Evidence map›Paper›PMID 38349238›Full record

ArticleRadiology2024

Diagnostic Performance of Point-of-Care Apparent Diffusion Coefficient Measures to Reduce Biopsy in Breast Lesions at MRI: Clinical Validation.

Inyoung Youn, Debosmita Biswas, Daniel S Hippe, Andrea M Winter, Anum S Kazerouni, Sara H Javid, Janie M Lee, Habib Rahbar, Savannah C Partridge

Registry-linked trialAbstract readMulticenter Study
In one paragraph

Article in Radiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07598084 (Artificial Intelligence Solution for Simplifying the Diagnostic Workflow of Breast MRI), which is not on this map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–field-weighted citation impact
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.

NCT07598084 not yet recruitingnot on this mapstarted 2026, after this paper: background citation

Artificial Intelligence Solution for Simplifying the Diagnostic Workflow of Breast MRI: Development and Clinical Validation of a Diffusion-Weighted Imaging-Based Synthetic Contrast-Enhanced MRI System for Non-Contrast Breast Cancer Diagnosis and Risk Stratification

TypeobservationalSponsorPeking University People's HospitalRan2026 to 2027Enrolled12,000ConditionsBreast Neoplasms, Artificial Intelligence (AI), Magnetic Resonance Imaging (MRI), Diffusion Magnetic Resonance ImagingArmsNon-contrast breast MRI diagnostic model
3 · Its place in the literature

Who cites it

13 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Review
  6. Article
  7. Breast Diffusion-weighted MR Imaging: Current Applications, Insights from Screening, and Future Directions.Magnetic resonance in medical sciences : MRMS : an official journal of Japan Society of Magnetic Resonance in Medicine · 2025
    Review
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. 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

9 authors.

Inyoung YounFrom the Departments of Radiology (I.Y., D.B., A.M.W., A.S.K., J.M.L., H.R., S.C.P.) and Surgery (S.H.J.), University of Washington School of Medicine, 1144 Eastlake Ave E, LG2-200, Seattle, WA 98109; and Clinical Research Division, Fred Hutchinson Cancer Center (D.S.H.).ORCID 0000-0002-3518-3332
Debosmita BiswasFrom the Departments of Radiology (I.Y., D.B., A.M.W., A.S.K., J.M.L., H.R., S.C.P.) and Surgery (S.H.J.), University of Washington School of Medicine, 1144 Eastlake Ave E, LG2-200, Seattle, WA 98109; and Clinical Research Division, Fred Hutchinson Cancer Center (D.S.H.).ORCID 0000-0002-0798-5637
Daniel S HippeFrom the Departments of Radiology (I.Y., D.B., A.M.W., A.S.K., J.M.L., H.R., S.C.P.) and Surgery (S.H.J.), University of Washington School of Medicine, 1144 Eastlake Ave E, LG2-200, Seattle, WA 98109; and Clinical Research Division, Fred Hutchinson Cancer Center (D.S.H.).ORCID 0000-0003-2427-4404
Andrea M WinterFrom the Departments of Radiology (I.Y., D.B., A.M.W., A.S.K., J.M.L., H.R., S.C.P.) and Surgery (S.H.J.), University of Washington School of Medicine, 1144 Eastlake Ave E, LG2-200, Seattle, WA 98109; and Clinical Research Division, Fred Hutchinson Cancer Center (D.S.H.).
Anum S KazerouniFrom the Departments of Radiology (I.Y., D.B., A.M.W., A.S.K., J.M.L., H.R., S.C.P.) and Surgery (S.H.J.), University of Washington School of Medicine, 1144 Eastlake Ave E, LG2-200, Seattle, WA 98109; and Clinical Research Division, Fred Hutchinson Cancer Center (D.S.H.).ORCID 0000-0002-4200-534X
Sara H JavidFrom the Departments of Radiology (I.Y., D.B., A.M.W., A.S.K., J.M.L., H.R., S.C.P.) and Surgery (S.H.J.), University of Washington School of Medicine, 1144 Eastlake Ave E, LG2-200, Seattle, WA 98109; and Clinical Research Division, Fred Hutchinson Cancer Center (D.S.H.).
Janie M LeeFrom the Departments of Radiology (I.Y., D.B., A.M.W., A.S.K., J.M.L., H.R., S.C.P.) and Surgery (S.H.J.), University of Washington School of Medicine, 1144 Eastlake Ave E, LG2-200, Seattle, WA 98109; and Clinical Research Division, Fred Hutchinson Cancer Center (D.S.H.).ORCID 0000-0002-6452-8168
Habib RahbarFrom the Departments of Radiology (I.Y., D.B., A.M.W., A.S.K., J.M.L., H.R., S.C.P.) and Surgery (S.H.J.), University of Washington School of Medicine, 1144 Eastlake Ave E, LG2-200, Seattle, WA 98109; and Clinical Research Division, Fred Hutchinson Cancer Center (D.S.H.).ORCID 0000-0003-4835-1478
Savannah C PartridgeFrom the Departments of Radiology (I.Y., D.B., A.M.W., A.S.K., J.M.L., H.R., S.C.P.) and Surgery (S.H.J.), University of Washington School of Medicine, 1144 Eastlake Ave E, LG2-200, Seattle, WA 98109; and Clinical Research Division, Fred Hutchinson Cancer Center (D.S.H.).ORCID 0000-0001-6370-9111

Funding

Validation and Standardization of the Apparent Diffusion Coefficient as a Quantitative Imaging Biomarker in Breast CancerR01CA207290 · NCI · UNIVERSITY OF WASHINGTON · PI PARTRIDGE, SAVANNAH CORRINA · 2017 to 2022
$2.2M
NCI NIH HHS R01 CA207290
6 · The paper itself

Abstract

Background The Eastern Cooperative Oncology Group-American College of Radiology Imaging Network Cancer Research Group multicenter A6702 trial identified an optimal apparent diffusion coefficient (ADC) cutoff to potentially reduce biopsies by 21% without affecting sensitivity. Whether this performance can be achieved in clinical settings has not yet been established. Purpose To validate the performance of point-of-care ADC measurements with the A6702 trial ADC cutoff for reducing unnecessary biopsies in lesions detected at breast MRI. Materials and Methods Consecutive breast MRI examinations performed from May 2015 to January 2019 at a single medical center and showing biopsy-confirmed Breast Imaging Reporting and Data System category 4 or 5 lesions, without ipsilateral cancer, were identified. Point-of-care lesion ADC measurements collected at clinical interpretation were retrospectively evaluated. MRI examinations included axial T2-weighted, diffusion-weighted, and dynamic contrast-enhanced sequences. Sensitivity and biopsy reduction rates were calculated by applying the A6702 optimal (ADC, 1.53 × 10

Indexed as

Magnetic Resonance ImagingPoint-of-Care SystemsBiopsyFemaleHumansMiddle AgedReproducibility of ResultsRetrospective Studies

Identifiers

PMID38349238
PMCPMC10902596

What OpenQuestion holds

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Registered trials

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.