Observational studyRadiology2024
Performance of Supplemental US Screening in Women with Dense Breasts and Varying Breast Cancer Risk: Results from the Breast Cancer Surveillance Consortium.
Abstract readObservational StudyMulticenter Study
In one paragraph
Observational study in Radiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–field-weighted citation impact
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.
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.
Who cites it
12 citing papers in PubMed.
- Advanced Versus Invasive Breast Cancer Risk in a Screening Population: Implications for Risk-based Prevention and Screening Strategies.Journal of general internal medicine · 2026Article
- Additional ultrasound in women with dense breasts in a breast cancer-screening program based on digital breast tomosynthesis: evidences on cancer detection, false positives and associated costs.Journal of ultrasound · 2026Article
- Enhancing the OncoSim-Breast model using Canadian breast density information.Health reports · 2026Article
- ABUS-based glandular tissue component classification for breast cancer risk prediction in Chinese women with dense breasts: a retrospective study.BMC medical imaging · 2026Article
- Effect of race and ethnicity on advanced breast cancer risk prediction model performance.NPJ digital medicine · 2025Article
- Over-detection and over-surveillance in breast screening: current status and the potential for artificial intelligence optimisation.Insights into imaging · 2025Review
- Association of Breast Density with Breast Cancer Risk and Stage at Diagnosis: A Korean Nationwide Cohort Study.Cancers · 2025Article
- Article
- Mammographic calcifications association with risk of advanced breast cancer.Breast cancer research and treatment · 2025Article
- Clinical Application of Artificial Intelligence in Breast Ultrasound.Journal of the Korean Society of Radiology · 2025Review
- Equity in breast cancer screening for Asian women with dense breasts through ultrasonography: lessons learned from Japanese mammography screening and the J-START trial.Ultrasonography (Seoul, Korea) · 2025Article
- The role of artificial intelligence in enhancing breast cancer screening and diagnosis: A review of current advances.BioImpacts : BI · 2025Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
13 authors.
Brian L SpragueFrom the Department of Surgery, Office of Health Promotion Research, University of Vermont Larner College of Medicine, 1 S Prospect St, UHC Bldg Rm 4425, Burlington, VT 05405 (B.L.S.); Department of Radiology, University of Vermont Larner College of Medicine, Burlington, Vt (B.L.S., S.D.H., H.P.); University of Vermont Cancer Center, University of Vermont Larner College of Medicine, Burlington, Vt (B.L.S., S.D.H., H.P., D.L.W.); Kaiser Permanente Washington Health Research Institute, Seattle, Wash (L.I., J.E., E.S.O., D.L.M.); Department of Radiology, University of Washington and Fred Hutchinson Cancer Center, Seattle, Wash (K.P.L., J.M.L.); Division of Epidemiology and Biostatistics, School of Public Health, University of Illinois at Chicago, Chicago, Ill (G.H.R.); Division of Biostatistics, Department of Public Health Sciences, University of California Davis, Davis, Calif (D.L.M.); Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston, Mass (N.K.S.); Department of Pathology & Laboratory Medicine, University of Vermont Larner College of Medicine, Burlington, Vt (D.L.W.); Departments of Medicine and Epidemiology and Biostatistics, University of California San Francisco, San Francisco, Calif (K.K.); and Department of Veterans Affairs, General Internal Medicine Section, University of California San Francisco, San Francisco, Calif (K.K.).ORCID 0000-0001-7948-8317
Laura IchikawaFrom the Department of Surgery, Office of Health Promotion Research, University of Vermont Larner College of Medicine, 1 S Prospect St, UHC Bldg Rm 4425, Burlington, VT 05405 (B.L.S.); Department of Radiology, University of Vermont Larner College of Medicine, Burlington, Vt (B.L.S., S.D.H., H.P.); University of Vermont Cancer Center, University of Vermont Larner College of Medicine, Burlington, Vt (B.L.S., S.D.H., H.P., D.L.W.); Kaiser Permanente Washington Health Research Institute, Seattle, Wash (L.I., J.E., E.S.O., D.L.M.); Department of Radiology, University of Washington and Fred Hutchinson Cancer Center, Seattle, Wash (K.P.L., J.M.L.); Division of Epidemiology and Biostatistics, School of Public Health, University of Illinois at Chicago, Chicago, Ill (G.H.R.); Division of Biostatistics, Department of Public Health Sciences, University of California Davis, Davis, Calif (D.L.M.); Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston, Mass (N.K.S.); Department of Pathology & Laboratory Medicine, University of Vermont Larner College of Medicine, Burlington, Vt (D.L.W.); Departments of Medicine and Epidemiology and Biostatistics, University of California San Francisco, San Francisco, Calif (K.K.); and Department of Veterans Affairs, General Internal Medicine Section, University of California San Francisco, San Francisco, Calif (K.K.).ORCID 0000-0002-0882-6662
