Evidence map›Paper›PMID 36451243›Full record

ArticleBreast cancer research : BCR2022

Volumetric imaging and morphometric analysis of breast tumor angiogenesis using a new contrast-free ultrasound technique: a feasibility study.

Juanjuan Gu, Redouane Ternifi, Soroosh Sabeti, Nicholas B Larson, Jodi M Carter, Robert T Fazzio, Mostafa Fatemi, Azra Alizad

Open access · goldAbstract read
In one paragraph

Article in Breast cancer research : BCR, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 19% 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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

  1. Pooled it
  2. Imaging the hallmarks of cancer.Nature reviews. Cancer · 2026
    Review
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  11. Ultrasound microflow patterns help in distinguishing malignant from benign thyroid nodules.Cancer imaging : the official publication of the International Cancer Imaging Society · 2024
    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

8 authors at 1 institution in 1 country.

Juanjuan Gu *Department of Physiology and Biomedical Engineering, Mayo Clinic College of Medicine and Science, Rochester, MN, USA.
Redouane Ternifi *Department of Physiology and Biomedical Engineering, Mayo Clinic College of Medicine and Science, Rochester, MN, USA.
Soroosh SabetiDepartment of Physiology and Biomedical Engineering, Mayo Clinic College of Medicine and Science, Rochester, MN, USA.
Nicholas B LarsonDepartment of Quantitative Health Sciences, Mayo Clinic College of Medicine and Science, Rochester, MN, USA.
Jodi M CarterDepartment of Laboratory Medicine and Pathology, Mayo Clinic College of Medicine and Science, Rochester, MN, USA.
Robert T FazzioDepartment of Radiology, Mayo Clinic College of Medicine and Science, 200 1St Street SW, Rochester, MN, 55905, USA.
Mostafa Fatemi *Department of Physiology and Biomedical Engineering, Mayo Clinic College of Medicine and Science, Rochester, MN, USA.
Azra Alizad *Department of Physiology and Biomedical Engineering, Mayo Clinic College of Medicine and Science, Rochester, MN, USA. Alizad.Azra@mayo.edu.
Mayo Clinic · US

Funding

Using Label-free Ultrasound Angio-Morphometry Analysis for Improving Ultrasound Specificity in Breast Cancer Detection and Treatment MonitoringR01CA239548 · NCI · MAYO CLINIC ROCHESTER · PI ALIZAD, AZRA, FATEMI, MOSTAFA · 2019 to 2023
$2.9M
Multi-parameter Nonlinear Elasticity Mapping of Breast MassesR01CA195527 · NCI · MAYO CLINIC ROCHESTER · PI ALIZAD, AZRA, FATEMI, MOSTAFA · 2016 to 2020
$2.8M
Classification of breast masses based on visco-elastic propertiesR01CA168575 · NCI · MAYO CLINIC ROCHESTER · PI FATEMI, MOSTAFA, INSANA, MICHAEL F · 2013 to 2018
$2.5M
NCI NIH HHS R01 CA168575NCI NIH HHS R01 CA195527NCI NIH HHS R01 CA239548NCI NIH HHS R01CA239548
6 · The paper itself

Abstract

backgroundThere is a strong correlation between the morphological features of new tumor vessels and malignancy. However, angiogenic heterogeneity necessitates 3D microvascular data of tumor microvessels for more reliable quantification. To provide more accurate information regarding vessel morphological features and improve breast lesion characterization, we introduced a quantitative 3D high-definition microvasculature imaging (q3D-HDMI) as a new easily applicable and robust tool to morphologically characterize microvasculature networks in breast tumors using a contrast-free ultrasound-based imaging approach.

methodsIn this prospective study, from January 2020 through December 2021, a newly developed q3D-HDMI technique was evaluated on participants with ultrasound-identified suspicious breast lesions recommended for core needle biopsy. The morphological features of breast tumor microvessels were extracted from the q3D-HDMI. Leave-one-out cross-validation (LOOCV) was applied to test the combined diagnostic performance of multiple morphological parameters of breast tumor microvessels. Receiver operating characteristic (ROC) curves were used to evaluate the prediction performance of the generated pooled model.

resultsNinety-three participants (mean age 52 ± 17 years, 91 women) with 93 breast lesions were studied. The area under the ROC curve (AUC) generated with q3D-HDMI was 95.8% (95% CI 0.901-1.000), yielding a sensitivity of 91.7% and a specificity of 98.2%, that was significantly higher than the AUC generated with the q2D-HDMI (p = 0.02). When compared to q2D-HDMI, the tumor microvessel morphological parameters obtained from q3D-HDMI provides distinctive information that increases accuracy in differentiating breast tumors.

conclusionsThe proposed quantitative volumetric imaging technique augments conventional breast ultrasound evaluation by increasing specificity in differentiating malignant from benign breast masses.

Indexed as

Breast NeoplasmsAdultAgedBreastFeasibility StudiesFemaleHumansMicrovesselsMiddle AgedProspective Studies3D microvessel imagingBreast cancerContrast-free ultrasoundQuantitative biomarkersVessel morphological features

Identifiers

PMID36451243
PMCPMC9710093
OpenAlexW4310593500

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.