Evidence mapPaperPMID 40526234Full record

ArticleBreast cancer research and treatment2025

Mammographic calcifications association with risk of advanced breast cancer.

Karla Kerlikowske, Linn Abraham, Brian L Sprague, Olivia Sattayapiwat, Sarah J Nyante, Jeffrey A Tice, Diana L Miglioretti

Abstract read
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Article in Breast cancer research and treatment, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. 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.

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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

7 authors.

Karla KerlikowskeDepartments of Medicine and Epidemiology and Biostatistics, University of California, San Francisco, CA, USA. Karla.Kerlikowske@ucsf.edu.
Linn AbrahamKaiser Permanente Washington Health Research Institute, Kaiser Permanente Washington, Seattle, WA, USA.
Brian L SpragueDepartments of Surgery and Radiology, University of Vermont, Burlington, VT, USA.
Olivia SattayapiwatDepartment of Public Health Sciences, University of California, Davis, CA, USA.
Sarah J NyanteDepartment of Radiology, University of North Carolina, Chapel Hill, NC, USA.
Jeffrey A TiceDivision of General Internal Medicine, Department of Medicine, University of California, San Francisco, CA, USA.
Diana L MigliorettiKaiser Permanente Washington Health Research Institute, Kaiser Permanente Washington, Seattle, WA, USA.

Funding

Project 3P01CA154292 · UNIVERSITY OF CALIFORNIA AT DAVIS · 2025 to 2025
$2.6M
NCI NIH HHS P01 CA154292NCI NIH HHS P01CA154292
6 · The paper itself

Abstract

purposeMammographic calcifications on mammograms with a negative/benign assessment are associated with increased breast cancer risk. Associations with advanced breast cancer risk are unknown. We evaluated whether calcifications recorded on mammography reports are associated with advanced invasive breast cancer risk.

methodsWe included 3,710,313 screening mammograms with a negative/benign final assessment performed on 991,991 women aged 40-74 in the Breast Cancer Surveillance Consortium associated with 7229 advanced cancers. We calculated cumulative 5-year advanced (prognostic pathologic stage ≥II) breast cancer risk and hazards ratios (HR) adjusted for clinical risk factors according to presence or absence of calcifications by menopausal status, dense (heterogeneously or extremely dense) vs. non-dense (almost entirely fatty or scattered fibroglandular density) breasts, body mass index (BMI) < 25 kg/m

resultsPrevalence of calcifications was 6.1% among women who developed advanced breast cancer vs. 3.6% among others. Overall associations of advanced cancer with calcifications were similar for premenopausal (HR = 1.4; 95% CI 1.1-1.9) and postmenopausal (HR = 1.5; 95% CI 1.2-1.7) women. Compared to postmenopausal women with non-dense breasts and BMI < 25 kg/m

conclusionMammographic calcifications increase advanced cancer risk beyond having dense breasts and being overweight/obese. Future research should investigate strength of associations by type of calcification and incorporation of calcifications into advanced cancer risk models for improvement in model accuracy.

Indexed as

Breast NeoplasmsCalcinosisMammographyAdultAgedBody Mass IndexBreast DensityFemaleHumansMiddle AgedNeoplasm StagingPrevalencePrognosisRisk FactorsAdvanced cancerBreast cancer riskMammographic calcification

Identifiers

PMID40526234
PMCPMC12209027

What Socratic 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 Socratic graph.