Joanna EaveyFrom the Department of Surgery, Office of Health Promotion Research, University of Vermont Larner College of Medicine, 1 S Prospect St, UHC Bldg Rm 4425, Burlington, VT 05405 (B.L.S.); Department of Radiology, University of Vermont Larner College of Medicine, Burlington, Vt (B.L.S., S.D.H., H.P.); University of Vermont Cancer Center, University of Vermont Larner College of Medicine, Burlington, Vt (B.L.S., S.D.H., H.P., D.L.W.); Kaiser Permanente Washington Health Research Institute, Seattle, Wash (L.I., J.E., E.S.O., D.L.M.); Department of Radiology, University of Washington and Fred Hutchinson Cancer Center, Seattle, Wash (K.P.L., J.M.L.); Division of Epidemiology and Biostatistics, School of Public Health, University of Illinois at Chicago, Chicago, Ill (G.H.R.); Division of Biostatistics, Department of Public Health Sciences, University of California Davis, Davis, Calif (D.L.M.); Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston, Mass (N.K.S.); Department of Pathology & Laboratory Medicine, University of Vermont Larner College of Medicine, Burlington, Vt (D.L.W.); Departments of Medicine and Epidemiology and Biostatistics, University of California San Francisco, San Francisco, Calif (K.K.); and Department of Veterans Affairs, General Internal Medicine Section, University of California San Francisco, San Francisco, Calif (K.K.).
Kathryn P LowryFrom the Department of Surgery, Office of Health Promotion Research, University of Vermont Larner College of Medicine, 1 S Prospect St, UHC Bldg Rm 4425, Burlington, VT 05405 (B.L.S.); Department of Radiology, University of Vermont Larner College of Medicine, Burlington, Vt (B.L.S., S.D.H., H.P.); University of Vermont Cancer Center, University of Vermont Larner College of Medicine, Burlington, Vt (B.L.S., S.D.H., H.P., D.L.W.); Kaiser Permanente Washington Health Research Institute, Seattle, Wash (L.I., J.E., E.S.O., D.L.M.); Department of Radiology, University of Washington and Fred Hutchinson Cancer Center, Seattle, Wash (K.P.L., J.M.L.); Division of Epidemiology and Biostatistics, School of Public Health, University of Illinois at Chicago, Chicago, Ill (G.H.R.); Division of Biostatistics, Department of Public Health Sciences, University of California Davis, Davis, Calif (D.L.M.); Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston, Mass (N.K.S.); Department of Pathology & Laboratory Medicine, University of Vermont Larner College of Medicine, Burlington, Vt (D.L.W.); Departments of Medicine and Epidemiology and Biostatistics, University of California San Francisco, San Francisco, Calif (K.K.); and Department of Veterans Affairs, General Internal Medicine Section, University of California San Francisco, San Francisco, Calif (K.K.).ORCID 0000-0002-0840-7855
Garth H RauscherFrom the Department of Surgery, Office of Health Promotion Research, University of Vermont Larner College of Medicine, 1 S Prospect St, UHC Bldg Rm 4425, Burlington, VT 05405 (B.L.S.); Department of Radiology, University of Vermont Larner College of Medicine, Burlington, Vt (B.L.S., S.D.H., H.P.); University of Vermont Cancer Center, University of Vermont Larner College of Medicine, Burlington, Vt (B.L.S., S.D.H., H.P., D.L.W.); Kaiser Permanente Washington Health Research Institute, Seattle, Wash (L.I., J.E., E.S.O., D.L.M.); Department of Radiology, University of Washington and Fred Hutchinson Cancer Center, Seattle, Wash (K.P.L., J.M.L.); Division of Epidemiology and Biostatistics, School of Public Health, University of Illinois at Chicago, Chicago, Ill (G.H.R.); Division of Biostatistics, Department of Public Health Sciences, University of California Davis, Davis, Calif (D.L.M.); Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston, Mass (N.K.S.); Department of Pathology & Laboratory Medicine, University of Vermont Larner College of Medicine, Burlington, Vt (D.L.W.); Departments of Medicine and Epidemiology and Biostatistics, University of California San Francisco, San Francisco, Calif (K.K.); and Department of Veterans Affairs, General Internal Medicine Section, University of California San Francisco, San Francisco, Calif (K.K.).ORCID 0000-0003-0374-944X
Ellen S O'MearaFrom the Department of Surgery, Office of Health Promotion Research, University of Vermont Larner College of Medicine, 1 S Prospect St, UHC Bldg Rm 4425, Burlington, VT 05405 (B.L.S.); Department of Radiology, University of Vermont Larner College of Medicine, Burlington, Vt (B.L.S., S.D.H., H.P.); University of Vermont Cancer Center, University of Vermont Larner College of Medicine, Burlington, Vt (B.L.S., S.D.H., H.P., D.L.W.); Kaiser Permanente Washington Health Research Institute, Seattle, Wash (L.I., J.E., E.S.O., D.L.M.); Department of Radiology, University of Washington and Fred Hutchinson Cancer Center, Seattle, Wash (K.P.L., J.M.L.); Division of Epidemiology and Biostatistics, School of Public Health, University of Illinois at Chicago, Chicago, Ill (G.H.R.); Division of Biostatistics, Department of Public Health Sciences, University of California Davis, Davis, Calif (D.L.M.); Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston, Mass (N.K.S.); Department of Pathology & Laboratory Medicine, University of Vermont Larner College of Medicine, Burlington, Vt (D.L.W.); Departments of Medicine and Epidemiology and Biostatistics, University of California San Francisco, San Francisco, Calif (K.K.); and Department of Veterans Affairs, General Internal Medicine Section, University of California San Francisco, San Francisco, Calif (K.K.).
