Breast Arterial Calcification on a Screening Mammogram: A Potential Cardiovascular Risk Stratification Tool in Women

Breast arterial calcification (BAC) is a common benign finding on a screening mammogram. Additionally, BAC is a type of medial calcification known as Mönckeberg medial calcific sclerosis, which differs from the intimal calcification seen in patients with coronary artery disease (CAD). Recently, BAC...

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Main Authors: Ahmed Fathala, Deema Abunayyan, Leena Zeitouni
Format: Article
Language:English
Published: IMR Press 2024-12-01
Series:Reviews in Cardiovascular Medicine
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Online Access:https://www.imrpress.com/journal/RCM/26/1/10.31083/RCM25958
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author Ahmed Fathala
Deema Abunayyan
Leena Zeitouni
author_facet Ahmed Fathala
Deema Abunayyan
Leena Zeitouni
author_sort Ahmed Fathala
collection DOAJ
description Breast arterial calcification (BAC) is a common benign finding on a screening mammogram. Additionally, BAC is a type of medial calcification known as Mönckeberg medial calcific sclerosis, which differs from the intimal calcification seen in patients with coronary artery disease (CAD). Recently, BAC has appeared as a new cardiovascular risk stratification method. Studies have indicated a potential link between BAC and cardiovascular risk factors, particularly coronary artery calcification (CAC), as observed in coronary computed tomography. However, the association between BAC and myocardial ischemia and angiographic-proven CAD remains controversial. The usefulness of BAC during mammography as a potential screening tool for CAD has been the subject of uncertainty and debate for many years. This article reviews the current literature on BAC and its association with CAC, myocardial ischemia, and angiographic-proven CAD on both invasive and coronary computed tomography. Cardiovascular outcomes, current limitations, and future investigation and recommendations are also explored and discussed.
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institution Kabale University
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publishDate 2024-12-01
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series Reviews in Cardiovascular Medicine
spelling doaj-art-6fa13d751f214c14b0b30d9f1b66ed9a2025-01-25T10:41:20ZengIMR PressReviews in Cardiovascular Medicine1530-65502024-12-012612595810.31083/RCM25958S1530-6550(24)01625-9Breast Arterial Calcification on a Screening Mammogram: A Potential Cardiovascular Risk Stratification Tool in WomenAhmed Fathala0Deema Abunayyan1Leena Zeitouni2Department of Radiology, Nuclear Medicine and Cardiovascular Imaging, King Faisal Specialist Hospital & Research Center, 11211 Riyadh, Saudi ArabiaDepartment of Radiology, Medical Cities Program at the Ministry of Interior, Al Sahafa, 13321 Riyadh, Saudi ArabiaDepartment of Radiology, Women Imaging, King Faisal Specialist Hospital & Research Center, 11211 Riyadh, Saudi ArabiaBreast arterial calcification (BAC) is a common benign finding on a screening mammogram. Additionally, BAC is a type of medial calcification known as Mönckeberg medial calcific sclerosis, which differs from the intimal calcification seen in patients with coronary artery disease (CAD). Recently, BAC has appeared as a new cardiovascular risk stratification method. Studies have indicated a potential link between BAC and cardiovascular risk factors, particularly coronary artery calcification (CAC), as observed in coronary computed tomography. However, the association between BAC and myocardial ischemia and angiographic-proven CAD remains controversial. The usefulness of BAC during mammography as a potential screening tool for CAD has been the subject of uncertainty and debate for many years. This article reviews the current literature on BAC and its association with CAC, myocardial ischemia, and angiographic-proven CAD on both invasive and coronary computed tomography. Cardiovascular outcomes, current limitations, and future investigation and recommendations are also explored and discussed.https://www.imrpress.com/journal/RCM/26/1/10.31083/RCM25958breast arterial calcificationcoronary artery calcificationcoronary artery diseasemyocardial ischemiascreening mammographyatherosclerosisbreast cancer screening
spellingShingle Ahmed Fathala
Deema Abunayyan
Leena Zeitouni
Breast Arterial Calcification on a Screening Mammogram: A Potential Cardiovascular Risk Stratification Tool in Women
Reviews in Cardiovascular Medicine
breast arterial calcification
coronary artery calcification
coronary artery disease
myocardial ischemia
screening mammography
atherosclerosis
breast cancer screening
title Breast Arterial Calcification on a Screening Mammogram: A Potential Cardiovascular Risk Stratification Tool in Women
title_full Breast Arterial Calcification on a Screening Mammogram: A Potential Cardiovascular Risk Stratification Tool in Women
title_fullStr Breast Arterial Calcification on a Screening Mammogram: A Potential Cardiovascular Risk Stratification Tool in Women
title_full_unstemmed Breast Arterial Calcification on a Screening Mammogram: A Potential Cardiovascular Risk Stratification Tool in Women
title_short Breast Arterial Calcification on a Screening Mammogram: A Potential Cardiovascular Risk Stratification Tool in Women
title_sort breast arterial calcification on a screening mammogram a potential cardiovascular risk stratification tool in women
topic breast arterial calcification
coronary artery calcification
coronary artery disease
myocardial ischemia
screening mammography
atherosclerosis
breast cancer screening
url https://www.imrpress.com/journal/RCM/26/1/10.31083/RCM25958
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AT deemaabunayyan breastarterialcalcificationonascreeningmammogramapotentialcardiovascularriskstratificationtoolinwomen
AT leenazeitouni breastarterialcalcificationonascreeningmammogramapotentialcardiovascularriskstratificationtoolinwomen