Evidence map›Paper›PMID 39673439›Full record

ArticleThe British journal of radiology2025

Addition of contrast-enhanced mammography enhancement patterns and morphology for differentiating benign from malignant papillary breast lesions.

Weimin Xu, Lingjian Chen, Weixiong Zeng, Zeyuan Xu, Mengwei Ma, Weiguo Chen, Xin Liao, Chanjuan Wen, Sina Wang

Abstract read
In one paragraph

Article in The British journal of radiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Weimin XuDepartment of Radiology, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong Province 510515, China.
Lingjian ChenDepartment of Radiology, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong Province 510515, China.
Weixiong ZengDepartment of Radiology, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong Province 510515, China.
Zeyuan XuDepartment of Radiology, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong Province 510515, China.
Mengwei MaDepartment of Radiology, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong Province 510515, China.
Weiguo ChenDepartment of Radiology, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong Province 510515, China.
Xin LiaoDepartment of Radiology, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong Province 510515, China.
Chanjuan WenDepartment of Radiology, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong Province 510515, China.
Sina WangDepartment of Radiology, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong Province 510515, China.ORCID 0000-0002-2159-7921

Funding

National Natural Science Foundation of China 82171929President's Fund of Nanfang Hospital, Southern Medical University 2021C049President's Fund of Nanfang Hospital, Southern Medical University 2023B049
6 · The paper itself

Abstract

objectivesTo investigate the capability of morphological and enhancement pattern analysis in contrast-enhanced mammography (CEM) to differentiate between benign and malignant papillary breast lesions.

methodsThis study involved 63 patients diagnosed with papillary breast lesions between January 2018 and December 2022. CEM was performed at two time intervals: between 2-3 min (T1, early phase) and 4-5 min (T2, later phase) after the injection of the contrast agent. For each patient, Breast Imaging Reporting and Data System (BI-RADS) lesion features were recorded. Kinetic enhancement patterns were evaluated for both phases based on these changes, followed by the measurement of diagnostic performance.

resultsAmong the 63 female patients, a total of 86 lesions were identified, including 18 malignant ones, three intraductal papillomas without atypical proliferation, and 42 benign papillary lesions. The areas under receiver operating characteristic curves for CEM with kinetic enhancement and for CEM alone were 0.856 and 0.800, respectively. Assessing the diagnostic value, specificity, and accuracy of morphological categorization combined with kinetic enhancement showed higher values compared to those of the CEM morphological categorization alone (71.1% vs 60.0% and 79.4% vs 71.4%, respectively). However, the sensitivity and negative predictive value of the CEM with kinetic enhancement were similar to those of CEM alone (100% for all).

conclusionFor BI-RADS 3-5 papillary breast lesions, incorporating CEM kinetic enhancement to morphological patterns improved the confidence level in diagnosis. ADVANCES IN KNOWLEDGE: This article provides valuable references for distinguishing benign and malignant breast papillary lesions.

Indexed as

Breast NeoplasmsContrast MediaMammographyPapilloma, IntraductalRadiographic Image EnhancementAdultAgedBreastDiagnosis, DifferentialFemaleHumansMiddle AgedRetrospective StudiesSensitivity and SpecificityContrast Mediabreastcontrast-enhanced spectral mammographykinetic enhancementpapillary

Identifiers

PMID39673439
PMCPMC11840158

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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.