Evidence map›Paper›PMID 39482209›Full record

ArticleAcademic radiology2025

Early Detection of Breast Cancer in MRI Using AI.

Lukas Hirsch, Yu Huang, Hernan A Makse, Danny F Martinez, Mary Hughes, Sarah Eskreis-Winkler, Katja Pinker, Elizabeth A Morris, Lucas C Parra, Elizabeth J Sutton

Abstract read
In one paragraph

Article in Academic radiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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.

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

6 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Application of Machine Learning to Breast MR Imaging.Magnetic resonance in medical sciences : MRMS : an official journal of Japan Society of Magnetic Resonance in Medicine · 2025
    Review
  6. 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

10 authors.

Lukas HirschCity College of New York, 160 Convent Ave, New York, New York 10031, USA.
Yu HuangCity College of New York, 160 Convent Ave, New York, New York 10031, USA.
Hernan A MakseCity College of New York, 160 Convent Ave, New York, New York 10031, USA.
Danny F MartinezMemorial Sloan Kettering Cancer Center, 300 E 66th St Floors 1 - 4, New York, New York 10065, USA.
Mary HughesMemorial Sloan Kettering Cancer Center, 300 E 66th St Floors 1 - 4, New York, New York 10065, USA.
Sarah Eskreis-WinklerMemorial Sloan Kettering Cancer Center, 300 E 66th St Floors 1 - 4, New York, New York 10065, USA.
Katja PinkerMemorial Sloan Kettering Cancer Center, 300 E 66th St Floors 1 - 4, New York, New York 10065, USA.
Elizabeth A MorrisMemorial Sloan Kettering Cancer Center, 300 E 66th St Floors 1 - 4, New York, New York 10065, USA; University of California, Davis, 1 Shields Ave, Davis, California 95616, USA.
Lucas C ParraCity College of New York, 160 Convent Ave, New York, New York 10031, USA. Electronic address: parra@ccny.cuny.edu.
Elizabeth J SuttonMemorial Sloan Kettering Cancer Center, 300 E 66th St Floors 1 - 4, New York, New York 10065, USA.

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
Machine learning for risk-adjusted breast MRI screeningR01CA247910 · NCI · CITY COLLEGE OF NEW YORK · PI PARRA, LUCAS C, SUTTON, ELIZABETH J · 2021 to 2025
$3.3M
Application of the principle of symmetry to neural circuitry: From building blocks to neural synchronization in the connectomeR01EB028157 · NIBIB · CITY COLLEGE OF NEW YORK · PI MAKSE, HERNAN, ZIMMER, MANUEL · 2020 to 2020
$1.1M
NCI NIH HHS P30 CA008748NCI NIH HHS R01 CA247910NIBIB NIH HHS R01 EB028157
6 · The paper itself

Abstract

RATIONALE AND

objectivesTo develop and evaluate an AI algorithm that detects breast cancer in MRI scans up to one year before radiologists typically identify it, potentially enhancing early detection in high-risk women. MATERIALS AND

methodsA convolutional neural network (CNN) AI model, pre-trained on breast MRI data, was fine-tuned using a retrospective dataset of 3029 MRI scans from 910 patients. These contained 115 cancers that were diagnosed within one year of a negative MRI. The model aimed to identify these cancers, with the goal of predicting cancer development up to one year in advance. The network was fine-tuned and tested with 10-fold cross-validation. Mean age of patients was 52 years (range, 18-88 years), with average follow-up of 4.3 years (range 1-12 years).

resultsThe AI detected cancers one year earlier with an area under the ROC curve of 0.72 (0.67-0.76). Retrospective analysis by a radiologist of the top 10% highest risk MRIs as ranked by the AI could have increased early detection by up to 30%. (35/115, CI:22.2-39.7%, 30% sensitivity). A radiologist identified a visual correlate to biopsy-proven cancers in 83 of prior-year MRIs (83/115, CI: 62.1-79.4%). The AI algorithm identified the anatomic region where cancer would be detected in 66 cases (66/115, CI:47.8-66.5%); with both agreeing in 54 cases (54/115, CI:%37.5-56.4%).

conclusionThis novel AI-aided re-evaluation of "benign" breasts shows promise for improving early breast cancer detection with MRI. As datasets grow and image quality improves, this approach is expected to become even more impactful.

Indexed as

Artificial IntelligenceBreast NeoplasmsEarly Detection of CancerImage Interpretation, Computer-AssistedMagnetic Resonance ImagingNeural Networks, ComputerAdolescentAdultAgedAged, 80 and overAlgorithmsFemaleHumansMiddle AgedRetrospective StudiesSensitivity and SpecificityBreast cancerDeep learningEarly detectionMagnetic resonance imaging

Identifiers

PMID39482209
PMCPMC11875922

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.