Evidence map›Paper›PMID 39941868›Full record

ArticleCancers2025

Lesion Conspicuity in Contrast-Enhanced Mammography: A Retrospective Analysis of Tumor Characteristics.

Chiara Bellini, Tommaso Susini, Kassandra Toncelli, Martina Pandolfi, Giuliano Migliaro, Francesca Pugliese, Bianca Vanzi, Ludovica Incardona, Giulia Bicchierai, Federica di Naro and 5 more

Abstract read
In one paragraph

Article in Cancers, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

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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

15 authors.

Chiara BelliniBreast Imaging Unit, Department of Radiology, Azienda Ospedaliero, Universitaria Careggi, 50134 Firenze, Italy.
Tommaso SusiniBreast Unit, Gynaecology Section, Department of Health Sciences, University of Florence, 50121 Firenze, Italy.ORCID 0000-0002-2320-7202
Kassandra ToncelliBreast Imaging Unit, Department of Radiology, Azienda Ospedaliero, Universitaria Careggi, 50134 Firenze, Italy.ORCID 0009-0000-4802-5926
Martina PandolfiBreast Imaging Unit, Department of Radiology, Azienda Ospedaliero, Universitaria Careggi, 50134 Firenze, Italy.
Giuliano MigliaroBreast Imaging Unit, Department of Radiology, Azienda Ospedaliero, Universitaria Careggi, 50134 Firenze, Italy.ORCID 0009-0007-0326-8474
Francesca PuglieseBreast Imaging Unit, Department of Radiology, Azienda Ospedaliero, Universitaria Careggi, 50134 Firenze, Italy.
Bianca VanziBreast Imaging Unit, Department of Radiology, Azienda Ospedaliero, Universitaria Careggi, 50134 Firenze, Italy.
Ludovica IncardonaBreast Imaging Unit, Department of Radiology, Azienda Ospedaliero, Universitaria Careggi, 50134 Firenze, Italy.ORCID 0009-0003-2736-4701
Giulia BicchieraiBreast Imaging Unit, Department of Radiology, Azienda Ospedaliero, Universitaria Careggi, 50134 Firenze, Italy.
Federica di NaroBreast Imaging Unit, Department of Radiology, Azienda Ospedaliero, Universitaria Careggi, 50134 Firenze, Italy.
Diego de BenedettoBreast Imaging Unit, Department of Radiology, Azienda Ospedaliero, Universitaria Careggi, 50134 Firenze, Italy.
Sofia VidaliBreast Imaging Unit, Department of Radiology, Azienda Ospedaliero, Universitaria Careggi, 50134 Firenze, Italy.
Silvia PancaniIRCCS Fondazione Don Carlo Gnocchi Onlus, 50143 Firenze, Italy.
Vittorio MieleDepartment of Experimental and Clinical Biomedical Sciences, University of Florence, 50121 Firenze, Italy.ORCID 0000-0002-7848-1567
Jacopo Nori CucchiariBreast Imaging Unit, Department of Radiology, Azienda Ospedaliero, Universitaria Careggi, 50134 Firenze, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

objectivesThe aim of this study is to evaluate the impact of tumor characteristics on lesion conspicuity in contrast-enhanced mammography (CEM) and identify factors associated with different levels of conspicuity.

methodsIn this retrospective study, we analyzed 552 patients with breast cancer who underwent CEM. Lesion conspicuity was categorized into three levels: 1 (low), 2 (moderate), and 3 (high). Tumor characteristics included age, histological subtype, hormone receptor status, HER2 status, Ki67 index, tumor grade, and molecular subtype. Univariate and multivariate analyses were conducted to assess associations between lesion conspicuity and these factors.

resultsOf the 552 cases, the majority showed mass enhancement (78.1%), followed by non-mass enhancement (NME) (16.8%), and a combination of mass and NME (4.0%). Lesion conspicuity was significantly associated with enhancement type on CEM (

conclusionsLesion conspicuity in CEM is primarily influenced by the type of enhancement and tumor size. Mass-forming lesions, particularly larger ones, are more conspicuous, while NME tends to result in lower conspicuity. These findings suggest that enhancement patterns and tumor dimensions are key factors to consider when interpreting CEM in breast cancer diagnosis.

Indexed as

breast cancercontrast-enhanced mammographylesion conspicuity

Identifiers

PMID39941868
PMCPMC11815910

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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.