Evaluation of the association between mammographic density and the risk of breast cancer using Quantra software and the BI-RADS classification
| Autor: | Fei Yang Wang, Hong Guang Zhao, Tong Tong Liu, Jian Ming Wang |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
China mammographic density Breastfeeding Observational Study BI-RADS fertility factors Breast Neoplasms Risk Assessment 03 medical and health sciences 0302 clinical medicine Breast cancer breast cancer medicine Humans 030212 general & internal medicine Breast Reproductive History Early Detection of Cancer Breast Density Menarche Obstetrics business.industry MAMMOGRAPHIC DENSITY Age Factors General Medicine Odds ratio quantra Middle Aged medicine.disease Confidence interval Breast Feeding 030220 oncology & carcinogenesis Radiographic Image Interpretation Computer-Assisted Female business Parity (mathematics) Software Research Article Mammography |
| Zdroj: | Medicine |
| ISSN: | 1536-5964 0025-7974 |
| Popis: | To determine the association between mammographic density (MD) and the risk of breast cancer (BC) in Chinese women and to investigate the role of fertility risk factors in regulating the relationship between MD and BC. We used Quantra software and the BI-RADS classification to assess MD in 466 patients and 932 controls. Conditional matched logistic multiple regression analysis was used to determine the relationship between MD and BC, and risk was evaluated with the odds ratio (OR) and 95% confidence interval (CI). The ORs for category 4 versus category 2 were 1.95 (95% confidence interval [95% CI] (1.42∼2.66)) and 1.76 (95% CI (1.28∼2.42)) for the BI-RADS and Quantra classifications, respectively. The ORs for category 5 volumetric breast density (VBD) versus category 2 VBD and 5 fibroglandular tissue volume (FGV) versus category 2 FGV were 1.63 (95% CI (1.20∼2.23)) and 1.92 (95% CI (1.40∼2.63)), respectively. Females with category 5 VBD whose age at menarche was ≤13 years had the highest risk of BC (OR = 2.16, 95% CI (1.24∼3.79)), and females with category 5 FGV whose age at menarche was = 15 years had the lowest risk of BC (OR = 1.65, 95% CI (1.05∼2.62)). Females with categories 3–5 VBD and categories 3–5 FGV had reduced risks of BC with increasing number of births. Females with category 5 VBD had an increased risk of BC with increasing age at first childbirth (the OR increased from 1.49 to 1.95). Those with category 5 VBD had a reduced risk of BC with increasing breastfeeding duration (the OR decreased from 2.08 to 1.55). Females with category 5 FGV had a reduced risk of BC with increasing breastfeeding duration (the OR decreased from 4.12 to 1.62). Both the BI-RADS density classification and Quantra measures indicated that MD is positively associated with the risk of BC in Chinese women and that associations between MD and BC risk differ by age at menarche, parity, age at first childbirth and breastfeeding duration. |
| Databáze: | OpenAIRE |
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