Evidence map›Paper›PMID 38340343›Full record

ArticleJournal of breast imaging2024

Breast Radiologists' Perceptions on the Detection and Management of Invasive Lobular Carcinoma: Most Agree Imaging Beyond Mammography Is Warranted.

Kristen Coffey, Wendie A Berg, Katerina Dodelzon, Maxine S Jochelson, Lisa A Mullen, Jay R Parikh, Laurie Hutcheson, Lars J Grimm

Open access · hybridAbstract read
In one paragraph

Article in Journal of breast imaging, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
5.9field-weighted citation impact, top 3% 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

8 citing papers in PubMed, 14 citations in OpenAlex.

  1. Article
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  4. Review
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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 7 institutions in 1 country.

Kristen CoffeyDepartment of Radiology, Weill Cornell Medicine, New York, NY, USA.
Wendie A BergDepartment of Radiology, University of Pittsburgh, Pittsburgh, PA, USA.ORCID 0000-0002-8792-6185
Katerina DodelzonDepartment of Radiology, Weill Cornell Medicine, New York, NY, USA.ORCID 0000-0001-9138-4385
Maxine S JochelsonDepartment of Radiology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.ORCID 0000-0002-4012-2470
Lisa A MullenRussell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins Medicine, Baltimore, MD, USA.ORCID 0000-0003-3191-2865
Jay R ParikhDivision of Diagnostic Imaging, Department of Radiology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Laurie HutchesonLobular Breast Cancer Alliance Inc., White Horse Beach, MA, USA.
Lars J GrimmDepartment of Radiology, Duke University, Durham, NC, USA.ORCID 0000-0002-3865-3352
Cornell University · USBreast Cancer Alliance · USDuke University · USJohns Hopkins University · USMemorial Sloan Kettering Cancer Center · USThe University of Texas MD Anderson Cancer Center · USUniversity of Pittsburgh · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Fabien Delerue · 1985 to 2026
$290.8M
NCI NIH HHS P30 CA008748NCI NIH HHS P30 CA016672NIH HHS P30 CA016672
6 · The paper itself

Abstract

objectiveTo determine breast radiologists' confidence in detecting invasive lobular carcinoma (ILC) on mammography and the perceived need for additional imaging in screening and preoperative settings.

methodsA 16-item anonymized survey was developed, and IRB exemption obtained, by the Society of Breast Imaging (SBI) Patient Care and Delivery Committee and the Lobular Breast Cancer Alliance. The survey was emailed to 2946 radiologist SBI members on February 15, 2023. The survey recorded demographics, perceived modality-specific sensitivity for ILC to the nearest decile, and opinions on diagnosing ILC in screening and staging imaging. Five-point Likert scales were used (1 = strongly disagree, 2 = disagree, 3 = neutral, 4 = agree, 5 = strongly agree).

resultsResponse rate was 12.4% (366/2946). Perceived median (interquartile range) modality-specific sensitivities for ILC were MRI 90% (80-90), contrast-enhanced mammography 80% (70-90), molecular breast imaging 80% (60-90), digital breast tomosynthesis 70% (60-80), US 60% (50-80), and 2D mammography 50% (30-60). Only 25% (85/340) respondents were confident in detecting ILC on screening mammography in dense breasts, while 67% (229/343) were confident if breasts were nondense. Most agreed that supplemental screening is needed to detect ILC in women with dense breasts (272/344, 79%) or a personal history of ILC (248/341, 73%), with 34% (118/334) indicating that supplemental screening would also benefit women with nondense breasts. Most agreed that additional imaging is needed to evaluate extent of disease in women with newly diagnosed ILC, regardless of breast density (dense 320/329, 97%; nondense 263/329, 80%).

conclusionMost breast radiologists felt that additional imaging beyond mammography is needed to more confidently screen for and stage ILC.

Indexed as

Breast NeoplasmsCarcinoma, LobularEarly Detection of CancerFemaleHumansMammographyRadiologistsbreast densitybreast imaging education and trainingbreast MRI clinical applicationsbreast ultrasoundcontrast-enhanced mammographymammography including tomosynthesis

Identifiers

PMID38340343
PMCPMC10983784
OpenAlexW4391719712

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.