Diana L MigliorettiFrom the Department of Surgery, Office of Health Promotion Research, University of Vermont Larner College of Medicine, 1 S Prospect St, UHC Bldg Rm 4425, Burlington, VT 05405 (B.L.S.); Department of Radiology, University of Vermont Larner College of Medicine, Burlington, Vt (B.L.S., S.D.H., H.P.); University of Vermont Cancer Center, University of Vermont Larner College of Medicine, Burlington, Vt (B.L.S., S.D.H., H.P., D.L.W.); Kaiser Permanente Washington Health Research Institute, Seattle, Wash (L.I., J.E., E.S.O., D.L.M.); Department of Radiology, University of Washington and Fred Hutchinson Cancer Center, Seattle, Wash (K.P.L., J.M.L.); Division of Epidemiology and Biostatistics, School of Public Health, University of Illinois at Chicago, Chicago, Ill (G.H.R.); Division of Biostatistics, Department of Public Health Sciences, University of California Davis, Davis, Calif (D.L.M.); Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston, Mass (N.K.S.); Department of Pathology & Laboratory Medicine, University of Vermont Larner College of Medicine, Burlington, Vt (D.L.W.); Departments of Medicine and Epidemiology and Biostatistics, University of California San Francisco, San Francisco, Calif (K.K.); and Department of Veterans Affairs, General Internal Medicine Section, University of California San Francisco, San Francisco, Calif (K.K.).ORCID 0000-0002-5547-1833
Janie M LeeFrom the Department of Surgery, Office of Health Promotion Research, University of Vermont Larner College of Medicine, 1 S Prospect St, UHC Bldg Rm 4425, Burlington, VT 05405 (B.L.S.); Department of Radiology, University of Vermont Larner College of Medicine, Burlington, Vt (B.L.S., S.D.H., H.P.); University of Vermont Cancer Center, University of Vermont Larner College of Medicine, Burlington, Vt (B.L.S., S.D.H., H.P., D.L.W.); Kaiser Permanente Washington Health Research Institute, Seattle, Wash (L.I., J.E., E.S.O., D.L.M.); Department of Radiology, University of Washington and Fred Hutchinson Cancer Center, Seattle, Wash (K.P.L., J.M.L.); Division of Epidemiology and Biostatistics, School of Public Health, University of Illinois at Chicago, Chicago, Ill (G.H.R.); Division of Biostatistics, Department of Public Health Sciences, University of California Davis, Davis, Calif (D.L.M.); Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston, Mass (N.K.S.); Department of Pathology & Laboratory Medicine, University of Vermont Larner College of Medicine, Burlington, Vt (D.L.W.); Departments of Medicine and Epidemiology and Biostatistics, University of California San Francisco, San Francisco, Calif (K.K.); and Department of Veterans Affairs, General Internal Medicine Section, University of California San Francisco, San Francisco, Calif (K.K.).ORCID 0000-0002-6452-8168
Natasha K StoutFrom the Department of Surgery, Office of Health Promotion Research, University of Vermont Larner College of Medicine, 1 S Prospect St, UHC Bldg Rm 4425, Burlington, VT 05405 (B.L.S.); Department of Radiology, University of Vermont Larner College of Medicine, Burlington, Vt (B.L.S., S.D.H., H.P.); University of Vermont Cancer Center, University of Vermont Larner College of Medicine, Burlington, Vt (B.L.S., S.D.H., H.P., D.L.W.); Kaiser Permanente Washington Health Research Institute, Seattle, Wash (L.I., J.E., E.S.O., D.L.M.); Department of Radiology, University of Washington and Fred Hutchinson Cancer Center, Seattle, Wash (K.P.L., J.M.L.); Division of Epidemiology and Biostatistics, School of Public Health, University of Illinois at Chicago, Chicago, Ill (G.H.R.); Division of Biostatistics, Department of Public Health Sciences, University of California Davis, Davis, Calif (D.L.M.); Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston, Mass (N.K.S.); Department of Pathology & Laboratory Medicine, University of Vermont Larner College of Medicine, Burlington, Vt (D.L.W.); Departments of Medicine and Epidemiology and Biostatistics, University of California San Francisco, San Francisco, Calif (K.K.); and Department of Veterans Affairs, General Internal Medicine Section, University of California San Francisco, San Francisco, Calif (K.K.).
