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Elevated MRI Enhancement Identifies Increased Cancer Risk in Women with Very Dense Breasts

By MedImaging International staff writers
Posted on 09 Aug 2023

Image: Cancer occurrence was found greater in women with higher volumes of enhancing parenchyma on breast MRI (Photo courtesy of Freepik)

Women with highly dense breasts are three to six times more likely to develop breast cancer than those with fatty breasts. Mammography is less sensitive in detecting early-stage breast cancer in dense-breasted women, as a result of which those aged 50 to 75 might benefit from supplemental MRI screenings. Background parenchymal enhancement (BPE) is another factor associated with breast cancer risk, though its significance compared to factors like age, body mass index (BMI), family history, and breast density remains less clear. Now, a machine learning model has identified BPE on breast MRI as a significant risk factor for breast cancer in women with very dense breasts.

To measure BPE's importance as a risk indicator, researchers at the University Medical Center Utrecht (Utrecht, the Netherlands) analyzed dynamic contrast-enhanced MRI exams from 4,553 women involved in the Netherlands-based Dense Tissue and Early Breast Neoplasm Screening (DENSE) Trial. The aim of the DENSE trial was to develop a deep learning model that could automatically identify the fibroglandular tissue. These MRIs were conducted biennially from December 2011 to January 2016 across eight Dutch hospitals. When accounting for age, BMI, and BPE, it was observed that breast cancer was more prevalent in women with higher volumes of enhancing parenchyma than those with low volumes.

Among the study participants, 122 were diagnosed with breast cancer, with about 63% diagnosed after the first round of screening. The average diagnosis time for the rest of the women was approximately 24 months. The study highlights a dilemma: while the implementation of supplemental MRI screening for dense-breasted women may catch cancers missed between regular mammography sessions, it also places a heavier burden on radiologists. To address this increased demand, personalized screening strategies might be necessary to alleviate the pressure on healthcare professionals.

"Thus far, studies on breast cancer risk factors have typically focused on women at high lifetime risk of developing breast cancer," said study co-author Kenneth G. A. Gilhuijs, Ph.D., from the Department of Radiology at the University Medical Center Utrecht. "This is the first study that we know of that demonstrates an association between background parenchymal enhancement and occurrence of breast cancer in women with extremely dense breasts."

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69 (72.002410888672): SELECT id,name,sponsor_text FROM jos_deeppockets dp left outer join jos_channel_sponsor cs on dp.id=cs.fid WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id=212 ORDER BY `ordering`

70 (!!!!! 1175.8804321289): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294798209 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (383.85391235352): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294798209 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (!!!!! 22810.935974121): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

73 (!!!!! 1060.962677002): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (!!!!! 1470.0889587402): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (59.127807617188): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (147.10426330566): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (331.87866210938): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (118.01719665527): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (419.85511779785): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (52.928924560547): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (!!!!! 1457.9296112061): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (61.988830566406): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (643.96858215332): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294798209 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (176.19132995605): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294798209 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (44.107437133789): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

90 (230.07392883301): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (81.062316894531): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (494.95697021484): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (46.968460083008): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (215.05355834961): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (195.98007202148): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (98.943710327148): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (190.01960754395): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (209.09309387207): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (285.14862060547): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (544.07119750977): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (103.95050048828): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (128.98445129395): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (!!!!! 1688.0035400391): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798209 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798209 AND published='1' LIMIT 1

105 (79.154968261719): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798209 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798209 AND published='1' LIMIT 1

106 (787.01972961426): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294798209 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (974.89356994629): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294798209 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (278.94973754883): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798209 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798209 AND published='1' LIMIT 1

109 (586.03286743164): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798209 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798209 AND published='1' LIMIT 1

110 (!!!!! 1115.083694458): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294798209 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (560.04524230957): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294798209 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (680.92346191406): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

113 (472.06878662109): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

114 (107.0499420166): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798209 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798209 AND published='1' LIMIT 1

115 (112.77198791504): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798209 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798209 AND published='1' LIMIT 1

116 (177.86026000977): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798209 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798209 AND published='1' LIMIT 1

117 (57.220458984375): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798209 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798209 AND published='1' LIMIT 1

