Evidence map›Paper›PMID 39652797›Full record

ArticleJCO clinical cancer informatics2024

Volumetric Breast Density Estimation From Three-Dimensional Reconstructed Digital Breast Tomosynthesis Images Using Deep Learning.

Vinayak S Ahluwalia, Nehal Doiphode, Walter C Mankowski, Eric A Cohen, Sarthak Pati, Lauren Pantalone, Spyridon Bakas, Ari Brooks, Celine M Vachon, Emily F Conant and 2 more

Erratum issuedAbstract read
In one paragraph

Article in JCO clinical cancer informatics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors.

Vinayak S AhluwaliaCenter for Biomedical Image Computing and Analytics (CBICA), University of Pennsylvania, Philadelphia, PA.ORCID 0000-0002-2227-6644
Nehal DoiphodeDepartment of Radiology, Columbia University Irving Medical Center, New York, NY.
Walter C MankowskiDepartment of Radiology, Columbia University Irving Medical Center, New York, NY.ORCID 0000-0001-8591-6592
Eric A CohenCenter for Biomedical Image Computing and Analytics (CBICA), University of Pennsylvania, Philadelphia, PA.ORCID 0000-0002-5067-8835
Sarthak PatiDepartment of Pathology and Laboratory Medicine, Indiana University School of Medicine, Indianapolis, IN.ORCID 0000-0003-2243-8487
Lauren PantaloneCenter for Biomedical Image Computing and Analytics (CBICA), University of Pennsylvania, Philadelphia, PA.
Spyridon BakasDepartment of Surgery, Division of Endocrine and Oncologic Surgery, Hospital of the University of Pennsylvania, Philadelphia, PA.
Ari BrooksDepartment of Surgery, Division of Endocrine and Oncologic Surgery, Hospital of the University of Pennsylvania, Philadelphia, PA.ORCID 0000-0003-4328-7307
Celine M VachonDepartment of Quantitative Health Sciences, Division of Epidemiology, Mayo Clinic, Rochester, MN.ORCID 0000-0002-1962-9322
Emily F ConantDepartment of Radiology, Hospital of the University of Pennsylvania, Philadelphia, PA.ORCID 0000-0001-9331-644X
Aimilia GastouniotiMallinckrodt Institute of Radiology, Washington University School of Medicine, St Louis, MO.ORCID 0000-0002-3359-7195
Despina KontosDepartment of Radiology, Columbia University Irving Medical Center, New York, NY.ORCID 0000-0001-9031-5126

Funding

Effect of Breast Density on Screening Recall with Digital Breast TomosynthesisR01CA161749 · NCI · UNIVERSITY OF PENNSYLVANIA · PI KONTOS, DESPINA · 2012 to 2021
$3.6M
Radiomic phenotypes of breast parenchyma and association with breast cancer risk and detectionR01CA207084 · NCI · MAYO CLINIC ROCHESTER · PI KERLIKOWSKE, KARLA M, KONTOS, DESPINA · 2017 to 2021
$3.2M
Advancing breast cancer risk assessment with digital breast tomosynthesisR01CA286120 · NCI · WASHINGTON UNIVERSITY · PI Aimilia Gastounioti · 2024 to 2026
$3.1M
Automated Density Measures for Estimating Breast Cancer Risk and Therapy ResponseR01CA177150 · NCI · MAYO CLINIC ROCHESTER · PI KERLIKOWSKE, KARLA M, VACHON, CELINE M · 2013 to 2017
$3.0M
Privacy-Aware Federated Learning for Breast Cancer Risk AssessmentU24CA279629 · NCI · INDIANA UNIVERSITY INDIANAPOLIS · PI Spyridon Bakas · 2023 to 2026
$2.9M
Evaluation of novel tomosynthesis density measures in breast cancer risk predictionR01CA275074 · NCI · MAYO CLINIC ROCHESTER · PI KARLA M KERLIKOWSKE, Despina Kontos · 2023 to 2026
$2.7M
NCI NIH HHS R01 CA161749NCI NIH HHS R01 CA177150NCI NIH HHS R01 CA207084NCI NIH HHS R01 CA275074NCI NIH HHS R01 CA286120NCI NIH HHS U24 CA279629
6 · The paper itself

Abstract

purposeBreast density is a widely established independent breast cancer risk factor. With the increasing utilization of digital breast tomosynthesis (DBT) in breast cancer screening, there is an opportunity to estimate volumetric breast density (VBD) routinely. However, current available methods extrapolate VBD from two-dimensional (2D) images acquired using DBT and/or depend on the existence of raw DBT data, which is rarely archived by clinical centers because of storage constraints.

methodsWe retrospectively analyzed 1,080 nonactionable three-dimensional (3D) reconstructed DBT screening examinations acquired between 2011 and 2016. Reference tissue segmentations were generated using previously validated software that uses 3D reconstructed slices and raw 2D DBT data. We developed a deep learning (DL) model that segments dense and fatty breast tissue from background. We then applied this model to estimate %VBD and absolute dense volume (ADV) in cm

resultsThe DL model achieved unweighted and weighted Dice scores of 0.88 (standard deviation [SD] = 0.08) and 0.76 (SD = 0.15), respectively, on the held-out test set, demonstrating good agreement between the model and 3D reference segmentations. There was a significant association between the odds of breast cancer diagnosis and model-derived VBD (odds ratio [OR], 1.41 [95 % CI, 1.13 to 1.77];

conclusionDL-derived density measures derived from 3D reconstructed DBT images are associated with breast cancer diagnosis.

Indexed as

Breast DensityBreast NeoplasmsDeep LearningImaging, Three-DimensionalMammographyAdultAgedBreastCase-Control StudiesEarly Detection of CancerFemaleHumansMiddle AgedRetrospective Studies

Identifiers

PMID39652797
PMCPMC11643139

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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.