Skip to main content

Table 2 Adjusted hazard ratios for invasive breast cancer by BI-RADS density or longitudinal breast density (continuous/categorical)

From: Development and evaluation of a method to assess breast cancer risk using a longitudinal history of mammographic density: a cohort study

Model

Density measure

Adjusted hazard ratio (95% CI)

(time-varying breast density covariate)

1

BI-RADS density

 Fatty

0.49 (0.40–0.60)

 Scattered

1 [Reference]

 Heterogeneous

1.71 (1.56–1.86)

 Extremely dense

2.11 (1.84–2.42)

 

ΔLR-χ2 (df = 3) = 307.7

2

Continuous longitudinal density

 Linear (per unit*)

5.53 (3.34–9.14)

 Quadratic (per unit2*)

0.83 (0.76–0.92)

 

ΔLR-χ2 (df = 2) = 379.6

3

Categorical longitudinal density

 Category 1:

‘Fatty’ I (< 1.5)

0.48 (0.36–0.63)

 Category 2:

‘Fatty’ II (1.5 to < 2.0)

0.83 (0.69–1.00)

 Category 3:

‘Scattered’ I (2.0 to < 2.2)

1 [Reference]

 Category 4:

‘Scattered’ II (2.2 to < 2.6)

1.43 (1.24–1.64)

 Category 5:

‘Heterogeneous’ I (2.6 to < 2.9)

1.82 (1.59–2.07)

 Category 6:

‘Heterogeneous’ II (2.9 to < 3.2)

2.44 (2.11–2.81)

 Category 7:

‘Extremely dense’ I (3.2 to < 3.6)

2.66 (2.23–3.17)

 Category 8:

‘Extremely dense’ II (≥ 3.6)

3.03 (2.48–3.70)

  

ΔLR-χ2 (df = 7) = 375.1

  1. n = 132,439
  2. Adjusted hazard ratios from proportional-hazards Cox models for BI-RADS density (time-varying) or the new longitudinal breast density measure (time-varying) as a continuous or eight-category value
  3. Hazard ratios adjusted for age at baseline (continuous) and time-varying BMI (continuous)
  4. ‘Time-varying’ means that a woman’s values for breast density and BMI are updated through time, i.e. at each screening examination
  5. Cut points for the eight-category new breast density measure were chosen so that, at baseline mammogram, the proportion of women in the Fatty, Scattered, Heterogeneous and Extremely dense categories are the same as for BI-RADS density, and then split equally into the I and II subgroups within each category
  6. 95% CIs from Wald tests
  7. ΔLR-χ2 represents the additional information in the likelihood-ratio statistic when including breast density
  8. BI-RADS  Breast Imaging Reporting and Data System, BMI body mass index, df degrees of freedom, 95% CI 95% confidence interval
  9. *Units of longitudinal density are non-standard—interpretation may be facilitated by Fig. 1