乳腺密度随时间变化的轨迹和随后的乳腺癌风险:纵向研究
Boyoung Park1,2, Yoosoo Chang3,4,5, Seungho Ryu3,4,5
1Department of Preventive Medicine, Hanyang University College of Medicine, Seoul, Republic of Korea.
概括
乳腺密度增加或持续增加的女性患乳腺癌的风险更高. 了解乳腺密度随时间变化对于准确的乳腺癌风险评估至关重要.
科学领域:
- 在瘤学瘤学.
- 放射学 放射学是一门学科.
- 流行病学 流行病学
背景情况:
- 乳腺密度是乳腺癌的重要危险因素.
- 乳腺密度的纵向变化可能为癌症风险提供额外的见解.
研究的目的:
- 为了确定乳腺密度随着时间的推移而变化的明显轨迹,在一大群女性中.
- 调查这些已识别的乳腺密度轨迹与随后的乳腺癌风险之间的关联.
主要方法:
- 一项回顾性队列研究,利用韩国国家乳腺癌查计划的数据.
- 基于小组的轨迹建模应用到乳腺成像报告和数据系统 (BI-RADS) 从四次两年一次的乳腺扫描检查的分类.
- 考克斯的比例危险模型用于评估与不同密度轨迹相关的乳腺癌风险,并对共变量进行调整.
主要成果:
- 在超过170万名女性中,确定了五个不同的乳腺密度轨迹组.
- 与乳房持续肥胖的女性相比,乳房增加或持续肥胖的女性 (2-5组) 的乳腺癌风险明显更高 (组1).
- 对乳腺癌风险的调整危险比为1.60至3.07,与脂肪乳群相比,乳腺轨迹较密集的组.
结论:
- 在女性人口中,乳腺密度随时间变化的明显模式存在.
- 乳腺密度轨迹,特别是增加或持续密度的模式,与不同程度的未来乳腺癌风险有关.
- 将动态乳腺密度变化纳入风险分层模型可以提高乳腺癌风险预测.
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