clinic, 5777 E. Mayo Blvd., Phoenix, AZ, 85054, USA.
Donald W NorthfeltDepartment of Oncology, Mayo Clinic, Phoenix, AZ, USA.
Karen AndersonDepartment of Oncology, Mayo Clinic, Phoenix, AZ, USA.
Juliana M KlingDepartment of Internal Medicine, Mayo Clinic, Phoenix, AZ, USA.
Celine M VachonDepartment of Epidemiology, Mayo Clinic, Rochester, MN, USA.
Kristin R SwansonDepartment of Neurosurgery, Mayo Clinic, Phoenix, AZ, USA.
Mehdi NikkhahSchool of Biological and Health Systems Engineering, Arizona State University, Phoenix, AZ, USA.
Richard EhmanDiagnostic Radiology, Mayo Clinic, Rochester, MN, USA.
WinnMed · USMayo Clinic · USMayo Clinic Hospital · USArizona State University · US

Funding

Magnetic Resonance ElastographyR37EB001981 · NIBIB · MAYO CLINIC ROCHESTER · PI EHMAN, RICHARD L. · 2016 to 2025
$4.0M
Langworthy Diversity Supplement: Image-based models of tumor-immune dynamics in glioblastomaU01CA250481 · NCI · MAYO CLINIC ARIZONA · PI CANOLL, PETER, HU, LELAND · 2021 to 2025
$3.8M
NCI NIH HHS U01 CA250481NIBIB NIH HHS R37 EB001981
6 · The paper itself

Abstract

purposeQuantify in vivo biomechanical tissue properties in various breast densities and in average risk and high-risk women using Magnetic Resonance Imaging (MRI)/MRE and examine the association between breast biomechanical properties and cancer risk based on patient demographics and clinical data.

methodsPatients with average risk or high-risk of breast cancer underwent 3.0 T breast MR imaging and elastography. Breast parenchymal enhancement (BPE), density (from most recent mammogram), stiffness, elasticity, and viscosity were recorded. Within each breast density group (non-dense versus dense), stiffness, elasticity, and viscosity were compared across risk groups (average versus high). Separately for stiffness, elasticity, and viscosity, a multivariable logistic regression model was used to evaluate whether the MRE parameter predicted risk status after controlling for clinical factors.

results50 average risk and 86 high-risk patients were included. Risk groups were similar in age, density, and menopausal status. Among patients with dense breasts, mean stiffness, elasticity, and viscosity were significantly higher in high-risk patients (N = 55) compared to average risk patients (N = 34; all p < 0.001). Stiffness remained a significant predictor of risk status (OR = 4.26, 95% CI [1.96, 9.25]) even after controlling for breast density, BPE, age, and menopausal status. Similar results were seen for elasticity and viscosity.

conclusionA structurally based, quantitative biomarker of tissue stiffness obtained from MRE is associated with differences in breast cancer risk in dense breasts. Tissue stiffness could provide a novel prognostic marker to help identify high-risk women with dense breasts who would benefit from increased surveillance and/or risk reduction measures.

Indexed as

Breast NeoplasmsElasticity Imaging TechniquesBreastBreast DensityFemaleHumansMagnetic Resonance ImagingBreast cancer riskBreast elastographyBreast MR imagingBreast stromaBreast tissue stiffnessDense breasts

Identifiers

PMID35501423
PMCPMC9538705
OpenAlexW4225276542

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.