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Age and Ethnic Differences in Volumetric Breast Density in New Zealand Women: A Cross-Sectional Study

Ellison-Loschmann, McKenzie, Highnam, Cave, Walker, Jeffreys

“In particular, compared to Pakeha women, Ma¯ori women had higher levels of absolute volumetric density and Asian women had lower levels. For percentage breast density, Asian women had higher and Pacific women had lower breast density.”

The Association of Mammographic Density and Molecular Breast Cancer Subtype

Edwards, Atkins, Stukenborg, Novicoff, Larson, Cohn, Harvey, Schroen

“Increased MD is more strongly associated with H2P tumors when compared to
LA … Delineating risk factors specific to BC subtype may promote development of
individualized risk prediction models and screening strategies.”

Does Mammographic Density have an Impact on the Margin Re-excision Rate After Breast-Conserving Surgery?

Edwards, Guidry, Larson, Novicoff, Harvey, Schroen

“Mammographic density was determined both by breast imaging-reporting and data system (BI-RADS) classification and by an automated software program  (Volpara Solutions) … Mammographic density is not associated with an increased need for re-excision or resection of unnecessary margins at initial BCS.”

Mammographic density and breast cancer risk in breast screening assessment cases and women with a family history of breast cancer

Duffy, Morrish, Allgood, Black, Gillan, Willsher, Cooke, Duncan, Michell, Dobson, Maroni, Lim, Purushothaman, Suaris, Astley, Young, Tucker, Gilbert

“All density measures showed a positive association with presence of cancer and all declined with age. The strongest effect was seen with Volpara absolute density, with a significant 3% (95% CI 1e5%) increase in risk per 10 cm3 of dense tissue. The effect of Volpara volumetric density on risk was stronger for large and grade 3 tumours.”

Follow-up Data With Screening Sonography

New York State Breast Density Mandate

Destounis, Arieno, Morgan

“The results of our continued evaluation of our screening sonography program confirm that screening breast sonography in women with dense breast tissue can detect otherwise occult malignancy, with a low biopsy rate.”

American Journal of Roentgenology, Jan 2017

Using Volumetric Breast Density to Quantify the Potential Masking Risk of Mammographic Density

Destounis, Johnston, Highnam, Arieno, Morgan, Chan

“Both the categoric and continuous measures of MBD obtained with the VolparaDensity tool were stronger risk factors than the visual BI-RADS categories (3.9-fold, 4.0-fold, and 3.6-fold).”

Journal of Ultrasound in Medicine 2015

Initial Experience With the New York State Breast Density Inform Law at a Community-Based Breast Center

Destounis, Arieno, Morgan

“Handheld screening breast sonography performed in women with dense breast tissue can aid in the detection of otherwise occult breast cancer, as we found 2 cancers in the study population, with an overall positive predictive value of 8%.”

Clinical Radiology 2018

Reasons for (non)participation in supplemental population-based MRI breast screening for women with extremely dense breasts

de Lange, Bakker, Monninkhof, Peeters, de Koekkoek-Doll, Mann, Rutten, Bisschops, Veltman, Duvivier, Lobbes, de Koning, Karssemeijer, Pijnappel, Veldhuis, van Gils

“Women with extremely dense breasts (Volpara density grade 4), and a negative mammography result after double reading (Breast Imaging Reporting and Data System classification 1 or 2) were eligible for randomisation. After randomisation, only those women randomised to the intervention group (supplemental MRI examination) were informed and invited for the trial … Of women invited for MRI because of extremely dense breasts, 59% participated.”

Pressure-standardised mammography does not affect visibility, contrast and sharpness of stable lesions

de Groot, Hopman, van Lier, Branderhorst, Grimbergen, den Heeten

“Since the model for calculating mean glandular dose (Volpara Analytics) includes a compensation factor for the measured breast density [17], it is likely that breast atrophy explains the observed significant decrease in mean glandular dose.”

Mammographic density measurements are not affected by mammography system

Damases, Brennan, McEntee

“Raw mammographic images were acquired on two mammography imaging systems (General Electric and Hologic) one year apart and processed using VolparaDensity™ to obtain the Volpara Density Grade (VDG) and average volumetric breast density percentage (AvBD%). Visual BIRADS scores were also obtained from 20 expert readers. BIRADS scores for both systems showed strong positive correlation (ρ ¼ 0.904; p < 0.001), while the VDG (ρ ¼ 0.978; p < 0.001) and AvBD% (ρ ¼ 0.973; p < 0.001) showed stronger positive correlations.”