Table 3. Sensitivity of Each Modality According to Breast Densities and Study Groups.
Group and modality | Cancers, No. (%) [95% CI] | P value | |
---|---|---|---|
Dense breastsa | Nondense breastsa | ||
Intervention group (n = 9705) | |||
Screen-detected cancers (n = 68) | |||
Mammography positive, ultrasonography positive or negative, CBE positive or negative | 24 (54.6) [39.8-69.3] | 20 (69.0) [52.1-85.8] | .20 |
Mammography positive or negative, ultrasonography positive, CBE positive or negative | 29 (65.9) [51.9-79.9] | 15 (51.7) [33.5-69.9] | .22 |
Mammography positive, ultrasonography positive, CBE positive or negative | 12 (27.3) [14.1-40.3] | 8 (27.6) [11.3-43.9] | .98 |
Mammography positive or negative, US positive or negative, CBE positive | 10 (22.7) [10.3-35.1] | 10 (34.5) [17.2-51.8] | .28 |
Only mammography positive | 12 (27.3) [14.1-40.3] | 12 (41.4) [23.5-59.3] | .21 |
Only ultrasonography positive | 17 (38.6) [24.3-53.0] | 7 (24.1) [8.6-39.7] | .18 |
Only CBE positive | 0 (NA) | 0 (NA) | NA |
Any positive | 41 (93.2) [85.7-100.0] | 27 (93.1) [83.9-102.3] | .98 |
Interval cancers (n = 5), all modalities negative | 3 (NA) | 2 (NA) | NA |
Control group (n = 9508) | |||
Screen-detected cancers (n = 38) | |||
Mammography positive, CBE positive or negative | 22 (64.7) [48.6-80.8] | 14 (60.9) [40.9-80.8] | .77 |
Mammography positive or negative, CBE positive | 9 (26.5) [11.6-41.3] | 6 (26.1) [8.1-44.0] | .97 |
Only mammography positive | 15 (44.1) [27.3-60.8] | 8 (34.8) [15.3-54.3] | .48 |
Only CBE positive | 2 (NA) | 0 (NA) | NA |
Either mammography or CBE positive | 24 (70.6) [55.3-85.9] | 14 (60.9) [40.9-80.8] | .45 |
Interval cancers (n = 19), all modalities negative | 10 (NA) | 9 (NA) | NA |
Abbreviations: CBE, clinical breast examination; NA, not applicable.
The 2 least dense categories (almost entirely fatty and scattered fibroglandular tissues) are referred to as nondense, and the 2 most dense categories (heterogeneously dense and extremely dense) are referred to as dense.