Parenchymal field effect analysis for breast cancer risk assessment: Evaluation of FFDM radiomic similarity

Natalie M. Baughan, Hui Li, Li Lan, Chun Wai Chan, Matthew Embury, Gary Whitman, Randa El-Zein, Isabelle Bedrosian, Maryellen L. Giger

Research output: Chapter in Book/Report/Conference proceedingConference contribution

2 Scopus citations


Histologically normal areas of the breast parenchyma have been shown to share molecular similarity with breast tumors, suggesting the presence of a field effect in breast cancer. To further understand a potential cancer field effect, we compared mammographic parenchymal texture features across four regions of the breast. The study included 103 FFDMs with at least one identified malignant tumor. All FFDM images (12-bit quantization and 70 micron pixels) were acquired with a Hologic Lorad Selenia system and retrospectively collected under an IRB-approved protocol. Regions of interest (ROI) of 128x128 and 256x256 pixels were selected from four regions across the craniocaudal projection: within the identified tumor, adjacent to the tumor, distant from the tumor, and behind the nipple in the contralateral breast. Radiographic texture analysis was used to extract 45 features in each region. Kolmogorov-Smirnov (KS) and Pearson correlation tests assessed similarity between features in each region. KS test results, with a 95% confidence interval on the KS test statistic bootstrapped with 2000 iterations indicated that 81.8% (128x128) and 88.4% (256x256) of feature distributions across all ROI regions showed equivalence with a threshold equal to the critical value at the p = 0.05 level. Pearson correlation results demonstrated a majority of structure-based feature comparisons which reached statistical significance, and less intensity-based feature comparisons which reached statistical significance. These results support our hypothesis of a potential cancer field effect across tumor and non-tumor regions and support the development of computerized analysis of mammographic parenchymal patterns to assess breast cancer risk.

Original languageEnglish (US)
Title of host publicationMedical Imaging 2021
Subtitle of host publicationComputer-Aided Diagnosis
EditorsMaciej A. Mazurowski, Karen Drukker
ISBN (Electronic)9781510640238
StatePublished - 2021
EventMedical Imaging 2021: Computer-Aided Diagnosis - Virtual, Online, United States
Duration: Feb 15 2021Feb 19 2021

Publication series

NameProgress in Biomedical Optics and Imaging - Proceedings of SPIE
ISSN (Print)1605-7422


ConferenceMedical Imaging 2021: Computer-Aided Diagnosis
Country/TerritoryUnited States
CityVirtual, Online


  • Breast cancer risk assessment
  • Breast parenchymal patterns
  • Image analysis
  • Radiomics

ASJC Scopus subject areas

  • Electronic, Optical and Magnetic Materials
  • Biomaterials
  • Atomic and Molecular Physics, and Optics
  • Radiology Nuclear Medicine and imaging


Dive into the research topics of 'Parenchymal field effect analysis for breast cancer risk assessment: Evaluation of FFDM radiomic similarity'. Together they form a unique fingerprint.

Cite this