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Breast Arterial Calcifications on Mammography: A Survey of Practicing Radiologists
Fernando Collado-Mesa1, Monica M Yepes1, Kristopher Arheart2
1University of Miami Miller School of Medicine, Department of Radiology, Miami, FL, USA.
Journal of Breast Imaging
|March 1, 2024
Summary
Breast radiologists show varied knowledge and reporting practices for breast arterial calcifications. Many recognize the link to heart disease but few consistently report these mammogram findings or issue recommendations.
Area of Science:
- Radiology
- Cardiovascular Imaging
- Mammography
Background:
- Breast arterial calcifications (BAC) on mammography are increasingly recognized.
- Their association with coronary artery disease (CAD) is a growing area of research.
Purpose of the Study:
- To assess current practices in reporting BAC on mammograms.
- To evaluate radiologists' knowledge of BAC prevalence and clinical significance.
- To understand recommendation patterns when BAC are identified.
Main Methods:
- An anonymous online survey was distributed to 2583 Society of Breast Imaging radiologists.
- The survey included 19 questions on demographics, training, practice type, and BAC knowledge.
- Statistical analysis used chi-square or Fisher exact tests with an alpha level of 0.05.
Main Results:
- A 22% response rate (364/1662) was achieved.
- 39% of respondents correctly estimated BAC prevalence (1%-30%).
- 85% recognized the BAC-CAD association, yet only 15% always reported BAC, and 0.7% always issued recommendations.
Conclusions:
- Significant disparities exist in breast radiologists' knowledge of BAC epidemiology.
- Practice patterns for reporting and recommending on BAC vary considerably among radiologists.
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