{"id":"https://openalex.org/W7169610237","doi":"https://doi.org/10.1245/s10434-026-20137-x","title":"Preoperative Overestimation of Disease Extent and Discordance-Driven Mastectomy: A Retrospective Review of 245 Cases","display_name":"Preoperative Overestimation of Disease Extent and Discordance-Driven Mastectomy: A Retrospective Review of 245 Cases","publication_year":2026,"publication_date":"2026-07-17","ids":{"openalex":"https://openalex.org/W7169610237","doi":"https://doi.org/10.1245/s10434-026-20137-x","pmid":"https://pubmed.ncbi.nlm.nih.gov/42467150"},"language":"en","primary_location":{"id":"doi:10.1245/s10434-026-20137-x","doi":"https://doi.org/10.1245/s10434-026-20137-x","is_oa":true,"landing_page_url":"https://doi.org/10.1245/s10434-026-20137-x","pdf_url":"https://link.springer.com/content/pdf/10.1245/s10434-026-20137-x.pdf","source":{"id":"https://openalex.org/S177486402","display_name":"Annals of Surgical Oncology","issn_l":"1068-9265","issn":["1068-9265","1534-4681"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","jufo-2","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310319900","host_organization_name":"Springer Science+Business Media","host_organization_lineage":["https://openalex.org/P4310319900","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Springer Science+Business Media","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Annals of Surgical Oncology","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://link.springer.com/content/pdf/10.1245/s10434-026-20137-x.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5028449793","display_name":"Hadas Kadar Sfarad","orcid":"https://orcid.org/0009-0002-9993-4657","observed_orcids":["https://orcid.org/0009-0002-9993-4657"]},"institutions":[{"id":"https://openalex.org/I145608581","display_name":"University of Miami","ror":"https://ror.org/02dgjyy92","country_code":"US","type":"education","lineage":["https://openalex.org/I145608581"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Hadas Kadar Sfarad","raw_affiliation_strings":["Division of Surgical Oncology, Dewitt Daughtry Department of Surgery, University of Miami Miller School of Medicine, Miami, FL, USA. hadaskadar@gmail.com"],"raw_orcid":"https://orcid.org/0009-0002-9993-4657","affiliations":[{"raw_affiliation_string":"Division of Surgical Oncology, Dewitt Daughtry Department of Surgery, University of Miami Miller School of Medicine, Miami, FL, USA. hadaskadar@gmail.com","institution_ids":["https://openalex.org/I145608581"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5026639468","display_name":"Cheng\u2010Bang Chen","orcid":"https://orcid.org/0000-0003-0025-6447","observed_orcids":["https://orcid.org/0000-0003-0025-6447"]},"institutions":[{"id":"https://openalex.org/I145608581","display_name":"University of Miami","ror":"https://ror.org/02dgjyy92","country_code":"US","type":"education","lineage":["https://openalex.org/I145608581"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Cheng-Bang Chen","raw_affiliation_strings":["Department of Industrial and Systems Engineering, University of Miami, Coral Gables, FL, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Industrial and Systems Engineering, University of Miami, Coral Gables, FL, USA","institution_ids":["https://openalex.org/I145608581"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5141066596","display_name":"Yujie Wang","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I145608581","display_name":"University of Miami","ror":"https://ror.org/02dgjyy92","country_code":"US","type":"education","lineage":["https://openalex.org/I145608581"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Yujie Wang","raw_affiliation_strings":["Department of Industrial and Systems Engineering, University of Miami, Coral Gables, FL, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Industrial and Systems Engineering, University of Miami, Coral Gables, FL, USA","institution_ids":["https://openalex.org/I145608581"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5022786593","display_name":"Mehmet Akcin","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I145608581","display_name":"University of Miami","ror":"https://ror.org/02dgjyy92","country_code":"US","type":"education","lineage":["https://openalex.org/I145608581"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Mehmet Akcin","raw_affiliation_strings":["Department of Industrial and Systems Engineering, University of Miami, Coral Gables, FL, USA","Dewitt Daughtry Department of Surgery, University of Miami, Miami, FL, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Industrial and Systems Engineering, University of Miami, Coral Gables, FL, USA","institution_ids":["https://openalex.org/I145608581"]},{"raw_affiliation_string":"Dewitt Daughtry Department of Surgery, University