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Table 5 Summary of existing studies reporting associations between background parenchymal enhancement (BPE) and breast cancer

From: Association of breast cancer with MRI background parenchymal enhancement: the IMAGINE case-control study

Author

Number of breast cancer cases

Number of comparison women

MRI assessment methods

Association between BPE and breast cancer

Blind to clinical data

Blind to affected breast

Pre-menopausal

Post-menopausal

Overall

Arasua et al. [16, 29]

129 (invasive)

47 (DCIS)

4071 (cancer-free)

No

N/Aa

HR 3.0b (1.3–7.1)

HR 2.6b (1.4–4.6)

HR 2.3b (1.5–3.4)

Grimm et al. [17]

43 (invasive)

18 (DCIS)

122 (cancer-free)

Yes

No

  

OR 2.5b (1.3–4.8)

Melsaether et al. [20]

81 (invasive)

35 (DCIS)

116 (cancer-free)

Yes

No

  

2 readers at 3 time points (range: OR 1.0 to 7.7),e

Bennani-Baiti et al. [18]

353 (invasive)

187 (benign)

Yes

No

  

OR 1.2d (0.5–3.3)

Telegrafo et al. [19]

78 (invasive)

52 (benign) 50 (negative)

Yes

No

   

Dontchos et al.

12 (invasive)

11 (DCIS)

23 (cancer-free)

Yes

No

  

OR 9.0b (1.1–71.0)

Albert et al. [21]

294 (invasive)

104 (in situ)

72 (cancer-free)

Yes

No

f

f

 

King et al. [14]

25 (invasive)

14 (DCIS)

78 (cancer-free)

No

No

OR 2.2c (0.4–11.6)

OR 4.1c (1.3–13.2)

OR 3.3c (1.3–8.3)

  1. Abbreviations: DCIS ductal carcinoma in situ, HR hazards ratio, OR odds ratio
  2. aCohort study. All others are case-control studies
  3. bComparing mild/moderate/marked vs minimal BPE
  4. cComparing moderate/marked vs minimal/mild BPE
  5. dOR for a 1-unit increase in BPE
  6. eComparing controls that later developed breast cancer (n = 9) to those that did not develop breast cancer (107)
  7. fP value for age-adjusted association between BPE and breast cancer was 0.15 for premenopausal women and < 0.001 for postmenopausal women. However, direction of association is not given and data provided do not permit calculation of ORs