AI-driven quantification of breast arterial calcification (BAC) on mammograms predicts risk of major cardiovascular events in women, independent of traditional risk scores.
Key Details
- 1Study used a transformer-based segmentation model to quantify BAC on mammograms from 123,762 women across Emory Healthcare and Mayo Clinic Enterprise.
- 2BAC severity (mild, moderate, severe) was associated with incrementally higher hazard ratios for major adverse cardiovascular events (up to HR 3.29 for severe BAC in the Emory cohort).
- 3Incidence of major cardiovascular events increased more than 8-fold from zero to severe BAC category in the Emory cohort.
- 4Dose-response noted: each 1 mm² increase in BAC conferred an additional 2–3% risk for major events (p < 0.001).
- 5AI-derived BAC scores add prognostic value beyond the PREVENT cardiovascular risk calculator, offering a non-invasive risk assessment using existing mammogram data.
Why It Matters

Source
AuntMinnie
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