Evaluation of mammography detected breast arterial calcifications as a predictor of coronary cardiac risk

Ali, Engy A.; Fouad, Heba; Razek, Naglaa Abdel; Saeed, Ola M.; Helmy, Sameh M.

doi:10.1186/s43055-019-0095-7

Cited by 3 publications

(3 citation statements)

References 13 publications

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“…In another case-control study, Ali et al reported that, BAC was a risk factor for CAD development. Other risk factors included hypertension and a positive family history of CAD (16) .…”

Section: Discussionmentioning

confidence: 99%

The Role of Breast Arterial Calcification on Mammogram as a Predictor for Risk of Coronary Artery Disease in Women

Sobhy

Eldeek

El-Hamid

2022

SJMS

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Introduction and Aim: Cardiovascular disease is a leading cause of death worldwide. Thus, the detection of mammographic arterial calcifications can be an early, noninvasive instrument for predicting the possible development of coronary heart disease in women. The current work aimed to assess the significance of Breast arterial calcification (BAC) detected by digital mammogram and its relation to coronary artery calcium score and degree of coronary artery stenosis if present. Patients and methods: The study included 100 female patients submitted to digital mammography for breast cancer screening programs and showed BAC then coronary artery calcification (CAC) score and multidetector coronary computed tomography angiography (MDCCTA) had done to determine the severity of coronary artery stenosis. Results: The age was ranged between 40 and 80 years; the mean was 56.7+9.42 years. The prevalence of positive BAC and CAD were 50% and 10%, respectively. Hypertension, diabetes mellitus (DM), hyperlipidemia, and Family history of cardiovascular disease was higher in the BAC (+) than in BAC (-) group. The presence of BAC appears to strongly and proportionately correlate with CAC Score and Coronary artery stenosis as determined by coronary CTA (r =0.809, and r = 0.811, respectively). Conclusion: BAC can indicate a risk of CAD development. Besides, there was a significant correlation between BAC and some cardiac risk factors ( e.g., age, family history of CAD, and DM).

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“…In another case-control study, Ali et al reported that, BAC was a risk factor for CAD development. Other risk factors included hypertension and a positive family history of CAD (16) .…”

Section: Discussionmentioning

confidence: 99%

The Role of Breast Arterial Calcification on Mammogram as a Predictor for Risk of Coronary Artery Disease in Women

Sobhy

Eldeek

El-Hamid

2022

SJMS

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“…Studies have shown a higher incidence of BAC in patients with renal disease, atherosclerotic coronary artery disease, CAD risk factors, diabetes as well as previous history of pregnancy and lactation. 5,[9][10] McLenachan, et al concluded that while absence of BAC has a high negative predictive value for ruling out CAD, the diagnostic accuracy to predict the same is limited. 11 Some other studies do not show any association between BAC and CAD.…”

Section: Discussionmentioning

confidence: 99%

“…[2][3][4] In addition to CAD, other risk factors like age, Diabetes Mellitus, CAD risk factors, pregnancy, lactation and renal impairment are also associated with BAC. 5 Reporting BAC may help identify group of patients at higher risk of CAD and prompt appropriate and timely evaluation.…”

Section: Introductionmentioning

confidence: 99%

Breast Arterial Calcifications on Mammography among Patients Attending the Radiology Department in a Tertiary Care Centre: A Descriptive Cross-sectional Study

et al. 2021

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Introduction: Breast arterial calcifications are common mammographic findings which are associated with coronary artery disease. The aim of this study was to find the prevalence of breast arterial calcifications in women presenting for mammography in a tertiary care centre. Methods: This descriptive cross-sectional study was performed in the Department of Radiology, in a tertiary care hospital after taking ethical clearance, Reference number 352(6-11)E-2, 077/078, data was collected from Syngovia database from March-June 2021 which included 1614 mammograms. Convenience sampling was done and mammograms evaluated for presence of vascular or non-vascular calcification. Further, vascular calcification was graded. Data was entered in Statistical Package for Social Sciences version 25. Point estimate at 95% Confidence Interval was done, and frequency and proportion were calculated. Results: The prevalence of breast arterial calcification was 188 (11.6%) at 95% Confidence Interval (10.03-13.2). The mean age of women included in this study was 48.42±9.55 years with the largest number of patients in the age group 40-49 years, 682 (42.3%), and least in the age group 80-89 years, 3 (0.2%). All patients in the age group 80-89 years, 3 (100%) had vascular calcifications followed by 70-79 years group, 22 (57.5%) and none in patients younger than 30 years. Conclusions: We found an increase in the number and grade of vascular calcifications in breasts with the patient's age. When present breast arterial calcifications must be mentioned in mammogram report. Identification of such calcifications on mammogram should prompt further screening for atherosclerotic disease.

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Breast Arterial Calcifications on Mammography: Awareness and Reporting Preferences Amongst Referring Physicians in Canada

Zaki-Metias,

McKee,

Applewhaite

et al. 2024

Can Assoc Radiol J

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Purpose: Breast arterial calcifications (BAC) on mammography have been correlated with increased cardiovascular risk. The Canadian Society of Breast Imaging released a position statement on BAC reporting in January 2023. This study evaluates the awareness of the clinical significance of BAC and reporting preferences of referring physicians in Canada. Methods: A 15-question survey was distributed to Canadian physicians who may review mammography results via regional and subspecialty associations and on social media following local institutional ethical approval. Responses were collected over 10 weeks from February to April 2023. Results: Seventy-two complete responses were obtained. We are unable to determine the response rate, given the means of distribution. Only 17% (12/72) of responding physicians were previously aware of the association between BAC and increased cardiovascular risk, and 51% (37/72) preferred the inclusion of BAC in the mammography report. Fifty-six percent (40/72) indicated that BAC reporting would prompt further investigation, and 63% (45/72) would inform patients that their mammogram showed evidence of BAC. Sixty-nine percent (50/72) would find grading of BAC beneficial and 71% (51/72) agreed that there is a need for national guidelines. Conclusion: Less than a quarter of responding Canadian referring physicians were previously aware of the association between BAC and cardiovascular risk, although half of respondents indicated a preference for BAC reporting on mammography. Most participating physicians would inform their patients of the presence of BAC and consider further cardiovascular risk management. There was consensus that a national BAC grading system and clinical management guidelines would be beneficial.

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Evaluation of mammography detected breast arterial calcifications as a predictor of coronary cardiac risk

Cited by 3 publications

References 13 publications

The Role of Breast Arterial Calcification on Mammogram as a Predictor for Risk of Coronary Artery Disease in Women

The Role of Breast Arterial Calcification on Mammogram as a Predictor for Risk of Coronary Artery Disease in Women

Breast Arterial Calcifications on Mammography among Patients Attending the Radiology Department in a Tertiary Care Centre: A Descriptive Cross-sectional Study

Breast Arterial Calcifications on Mammography: Awareness and Reporting Preferences Amongst Referring Physicians in Canada

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