Sally D HerschornFrom the Department of Surgery, Office of Health Promotion Research, University of Vermont Larner College of Medicine, 1 S Prospect St, UHC Bldg Rm 4425, Burlington, VT 05405 (B.L.S.); Department of Radiology, University of Vermont Larner College of Medicine, Burlington, Vt (B.L.S., S.D.H., H.P.); University of Vermont Cancer Center, University of Vermont Larner College of Medicine, Burlington, Vt (B.L.S., S.D.H., H.P., D.L.W.); Kaiser Permanente Washington Health Research Institute, Seattle, Wash (L.I., J.E., E.S.O., D.L.M.); Department of Radiology, University of Washington and Fred Hutchinson Cancer Center, Seattle, Wash (K.P.L., J.M.L.); Division of Epidemiology and Biostatistics, School of Public Health, University of Illinois at Chicago, Chicago, Ill (G.H.R.); Division of Biostatistics, Department of Public Health Sciences, University of California Davis, Davis, Calif (D.L.M.); Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston, Mass (N.K.S.); Department of Pathology & Laboratory Medicine, University of Vermont Larner College of Medicine, Burlington, Vt (D.L.W.); Departments of Medicine and Epidemiology and Biostatistics, University of California San Francisco, San Francisco, Calif (K.K.); and Department of Veterans Affairs, General Internal Medicine Section, University of California San Francisco, San Francisco, Calif (K.K.).ORCID 0000-0002-9193-6490
Hannah PerryFrom the Department of Surgery, Office of Health Promotion Research, University of Vermont Larner College of Medicine, 1 S Prospect St, UHC Bldg Rm 4425, Burlington, VT 05405 (B.L.S.); Department of Radiology, University of Vermont Larner College of Medicine, Burlington, Vt (B.L.S., S.D.H., H.P.); University of Vermont Cancer Center, University of Vermont Larner College of Medicine, Burlington, Vt (B.L.S., S.D.H., H.P., D.L.W.); Kaiser Permanente Washington Health Research Institute, Seattle, Wash (L.I., J.E., E.S.O., D.L.M.); Department of Radiology, University of Washington and Fred Hutchinson Cancer Center, Seattle, Wash (K.P.L., J.M.L.); Division of Epidemiology and Biostatistics, School of Public Health, University of Illinois at Chicago, Chicago, Ill (G.H.R.); Division of Biostatistics, Department of Public Health Sciences, University of California Davis, Davis, Calif (D.L.M.); Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston, Mass (N.K.S.); Department of Pathology & Laboratory Medicine, University of Vermont Larner College of Medicine, Burlington, Vt (D.L.W.); Departments of Medicine and Epidemiology and Biostatistics, University of California San Francisco, San Francisco, Calif (K.K.); and Department of Veterans Affairs, General Internal Medicine Section, University of California San Francisco, San Francisco, Calif (K.K.).ORCID 0000-0001-8889-9927
Donald L WeaverFrom the Department of Surgery, Office of Health Promotion Research, University of Vermont Larner College of Medicine, 1 S Prospect St, UHC Bldg Rm 4425, Burlington, VT 05405 (B.L.S.); Department of Radiology, University of Vermont Larner College of Medicine, Burlington, Vt (B.L.S., S.D.H., H.P.); University of Vermont Cancer Center, University of Vermont Larner College of Medicine, Burlington, Vt (B.L.S., S.D.H., H.P., D.L.W.); Kaiser Permanente Washington Health Research Institute, Seattle, Wash (L.I., J.E., E.S.O., D.L.M.); Department of Radiology, University of Washington and Fred Hutchinson Cancer Center, Seattle, Wash (K.P.L., J.M.L.); Division of Epidemiology and Biostatistics, School of Public Health, University of Illinois at Chicago, Chicago, Ill (G.H.R.); Division of Biostatistics, Department of Public Health Sciences, University of California Davis, Davis, Calif (D.L.M.); Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston, Mass (N.K.S.); Department of Pathology & Laboratory Medicine, University of Vermont Larner College of Medicine, Burlington, Vt (D.L.W.); Departments of Medicine and Epidemiology and Biostatistics, University of California San Francisco, San Francisco, Calif (K.K.); and Department of Veterans Affairs, General Internal Medicine Section, University of California San Francisco, San Francisco, Calif (K.K.).