118 (105.14259338379): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798209 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798209 AND published='1' LIMIT 1

119 (51.975250244141): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798209 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798209 AND published='1' LIMIT 1

120 (253.91578674316): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

121 (!!!!! 88104.963302612): SELECT * FROM jos_deeppockets WHERE jos_deeppockets.cat = 10 AND jos_deeppockets.type = 'deeppockets_item' AND jos_deeppockets.published = 1 AND jos_deeppockets.created + INTERVAL 14 DAY >= NOW() ORDER BY jos_deeppockets.hits DESC LIMIT 7

122 (128.98445129395): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798209 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798209 AND published='1' LIMIT 1

123 (84.161758422852): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798209 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798209 AND published='1' LIMIT 1

124 (!!!!! 4667.0436859131): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294798209 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294798209 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 1108345.9854126): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

126 (!!!!! 3454.9236297607): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

127 (257.96890258789): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800513 LIMIT 1

128 (289.9169921875): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800513 LIMIT 1

129 (351.90582275391): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800359 LIMIT 1

130 (602.96058654785): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800359 LIMIT 1

131 (326.15661621094): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800361 LIMIT 1

132 (499.01008605957): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800361 LIMIT 1

133 (241.04118347168): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798209 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

134 (245.80955505371): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798209 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

135 (113.01040649414): SELECT name FROM jos_deeppockets WHERE id=212

136 (64.849853515625): SELECT name FROM jos_deeppockets WHERE id=212

137 (432.01446533203): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))212((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

138 (384.80758666992): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))212((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

139 (57.93571472168): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798209 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798209 AND published='1' LIMIT 1

140 (46.014785766602): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798209 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798209 AND published='1' LIMIT 1

141 (!!!!! 30035.972595215): TRUNCATE TABLE jos_trademed_module

142 (!!!!! 3965.1393890381): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294798209 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

143 (113.01040649414): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294798209 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

144 (348.09112548828): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798209 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

145 (102.99682617188): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798209 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

146 (54.121017456055): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798209 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798209 AND published='1' LIMIT 1

147 (40.054321289062): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798209 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798209 AND published='1' LIMIT 1

148 (!!!!! 1077.1751403809): SELECT jos_item.* FROM jos_item INNER JOIN jos_number ON jos_item.numberID=jos_number.id WHERE 1=1 AND (jos_item.imgMini<>'') AND jos_item.type='L' AND jos_item.numberID= ( SELECT jos_number.id FROM jos_number WHERE jos_number.journalID IN (10) and jos_number.id in (select distinct jos_number.id from jos_number join jos_item on jos_item.numberid=jos_number.id where jos_item.type='P') ORDER BY (CONVERT(SUBSTRING(issue,1,2),SIGNED) + (CONVERT(SUBSTRING(issue,3,2),SIGNED)*100)) DESC LIMIT 0,1 ) ORDER BY RAND() DESC LIMIT 6

149 (53.882598876953): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798209 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798209 AND published='1' LIMIT 1

150 (40.054321289062): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798209 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798209 AND published='1' LIMIT 1

151 (79.870223999023): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294798209 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294798209 AND type='deeppockets_item' AND published='1' LIMIT 1

152 (411.9873046875): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=212 or channel_id is null)

153 (56.982040405273): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=212 or channel_id is null)

154 (41.961669921875): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

155 (!!!!! 2980.9474945068): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798209 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798209 AND published='1' LIMIT 1

156 (51.021575927734): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798209 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798209 AND published='1' LIMIT 1

157 (123.02398681641): select jos_twitters.link from jos_twitters where cat=10

158 (26.941299438477): select jos_facebook.link from jos_facebook where cat=10

159 (25.98762512207): select jos_google_plus.link from jos_google_plus where cat=10

160 (25.98762512207): select jos_linkedin.link from jos_linkedin where cat=10

161 (350.9521484375): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

162 (!!!!! 5694.1509246826): insert into jos_banners_delta values (14615,'2025-04-30 06:06:59','18.218.232.140','view'),(14202,'2025-04-30 06:06:59','18.218.232.140','view'),(14203,'2025-04-30 06:06:59','18.218.232.140','view')

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