Evidence map›Paper›PMID 36812311›Full record

ArticleScience advances2023

Biomineralogical signatures of breast microcalcifications.

Jennie A M R Kunitake, Daniel Sudilovsky, Lynn M Johnson, Hyun-Chae Loh, Siyoung Choi, Patrick G Morris, Maxine S Jochelson, Neil M Iyengar, Monica Morrow, Admir Masic and 2 more

Open access · goldAbstract read
In one paragraph

Article in Science advances, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
8.9field-weighted citation impact, top 2% 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, 25 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

12 authors at 4 institutions in 2 countries.

Jennie A M R KunitakeDepartment of Materials Science and Engineering, Cornell University, Ithaca, NY 14850, USA.ORCID 0000-0002-7061-3211
Daniel SudilovskyDepartment of Pathology and Laboratory Medicine, Cayuga Medical Center at Ithaca, Ithaca, NY 14850, USA.
Lynn M JohnsonCornell Statistical Consulting Unit, Cornell University, Ithaca, NY 14850, USA.ORCID 0000-0002-9317-4637
Hyun-Chae LohDepartment of Civil and Environmental Engineering, Massachusetts Institute of Technology, Cambridge, MA 02139, USA.ORCID 0000-0001-6026-3433
Siyoung ChoiNancy E. and Peter C. Meinig School of Biomedical Engineering, Cornell University, Ithaca, NY 14850, USA.ORCID 0000-0001-5431-2315
Patrick G MorrisMedical Oncology Service, Beaumont Hospital, Dublin, Ireland.ORCID 0000-0002-6055-5273
Maxine S JochelsonDepartment of Radiology, Memorial Sloan Kettering Cancer Center/Evelyn H. Lauder Breast and Imaging Center, New York, NY 10065, USA.ORCID 0000-0002-4012-2470
Neil M IyengarDepartment of Medicine, Weill Cornell Medical College, New York, NY 10021, USA.ORCID 0000-0002-9773-5235
Monica MorrowBreast Service, Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY 10065, USA.ORCID 0000-0003-4636-8313
Admir MasicDepartment of Civil and Environmental Engineering, Massachusetts Institute of Technology, Cambridge, MA 02139, USA.ORCID 0000-0002-8791-175X
Claudia FischbachNancy E. and Peter C. Meinig School of Biomedical Engineering, Cornell University, Ithaca, NY 14850, USA.ORCID 0000-0002-9368-0150
Lara A EstroffDepartment of Materials Science and Engineering, Cornell University, Ithaca, NY 14850, USA.ORCID 0000-0002-7658-1265
Cornell University · USMemorial Sloan Kettering Cancer Center · USMassachusetts Institute of Technology · USMohave Community College · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

Microcalcifications, primarily biogenic apatite, occur in cancerous and benign breast pathologies and are key mammographic indicators. Outside the clinic, numerous microcalcification compositional metrics (e.g., carbonate and metal content) are linked to malignancy, yet microcalcification formation is dependent on microenvironmental conditions, which are notoriously heterogeneous in breast cancer. We interrogate multiscale heterogeneity in 93 calcifications from 21 breast cancer patients using an omics-inspired approach: For each microcalcification, we define a "biomineralogical signature" combining metrics derived from Raman microscopy and energy-dispersive spectroscopy. We observe that (i) calcifications cluster into physiologically relevant groups reflecting tissue type and local malignancy; (ii) carbonate content exhibits substantial intratumor heterogeneity; (iii) trace metals including zinc, iron, and aluminum are enhanced in malignant-localized calcifications; and (iv) the lipid-to-protein ratio within calcifications is lower in patients with poor composite outcome, suggesting that there is potential clinical value in expanding research on calcification diagnostic metrics to include "mineral-entrapped" organic matrix.

Indexed as

Breast DiseasesBreast NeoplasmsCalcinosisBreastCarbonatesFemaleHumansCarbonates

Identifiers

PMID36812311
PMCPMC9946357
OpenAlexW4321481243

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.