Karla KerlikowskeFrom the Department of Surgery, Office of Health Promotion Research, University of Vermont Larner College of Medicine, 1 S Prospect St, UHC Bldg Rm 4425, Burlington, VT 05405 (B.L.S.); Department of Radiology, University of Vermont Larner College of Medicine, Burlington, Vt (B.L.S., S.D.H., H.P.); University of Vermont Cancer Center, University of Vermont Larner College of Medicine, Burlington, Vt (B.L.S., S.D.H., H.P., D.L.W.); Kaiser Permanente Washington Health Research Institute, Seattle, Wash (L.I., J.E., E.S.O., D.L.M.); Department of Radiology, University of Washington and Fred Hutchinson Cancer Center, Seattle, Wash (K.P.L., J.M.L.); Division of Epidemiology and Biostatistics, School of Public Health, University of Illinois at Chicago, Chicago, Ill (G.H.R.); Division of Biostatistics, Department of Public Health Sciences, University of California Davis, Davis, Calif (D.L.M.); Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston, Mass (N.K.S.); Department of Pathology & Laboratory Medicine, University of Vermont Larner College of Medicine, Burlington, Vt (D.L.W.); Departments of Medicine and Epidemiology and Biostatistics, University of California San Francisco, San Francisco, Calif (K.K.); and Department of Veterans Affairs, General Internal Medicine Section, University of California San Francisco, San Francisco, Calif (K.K.).ORCID 0000-0001-8793-8779
Funding
Risk-based Imaging Strategies to Improve Breast Cancer Surveillance OutcomesP01CA154292 · NCI · UNIVERSITY OF CALIFORNIA AT DAVIS · PI KARLA M KERLIKOWSKE · 2011 to 2026
$52.9MUnderstanding Factors Influencing COVID-19 Testing and Vaccination in Immigrant Low-income and Homeless Populations and Testing Targeted InterventionsU54GM115516 · NIGMS · MAINEHEALTH · PI CLIFFORD JAMES ROSEN · 2017 to 2026
$51.6MIdentifying 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
$5.1MComparative effectiveness of breast imaging modalities: a natural experimentR01HS018366 · AHRQ · UNIVERSITY OF ILLINOIS AT CHICAGO · PI RAUSCHER, GARTH H · 2010 to 2014
$1.8MAHRQ HHS R01 HS018366NCI NIH HHS P01 CA154292NCI NIH HHS R01 CA248068NIGMS NIH HHS U54 GM115516
Abstract
Background It is unclear whether breast US screening outcomes for women with dense breasts vary with levels of breast cancer risk. Purpose To evaluate US screening outcomes for female patients with dense breasts and different estimated breast cancer risk levels. Materials and Methods This retrospective observational study used data from US screening examinations in female patients with heterogeneously or extremely dense breasts conducted from January 2014 to October 2020 at 24 radiology facilities within three Breast Cancer Surveillance Consortium (BCSC) registries. The primary outcomes were the cancer detection rate, false-positive biopsy recommendation rate, and positive predictive value of biopsies performed (PPV3). Risk classification of participants was performed using established BCSC risk prediction models of estimated 6-year advanced breast cancer risk and 5-year invasive breast cancer risk. Differences in high- versus low- or average-risk categories were assessed using a generalized linear model. Results In total, 34 791 US screening examinations from 26 489 female patients (mean age at screening, 53.9 years ± 9.0 [SD]) were included. The overall cancer detection rate per 1000 examinations was 2.0 (95% CI: 1.6, 2.4) and was higher in patients with high versus low or average risk of 6-year advanced breast cancer (5.5 [95% CI: 3.5, 8.6] vs 1.3 [95% CI: 1.0, 1.8], respectively;
Indexed as
Breast DensityBreast NeoplasmsEarly Detection of CancerUltrasonography, MammaryAdultAgedBreastFemaleHumansMass ScreeningMiddle AgedRegistriesRetrospective StudiesRisk AssessmentUnited States
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