Evidence map›Paper›PMID 36853975›Full record

ArticleBiometrics2023

Causal mediation analysis using high-dimensional image mediator bounded in irregular domain with an application to breast cancer.

Shu Jiang, Graham A Colditz

Open access · greenAbstract read
In one paragraph

Article in Biometrics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
2.3field-weighted citation impact, top 10% 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, 13 citations in OpenAlex.

  1. Review
  2. Bayesian Image Mediation Analysis.Journal of the American Statistical Association · 2026
    Article
  3. Article
  4. Mediation analysis with graph mediator.Biostatistics (Oxford, England) · 2025
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. 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

2 authors at 1 institution in 1 country.

Shu JiangDivision of Public Health Sciences, Washington University School of Medicine in St. Louis, St. Louis, Missouri, USA.ORCID 0000-0003-1464-4838
Graham A ColditzDivision of Public Health Sciences, Washington University School of Medicine in St. Louis, St. Louis, Missouri, USA.
Washington University in St. Louis · US

Funding

Washington University Center for Cellular ImagingP30CA091842 · NCI · WASHINGTON UNIVERSITY · PI AIMEE S JAMES · 2001 to 2026
$128.0M
Dynamic prediction incorporating time-varying covariates for the onset of breast cancerR37CA256810 · NCI · WASHINGTON UNIVERSITY · PI JIANG, SHU · 2021 to 2025
$2.4M
NCI NIH HHS P30 CA091842NCI NIH HHS R37 CA256810
6 · The paper itself

Abstract

Mammography is the primary breast cancer screening strategy. Recent methods have been developed using the mammogram image to improve breast cancer risk prediction. However, it is unclear on the extent to which the effect of risk factors on breast cancer risk is mediated through tissue features summarized in mammogram images and the extent to which it is through other pathways. While mediation analysis has been conducted using mammographic density (a summary measure within the image), the mammogram image is not necessarily well described by a single summary measure and, in addition, such a measure provides no spatial information about the relationship between the exposure risk factor and the risk of breast cancer. Thus, to better understand the role of the mammogram images that provide spatial information about the state of the breast tissue that is causally predictive of the future occurrence of breast cancer, we propose a novel method of causal mediation analysis using mammogram image mediator while accommodating the irregular shape of the breast. We apply the proposed method to data from the Joanne Knight Breast Health Cohort and leverage new insights on the decomposition of the total association between risk factor and breast cancer risk that was mediated by the texture of the underlying breast tissue summarized in the mammogram image.

Indexed as

Breast NeoplasmsBreastFemaleHumansMammographyMediation AnalysisRisk Factorsbreast cancerfunctional data analysisimage analysismediation analysistriangulation

Identifiers

PMID36853975
PMCPMC10460830
OpenAlexW4322624570

What OpenQuestion holds

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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.