Evidence map›Paper›PMID 38655858›Full record

ArticleJournal of breast imaging2024

The Impact of Mammographic, Radiologist, and Patient Factors on the Likelihood of Probably Benign (BI-RADS 3) Assessment at Diagnostic Mammography.

Allyson L Chesebro, Nooshin Abbasi, Ronilda Lacson, Sona A Chikarmane, Andro R L Licaros, Catherine S Giess

Open access · greenAbstract 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 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.6field-weighted citation impact, top 30% 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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. 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

6 authors at 1 institution in 1 country.

Allyson L ChesebroDepartment of Radiology, Brigham and Women's Hospital, Boston, MA, USA.ORCID 0000-0002-9880-2743
Nooshin AbbasiDepartment of Radiology, Brigham and Women's Hospital, Boston, MA, USA.
Ronilda LacsonDepartment of Radiology, Brigham and Women's Hospital, Boston, MA, USA.
Sona A ChikarmaneDepartment of Radiology, Brigham and Women's Hospital, Boston, MA, USA.
Andro R L LicarosDepartment of Radiology, Brigham and Women's Hospital, Boston, MA, USA.
Catherine S GiessDepartment of Radiology, Brigham and Women's Hospital, Boston, MA, USA.
Brigham and Women's Hospital · US

Funding

AHRQ HHS R18 HS028616
6 · The paper itself

Abstract

objectiveTo evaluate the association of mammographic, radiologist, and patient factors on BI-RADS 3 assessment at diagnostic mammography in patients recalled from screening mammography.

methodsThis Institutional Review Board-approved retrospective study of consecutive unique diagnostic mammography examinations in asymptomatic patients recalled from screening mammography March 5, 2014, to December 31, 2019, was conducted in a single large United States health care institution. Mammographic features (mass, calcification, distortion, asymmetry), breast density, prior examination, and BI-RADS assessment were extracted from reports by natural language processing. Patient age, race, and ethnicity were extracted from the electronic health record. Radiologist years in practice, recall rate, and number of interpreted diagnostic mammograms were calculated. A mixed effect logistic regression model evaluated factors associated with likelihood of BI-RADS 3 compared with other BI-RADS assessments.

resultsA total of 12 080 diagnostic mammography examinations were performed during the study period, yielding 2010 (16.6%) BI-RADS 3 and 10 070 (83.4%) other BI-RADS assessments. Asymmetry (odds ratio [OR] = 6.49, P <.001) and calcification (OR = 5.59, P <.001) were associated with increased likelihood of BI-RADS 3 assessment; distortion (OR = 0.20, P <.001), dense breast parenchyma (OR = 0.82, P <.001), prior examination (OR = 0.63, P = .01), and increasing patient age (OR = 0.99, P <.001) were associated with decreased likelihood. Mass, patient race or ethnicity, and radiologist factors were not significantly associated with BI-RADS 3 assessment. Malignancy rate for BI-RADS 3 lesions was 1.6%.

conclusionAsymmetry and calcifications had an increased likelihood of BI-RADS 3 assessment at diagnostic evaluation with low likelihood of malignancy, while radiologist features had no association.

Indexed as

Breast NeoplasmsMammographyAdultAgedBreastBreast DensityFemaleHumansMiddle AgedRadiologistsRetrospective StudiesBI-RADS 3diagnosticmammographyprobably benignvariability

Identifiers

PMID38655858
PMCPMC12788968
OpenAlexW4395095625

What OpenQuestion holds

Textmetadata
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.