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A Methodological Approach to Non-invasive Assessments of Vascular Function and Morphology
Published on: February 7, 2015
Relationship between breast arterial calcifications detected on mammography and brachial artery intima-media
Besir Erdogmus1, Ramazan Buyukkaya, Ayla Buyukkaya
1Department of Radiology, School of Medicine, Duzce University, Duzce, Turkey. besirerdogmus@yahoo.com
Insights
Breast arterial calcification (BAC) is associated with brachial intima-media thickness (B-IMT), but age is a stronger predictor than atherosclerosis. Further studies are needed to clarify this relationship.
Area of Science:
- Vascular biology
- Cardiovascular imaging
- Arterial calcification
Background:
- Breast arterial calcification (BAC) is linked to coronary artery disease, hypertension, diabetes mellitus, and carotid intima-media thickness (C-IMT).
- The association between BAC and brachial intima-media thickness (B-IMT) has not been previously investigated.
Purpose of the Study:
- To investigate the association between BAC and B-IMT.
- To compare B-IMT in patients with and without BAC, assessing for atherosclerosis (AS).
Main Methods:
- 75 patients were included, divided into BAC positive and negative groups.
- BAC was graded, and mean brachial artery intima-media thickness (B-IMT) was measured.
- Statistical analysis adjusted for age.
Main Results:
- A significant difference in mean B-IMT was observed between BAC positive (0.54 ± 0.09) and BAC negative (0.45 ± 0.08) groups (p=0.001) after age adjustment.
- While a relationship between B-IMT and BAC was found, it was less significant than the association with age.
Conclusions:
- BAC shows a significant association with B-IMT, similar to C-IMT.
- Age appears to be a stronger factor than atherosclerosis in the relationship between BAC and B-IMT.
- Further pathological correlation studies in larger cohorts are recommended to elucidate these findings.
Purpose:
Although breast arterial calcification (BAC) was shown to be related with coronary artery disease (CAD), hypertension (HT), diabetes mellitus (DM) and carotid intima-media thickness (C-IMT), but the association between BAC and brachial intima-media thickness (B-IMT) has not been evaluated yet. Our aim was to investigate whether associations existed between BAC and measure B-IMT and atherosclerosis (AS) by comparing these patients with healthy control subjects.
Methods:
A Total of 75 patients were included in the study. Subjects with or without BAC were assigned into one of two groups and those with a BAC were graded. Main brachial artery IMT was measured.
Results:
When the effect of age was partialled out statistically, we found a statistically significant difference in mean B-IMT between BAC (+) (0.54 ± 0.09) and BAC (-) (0.45 ± 0.08) groups (p = 0.001) after the groups were adjusted for age.
Conclusions:
In conclusion, even though the relationship between B-IMT and BAC was significant, like the relationship between C-IMT and BAC, significant age difference between BAC (+) and BAC (-) groups and no significant relationship between BAC and time after menopause, after adjustment for age, suggest a strong association between BAC and age rather than AS. This can be elucidated by pathological correlation studies in larger series of subjects.
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