Evidence map›Paper›PMID 37303202›Full record

ArticleCancer2023

Breast cancer risk characteristics of women undergoing whole-breast ultrasound screening versus mammography alone.

Brian L Sprague, Laura Ichikawa, Joanna Eavey, Kathryn P Lowry, Garth Rauscher, Ellen S O'Meara, Diana L Miglioretti, Shuai Chen, Janie M Lee, Natasha K Stout and 6 more

Open access · hybridAbstract read
In one paragraph

Article in Cancer, 2023. 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
2.3field-weighted citation impact, top 11% 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

6 citing papers in PubMed, 10 citations in OpenAlex.

  1. 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 at 9 institutions in 2 countries.

Brian L SpragueOffice of Health Promotion Research, Department of Surgery, University of Vermont Larner College of Medicine, Burlington, Vermont, USA.ORCID 0000-0001-7948-8317
Laura IchikawaKaiser Permanente Washington Health Research Institute, Seattle, Washington, USA.
Joanna EaveyKaiser Permanente Washington Health Research Institute, Seattle, Washington, USA.
Kathryn P LowryDepartment of Radiology, University of Washington and Seattle Cancer Care Alliance, Seattle, Washington, USA.ORCID 0000-0002-0840-7855
Garth RauscherDivision of Epidemiology and Biostatistics, School of Public Health, University of Illinois at Chicago, Chicago, Illinois, USA.
Ellen S O'MearaKaiser Permanente Washington Health Research Institute, Seattle, Washington, USA.
Diana L MigliorettiKaiser Permanente Washington Health Research Institute, Seattle, Washington, USA.
Shuai ChenDivision of Biostatistics, Department of Public Health Sciences, University of California Davis, Davis, California, USA.ORCID 0000-0002-4016-8217
Janie M LeeDepartment of Radiology, University of Washington and Seattle Cancer Care Alliance, Seattle, Washington, USA.
Natasha K StoutDepartment of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston, Massachusetts, USA.
Jeanne S MandelblattDepartment of Oncology, Georgetown University Medical Center, Georgetown University, Washington, District of Columbia, USA.ORCID 0000-0002-2490-005X
Nila AlsheikAdvocate Caldwell Breast Center, Advocate Lutheran General Hospital, Park Ridge, Illinois, USA.
Sally D HerschornDepartment of Radiology, University of Vermont Larner College of Medicine, Burlington, Vermont, USA.
Hannah PerryDepartment of Radiology, University of Vermont Larner College of Medicine, Burlington, Vermont, USA.
Donald L WeaverUniversity of Vermont Cancer Center, University of Vermont Larner College of Medicine, Burlington, Vermont, USA.
Karla KerlikowskeDepartments of Medicine and Epidemiology and Biostatistics, University of California, San Francisco, California, USA.
Kaiser Permanente Washington Health Research Institute · USUniversity of Vermont · USSeattle Cancer Care Alliance · USAdvocate Lutheran General Hospital · USGeorgetown University · USHarvard University · USSan Francisco VA Medical Center · USUniversity of California, Davis · USUniversity of Illinois Chicago · US

Funding

Staff InvestigatorsP30CA093373 · NCI · UNIVERSITY OF CALIFORNIA DAVIS · PI Laura Marcu · 2002 to 2026
$84.9M
Risk-based Imaging Strategies to Improve Breast Cancer Surveillance OutcomesP01CA154292 · NCI · UNIVERSITY OF CALIFORNIA AT DAVIS · PI Diana L Miglioretti · 2011 to 2026
$52.9M
Vermont Center on Behavior and HealthP20GM103644 · NIGMS · UNIVERSITY OF VERMONT & ST AGRIC COLLEGE · PI KHADANGA, SHERRIE · 2013 to 2022
$21.3M
Comparative Modeling: Informing Breast Cancer Control Practice and PolicyU01CA199218 · NCI · GEORGETOWN UNIVERSITY · PI BERRY, DONALD A, DE KONING, HARRY J · 2015 to 2019
$9.0M
Vermont Screening Process Documentation UnitU54CA163303 · NCI · UNIVERSITY OF VERMONT & ST AGRIC COLLEGE · PI SPRAGUE, BRIAN L · 2011 to 2017
$6.4M
Bio-behavioral Research At The Intersection of Cancer and AgingR35CA197289 · NCI · GEORGETOWN UNIVERSITY · PI MANDELBLATT, JEANNE · 2015 to 2021
$6.2M
Identifying effective risk-based supplemental ultrasound screening strategies for women with dense breastsR01CA248068 · NCI · UNIVERSITY OF VERMONT & ST AGRIC COLLEGE · PI Diana L Miglioretti, Brian L Sprague · 2020 to 2026
$5.1M
Comparative effectiveness of breast imaging modalities: a natural experimentR01HS018366 · AHRQ · UNIVERSITY OF ILLINOIS AT CHICAGO · PI RAUSCHER, GARTH H · 2010 to 2014
$1.8M
AHRQ HHS R01 HS018366NCI NIH HHS P01 CA154292NCI NIH HHS P30 CA093373NCI NIH HHS R01 CA248068NCI NIH HHS R35 CA197289NCI NIH HHS U01 CA199218NCI NIH HHS U54 CA163303NIGMS NIH HHS P20 GM103644
6 · The paper itself

Abstract

backgroundThere are no consensus guidelines for supplemental breast cancer screening with whole-breast ultrasound. However, criteria for women at high risk of mammography screening failures (interval invasive cancer or advanced cancer) have been identified. Mammography screening failure risk was evaluated among women undergoing supplemental ultrasound screening in clinical practice compared with women undergoing mammography alone.

methodsA total of 38,166 screening ultrasounds and 825,360 screening mammograms without supplemental screening were identified during 2014-2020 within three Breast Cancer Surveillance Consortium (BCSC) registries. Risk of interval invasive cancer and advanced cancer were determined using BCSC prediction models. High interval invasive breast cancer risk was defined as heterogeneously dense breasts and BCSC 5-year breast cancer risk ≥2.5% or extremely dense breasts and BCSC 5-year breast cancer risk ≥1.67%. Intermediate/high advanced cancer risk was defined as BCSC 6-year advanced breast cancer risk ≥0.38%.

resultsA total of 95.3% of 38,166 ultrasounds were among women with heterogeneously or extremely dense breasts, compared with 41.8% of 825,360 screening mammograms without supplemental screening (p < .0001). Among women with dense breasts, high interval invasive breast cancer risk was prevalent in 23.7% of screening ultrasounds compared with 18.5% of screening mammograms without supplemental imaging (adjusted odds ratio, 1.35; 95% CI, 1.30-1.39); intermediate/high advanced cancer risk was prevalent in 32.0% of screening ultrasounds versus 30.5% of screening mammograms without supplemental screening (adjusted odds ratio, 0.91; 95% CI, 0.89-0.94).

conclusionsUltrasound screening was highly targeted to women with dense breasts, but only a modest proportion were at high mammography screening failure risk. A clinically significant proportion of women undergoing mammography screening alone were at high mammography screening failure risk.

Indexed as

Breast NeoplasmsBreast DensityEarly Detection of CancerFemaleHumansMammographyMass ScreeningRisk FactorsUltrasonography, Mammarybreast cancerBreast Cancer Surveillance Consortiummammographyrisk factorsscreeningultrasound

Identifiers

PMID37303202
PMCPMC10506533
OpenAlexW4380291855

What OpenQuestion holds

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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.