of Miami, Miami, FL, USA","institution_ids":["https://openalex.org/I145608581"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5133271351","display_name":"H Santa Cruz","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I145608581","display_name":"University of Miami","ror":"https://ror.org/02dgjyy92","country_code":"US","type":"education","lineage":["https://openalex.org/I145608581"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Heidi Santa Cruz","raw_affiliation_strings":["Miller School of Medicine, University of Miami, Miami, FL, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Miller School of Medicine, University of Miami, Miami, FL, USA","institution_ids":["https://openalex.org/I145608581"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5115076451","display_name":"Karishma Chapalamadugu","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I145608581","display_name":"University of Miami","ror":"https://ror.org/02dgjyy92","country_code":"US","type":"education","lineage":["https://openalex.org/I145608581"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Karishma Chapalamadugu","raw_affiliation_strings":["Miller School of Medicine, University of Miami, Miami, FL, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Miller School of Medicine, University of Miami, Miami, FL, USA","institution_ids":["https://openalex.org/I145608581"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5141052351","display_name":"Emily McFarlane","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I145608581","display_name":"University of Miami","ror":"https://ror.org/02dgjyy92","country_code":"US","type":"education","lineage":["https://openalex.org/I145608581"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Emily McFarlane","raw_affiliation_strings":["Miller School of Medicine, University of Miami, Miami, FL, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Miller School of Medicine, University of Miami, Miami, FL, USA","institution_ids":["https://openalex.org/I145608581"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5043548809","display_name":"Eli Avisar","orcid":"https://orcid.org/0000-0003-0771-464X","observed_orcids":["https://orcid.org/0000-0003-0771-464X"]},"institutions":[{"id":"https://openalex.org/I145608581","display_name":"University of Miami","ror":"https://ror.org/02dgjyy92","country_code":"US","type":"education","lineage":["https://openalex.org/I145608581"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Eli Avisar","raw_affiliation_strings":["Division of Surgical Oncology, Dewitt Daughtry Department of Surgery, University of Miami Miller School of Medicine, Miami, FL, USA. EAvisar@med.miami.edu"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Surgical Oncology, Dewitt Daughtry Department of Surgery, University of Miami Miller School of Medicine, Miami, FL, USA. EAvisar@med.miami.edu","institution_ids":["https://openalex.org/I145608581"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5028449793","https://openalex.org/A5043548809"],"corresponding_institution_ids":["https://openalex.org/I145608581"],"apc_list":{"value":4590,"currency":"USD","value_usd":4590},"apc_paid":{"value":4590,"currency":"USD","value_usd":4590},"fwci":4.401,"has_fulltext":true,"cited_by_count":1,"citation_normalized_percentile":{"value":0.95096097,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":93,"max":96},"biblio":{"volume":"33","issue":"11","first_page":"9761","last_page":"9768"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11134","display_name":"Breast Lesions and Carcinomas","score":0.6772000193595886,"subfield":{"id":"https://openalex.org/subfields/2734","display_name":"Pathology and Forensic Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11134","display_name":"Breast Lesions and Carcinomas","score":0.6772000193595886,"subfield":{"id":"https://openalex.org/subfields/2734","display_name":"Pathology and Forensic Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11885","display_name":"MRI in cancer diagnosis","score":0.2754000127315521,"subfield":{"id":"https://openalex.org/subfields/2741","display_name":"Radiology, Nuclear Medicine and Imaging"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10183","display_name":"Breast Cancer Treatment Studies","score":0.025299999862909317,"subfield":{"id":"https://openalex.org/subfields/1306","display_name":"Cancer Research"},"field":{"id":"https://openalex.org/fields/13","display_name":"Biochemistry, Genetics and Molecular Biology"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/breast-cancer","display_name":"breast cancer","score":0.9959999918937683},{"id":"https://openalex.org/keywords/mastectomy","display_name":"mastectomy","score":0.8140000104904175},{"id":"https://openalex.org/keywords/preoperative-imaging","display_name":"preoperative