Mammographic Vascular Microcalcifications as a Surrogate Parameter for Coronary Heart Disease: Correlation to Cardiac Computer Tomography and Proposal of a Classification Score
2024

Mammographic Vascular Microcalcifications and Coronary Heart Disease

Sample size: 124 publication Evidence: moderate

Author Information

Author(s): Jonathan Andreas Saenger, Ela Uenal, Eugen Mann, Stephan Winnik, Urs Eriksson, Andreas Boss, Søren Møller

Primary Institution: University Hospital Zurich, University Zurich

Hypothesis

This study investigates the correlation between breast arterial calcification in mammographies and coronary artery calcification.

Conclusion

The study found that breast arterial calcification in mammographies correlates significantly with coronary artery calcification.

Supporting Evidence

  • The study established a four-point scoring system for breast arterial calcifications.
  • High inter-rater agreement was observed with a Fleiss’ kappa of 0.76.
  • Breast arterial calcification was found to be more prevalent in patients with coronary artery calcification.

Takeaway

Doctors can use special scores from mammograms to check for heart problems in women, helping them get better care.

Methodology

This retrospective cohort study evaluated 124 female patients, correlating mammographic findings with coronary artery calcification assessed via cardiac CT.

Potential Biases

Potential selection bias due to the single-center design and retrospective nature of the study.

Limitations

The study's retrospective design may introduce biases, and the sample size is limited, affecting generalizability.

Participant Demographics

All participants were female, with a median age of 57 years.

Statistical Information

P-Value

p<0.001

Statistical Significance

p<0.001

Digital Object Identifier (DOI)

10.3390/diagnostics14242803

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