| Revista: | Journal of the Mexican Federation of Radiology and Imaging |
| Base de datos: | |
| Número de sistema: | 000606819 |
| ISSN: | 2696-8444 |
| Autores: | Sanchez Carenzo Vélez, I. Miranda1 Hurtado Arellano, Sofía2 Garza García, Nancy L1 Ayala Durán, Mane M1 López Valdivia, Ilany B3 Peña Almaguer, Erasmo De la4 Garza Montemayor, Margarita L1 |
| Instituciones: | 1Hospital Zambrano Hellion TEC-Salud, Centro de Diagnóstico por Imagenología de Mama, Monterrey, Nuevo León. México 2Instituto Tecnológico y de Estudios Superiores de Monterrey, Escuela de Medicina y Ciencias de la Salud, Monterrey, Nuevo León. México 3Hospital San José Tec Salud, Departamento de Radiología e Imagen, Monterrey, Nuevo León. México 4Hospital Zambrano Hellion TEC-Salud, Departamento de Imagenología Cardiaca, Monterrey, Nuevo León. México |
| Año: | 2024 |
| Periodo: | Ene-Mar |
| Volumen: | 3 |
| Número: | 3 |
| Paginación: | 150-161 |
| País: | México |
| Idioma: | Inglés |
| Tipo de documento: | Artículo |
| Resumen en inglés | Introduction: It has been suggested that breast arterial calcifications (BAC) on mammography predict coronary artery calcifications (CAC). However, it has been insufficiently addressed to rule out the presence of CAC. This study aimed to determine whether the absence of BAC on mammography is associated with the absence of CAC using the coronary computed tomography (CT) calcium score in women. Material and methods: This retrospective cross-sectional study included asymptomatic women who underwent digital screening mammography and coronary CT calcium score testing. BAC score was grouped into three categories: absence, intermediate, and significant. The Agatston score was used to quantify CAC. The sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) of BAC were calculated to predict CAC. Results: We included 611 asymptomatic women with a mean age of 51.3 ± 8.37 years. The prevalence of BAC was 9.1% (n = 56), and CAC was 13.4% (n = 82). There was a significant association between the absence of BAC and no CAC (n = 501, 93.5%; p < 0.001). BAC diagnostic performance was stratified by age. In women under 60 years (n = 525), specificity was 94.6% (95% CI, 91.4-95.6), and the NPV 92.6% (95% CI, 91.4-95.6) for the absence of BAC in predicting no CAC. In women aged 60 years (n = 86), specificity was 82.6% (95% CI, 68.5-92.1), and the NPV was 60.3% (95% CI, 53.6-66.6). The sensitivity (14.2%, 95% CI, 16.1-35.05) and PPV (18.7%, 95% CI, 25.3-51.02) in women under 60 years were lower than in women 60 years with a sensitivity of 37.5% (95% CI, 22.7-54.2) and a PPV of 65.2% (95% CI, 47.0-79.8). Conclusion: The absence of BAC in screening mammography has the highest diagnostic performance for predicting the absence of CAC, especially in women under 60 years of age. |
| Disciplinas: | Medicina, Medicina |
| Palabras clave: | Sistema cardiovascular, Diagnóstico |
| Keyword: | Cardiovascular system, Diagnosis |
| Texto completo: | Texto completo (Ver HTML) Texto completo (Ver PDF) |
