Correlation Between Breast Arterial Calcifications and Higher Cardiovascular Risk: Awareness and Attitudes Amongst Canadian Radiologists Who Report Mammography

Author:

Heaney Roisin M.1,Zaki-Metias Kaitlin M.2ORCID,McKee Hayley3ORCID,Wang Huijuan2,Ogunde Barakat2,Yong-Hing Charlotte J.45ORCID,Freitas Vivianne6,Ghai Sandeep6,Seely Jean M.7ORCID,Nguyen Elsie T.1ORCID

Affiliation:

1. Joint Department of Medical Imaging, Toronto General Hospital, Toronto, ON, Canada

2. Department of Radiology, Trinity Health Oakland Hospital/Wayne State University School of Medicine, Pontiac, MI, USA

3. Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada

4. Diagnostic Imaging, BC Cancer, Vancouver, BC, Canada

5. Department of Radiology, Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada

6. Joint Department of Medical Imaging, Princess Margaret Hospital, Toronto, ON, Canada

7. Department of Medical Imaging, The Ottawa Hospital, University of Ottawa, Ottawa, ON, Canada

Abstract

Background: Breast arterial calcification (BAC) on mammography correlates with increased cardiovascular risk. Reporting BAC is not standard practice. Our study evaluates the awareness of Canadian radiologists who report mammography of the clinical significance of BAC and their attitudes towards reporting BAC compared to their European and American counterparts. Methods: Following local institutional ethics approval, a 25 question survey (SurveyMonkey) was disseminated to Canadian radiologists via provincial and national society email lists. Responses were collected over 5 weeks (April–June 2022). Results: One hundred and eighty-six complete responses were collected. Sixty percent (112/186) were aware of the association between BAC and cardiovascular risk and 16% (29/186) document its presence in mammogram reports. Thirty five percent (65/186) occasionally document BAC if severe or in a young patient. Four percent (7/186) had local departmental guidelines on BAC reporting and 82% (153/186) agreed there is a need for national BAC reporting guidelines. Fewer Canadian radiologists were aware of the association between BAC and cardiovascular risk compared to European radiologists (60% vs 81%), report the presence of BAC compared to both European (15% vs 62%) and American (15% vs 35%) radiologists, and inform the patient of the presence of BAC compared to European radiologists (1% vs 46%). Conclusion: Canadian radiologists who report mammography were less aware of the association between BAC and cardiovascular risk than their European and American counterparts and were less likely to document the presence of BAC. Given the correlation of BAC with increased cardiovascular event risk, there is increased need for awareness as well as national BAC reporting guidelines.

Publisher

SAGE Publications

Subject

Radiology, Nuclear Medicine and imaging,General Medicine

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