Evidence map›Paper›PMID 41857004›Full record

ArticleNature communications2026

Subgroup performance of a commercial digital breast tomosynthesis model for breast cancer detection.

Beatrice Brown-Mulry, Rohan Satya Isaac, Sang Hyup Lee, Ambika Seth, KyungJee Min, Theo Dapamede, Frank Li, Aawez Mansuri, MinJae Woo, Christian Allison Fauria-Robinson and 3 more

Abstract read
In one paragraph

Article in Nature communications, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

13 authors.

Beatrice Brown-Mulry *HITI Lab, Emory University, Atlanta, GA, USA.ORCID http://orcid.org/0009-0003-2835-3852
Rohan Satya Isaac *HITI Lab, Emory University, Atlanta, GA, USA.ORCID http://orcid.org/0009-0002-7261-678X
Sang Hyup LeeLunit, Seoul, South Korea.ORCID http://orcid.org/0000-0002-6773-2965
Ambika SethLunit, Seoul, South Korea.
KyungJee MinLunit, Seoul, South Korea.
Theo DapamedeHITI Lab, Emory University, Atlanta, GA, USA.
Frank LiHITI Lab, Emory University, Atlanta, GA, USA.
Aawez MansuriHITI Lab, Emory University, Atlanta, GA, USA.
MinJae WooClemson University, Clemson, SC, USA.
Christian Allison Fauria-RobinsonEmory University, Atlanta, GA, USA.
Bhavna ParyaniEmory University, Atlanta, GA, USA.
Judy Wawira GichoyaHITI Lab, Emory University, Atlanta, GA, USA.ORCID http://orcid.org/0000-0002-1097-316X
Hari TrivediHITI Lab, Emory University, Atlanta, GA, USA. hari.trivedi@emory.edu.

Funding

Opportunistic Screening for ASCVD using a Multimodal Deep Learning Risk Prediction ModelR01HL167811 · NHLBI · MAYO CLINIC ARIZONA · PI Imon Banerjee, Judy Gichoya · 2024 to 2026
$2.1M
U.S. Department of Health & Human Services | NIH | National Heart, Lung, and Blood Institute (NHLBI) R01HL167811
6 · The paper itself

Abstract

AI models show potential to improve breast cancer screening, however detailed subgroup evaluations to uncover the strengths and weaknesses of models are lacking. This study presents a granular evaluation of a commercial AI model for cancer detection on digital breast tomosynthesis (DBT) on a retrospective cohort of 167,860 screening exams in female patients. Performance in distinguishing screen detected cancers (1,368 exams) from negative exams (166,387 exams) is stratified across demographic, imaging, and pathologic subgroups to identify disparities. The overall AUROC is 0.91 and sensitivity is 0.73 with robust performance across demographics. In-situ cancers (AUROC: 0.85, sensitivity: 0.55), calcifications (AUROC: 0.80, sensitivity: 0.66), and dense breast tissue (AUROC: 0.88, sensitivity: 0.63) are associated with lower performance, while masses (AUROC: 0.93, sensitivity: 0.85) and architectural distortions (AUROC: 0.90, sensitivity: 0.83) are associated with higher performance. These results highlight the need for detailed evaluations and vigilance in adopting new clinical tools.

Indexed as

Breast NeoplasmsMammographyAdultAgedEarly Detection of CancerFemaleHumansMiddle AgedRetrospective StudiesSensitivity and Specificity

Identifiers

PMID41857004
PMCPMC13168252

What OpenQuestion holds

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Registered trials

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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.