Evidence map›Paper›PMID 38659408›Full record

SynthesisCancer medicine2024

Diagnostic performance of contrast-enhanced mammography for suspicious findings in dense breasts: A systematic review and meta-analysis.

Shu-Ting Lin, Hong-Jiang Li, Yi-Zhong Li, Qian-Qian Chen, Jia-Yi Ye, Shu Lin, Si-Qing Cai, Jian-Guo Sun

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Cancer medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–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.

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, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Contrast-enhanced mammography in high-dense breasts: a narrative review.Translational breast cancer research : a journal focusing on translational research in breast cancer · 2025
    Review
  8. Review
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.

Shu-Ting LinDepartment of Radiology, The Second Affiliated Hospital of Fujian Medical University, Quanzhou, Fujian, China.
Hong-Jiang LiDepartment of Radiology, The Second Affiliated Hospital of Fujian Medical University, Quanzhou, Fujian, China.
Yi-Zhong LiDepartment of Bone, The Second Affiliated Hospital of Fujian Medical University, Quanzhou, Fujian, China.
Qian-Qian ChenDepartment of Radiology, The Second Affiliated Hospital of Fujian Medical University, Quanzhou, Fujian, China.
Jia-Yi YeDepartment of Radiology, The Second Affiliated Hospital of Fujian Medical University, Quanzhou, Fujian, China.
Shu LinCenter of Neurological and Metabolic Research, The Second Affiliated Hospital of Fujian Medical University, Quanzhou, Fujian, China.
Si-Qing CaiDepartment of Radiology, The Second Affiliated Hospital of Fujian Medical University, Quanzhou, Fujian, China.ORCID 0000-0002-3874-430X
Jian-Guo SunDepartment of Urinary Surgery, The Second Affiliated Hospital of Fujian Medical University, Quanzhou, Fujian, China.

Funding

Natural Science Foundation of Fujian Province (General Program) 2021J01257Wu Jieping Medical Foundation 320.6750.2021-06-35
6 · The paper itself

Abstract

purposeContrast-enhanced spectral imaging (CEM) is a new mammography technique, but its diagnostic value in dense breasts is still inconclusive. We did a systematic review and meta-analysis of studies evaluating the diagnostic performance of CEM for suspicious findings in dense breasts. MATERIALS AND

methodsThe PubMed, Embase, and Cochrane Library databases were searched systematically until August 6, 2023. Prospective and retrospective studies were included to evaluate the diagnostic performance of CEM for suspicious findings in dense breasts. The QUADAS-2 tool was used to evaluate the quality and risk of bias of the included studies. STATA V.16.0 and Review Manager V.5.3 were used to meta-analyze the included studies.

resultsA total of 10 studies (827 patients, 958 lesions) were included. These 10 studies reported the diagnostic performance of CEM for the workup of suspicious lesions in patients with dense breasts. The summary sensitivity and summary specificity were 0.95 (95% CI, 0.92-0.97) and 0.81 (95% CI, 0.70-0.89), respectively. Enhanced lesions, circumscribed margins, and malignancy were statistically correlated. The relative malignancy OR value of the enhanced lesions was 28.11 (95% CI, 6.84-115.48). The relative malignancy OR value of circumscribed margins was 0.17 (95% CI, 0.07-0.45).

conclusionCEM has high diagnostic performance in the workup of suspicious findings in dense breasts, and when lesions are enhanced and have irregular margins, they are often malignant.

Indexed as

Breast DensityBreast NeoplasmsContrast MediaMammographyBreastFemaleHumansSensitivity and SpecificityContrast Mediacontrast‐enhanced mammographydense breastsmeta‐analysis

Identifiers

PMID38659408
PMCPMC11043676

What OpenQuestion holds

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Registered trials

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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.