imaging","score":0.7979999780654907},{"id":"https://openalex.org/keywords/preoperative-mammography","display_name":"preoperative mammography","score":0.6019999980926514},{"id":"https://openalex.org/keywords/breast-mri","display_name":"breast MRI","score":0.8989999890327454},{"id":"https://openalex.org/keywords/surgical-planning","display_name":"surgical planning","score":0.5950000286102295},{"id":"https://openalex.org/keywords/neoadjuvant-chemotherapy","display_name":"neoadjuvant chemotherapy","score":0.8119999766349792},{"id":"https://openalex.org/keywords/patient-decision-making","display_name":"patient decision-making","score":0.4779999852180481},{"id":"https://openalex.org/keywords/surgeon-decision-making","display_name":"surgeon decision-making","score":0.48399999737739563},{"id":"https://openalex.org/keywords/multifocality","display_name":"multifocality","score":0.5730000138282776},{"id":"https://openalex.org/keywords/multicentricity","display_name":"multicentricity","score":0.8740000128746033},{"id":"https://openalex.org/keywords/tumor-size","display_name":"tumor size","score":0.7020000219345093},{"id":"https://openalex.org/keywords/concordance-analysis","display_name":"concordance analysis","score":0.6639999747276306},{"id":"https://openalex.org/keywords/decision-drivers","display_name":"decision drivers","score":0.3100000023841858}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9492999911308289},{"id":"https://openalex.org/C160798450","wikidata":"https://www.wikidata.org/wiki/Q4230870","display_name":"Concordance","level":2,"score":0.838100016117096},{"id":"https://openalex.org/C2777757722","wikidata":"https://www.wikidata.org/wiki/Q848318","display_name":"Mastectomy","level":4,"score":0.7087000012397766},{"id":"https://openalex.org/C2780140570","wikidata":"https://www.wikidata.org/wiki/Q3545481","display_name":"Surgical oncology","level":2,"score":0.6427000164985657},{"id":"https://openalex.org/C143409427","wikidata":"https://www.wikidata.org/wiki/Q161238","display_name":"Magnetic resonance imaging","level":2,"score":0.6029999852180481},{"id":"https://openalex.org/C2780472235","wikidata":"https://www.wikidata.org/wiki/Q324634","display_name":"Mammography","level":4,"score":0.5867999792098999},{"id":"https://openalex.org/C530470458","wikidata":"https://www.wikidata.org/wiki/Q128581","display_name":"Breast cancer","level":3,"score":0.5824999809265137},{"id":"https://openalex.org/C167135981","wikidata":"https://www.wikidata.org/wiki/Q2146302","display_name":"Retrospective cohort study","level":2,"score":0.5527999997138977},{"id":"https://openalex.org/C126838900","wikidata":"https://www.wikidata.org/wiki/Q77604","display_name":"Radiology","level":1,"score":0.5192000269889832},{"id":"https://openalex.org/C72563966","wikidata":"https://www.wikidata.org/wiki/Q1303415","display_name":"Cohort","level":2,"score":0.5019000172615051},{"id":"https://openalex.org/C2779134260","wikidata":"https://www.wikidata.org/wiki/Q12136","display_name":"Disease","level":2,"score":0.4912000000476837},{"id":"https://openalex.org/C2777432617","wikidata":"https://www.wikidata.org/wiki/Q22905905","display_name":"Breast imaging","level":5,"score":0.42399999499320984},{"id":"https://openalex.org/C2777111374","wikidata":"https://www.wikidata.org/wiki/Q4959770","display_name":"Breast MRI","level":5,"score":0.41100001335144043},{"id":"https://openalex.org/C195910791","wikidata":"https://www.wikidata.org/wiki/Q1324077","display_name":"Medical record","level":2,"score":0.4074000120162964},{"id":"https://openalex.org/C121608353","wikidata":"https://www.wikidata.org/wiki/Q12078","display_name":"Cancer","level":2,"score":0.3398999869823456},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.33709999918937683},{"id":"https://openalex.org/C201903717","wikidata":"https://www.wikidata.org/wiki/Q1778788","display_name":"Cohort study","level":2,"score":0.3199999928474426},{"id":"https://openalex.org/C2777704003","wikidata":"https://www.wikidata.org/wiki/Q4959802","display_name":"Breast surgery","level":4,"score":0.3147999942302704},{"id":"https://openalex.org/C31601959","wikidata":"https://www.wikidata.org/wiki/Q931309","display_name":"Medical imaging","level":2,"score":0.3131999969482422},{"id":"https://openalex.org/C2779370443","wikidata":"https://www.wikidata.org/wiki/Q1776627","display_name":"Surgical planning","level":2,"score":0.2962999939918518},{"id":"https://openalex.org/C2910588946","wikidata":"https://www.wikidata.org/wiki/Q7280491","display_name":"Total Mastectomy","level":5,"score":0.296099990606308},{"id":"https://openalex.org/C2778292576","wikidata":"https://www.wikidata.org/wiki/Q6991934","display_name":"Neoadjuvant therapy","level":4,"score":0.28940001130104065},{"id":"https://openalex.org/C61434518","wikidata":"https://www.wikidata.org/wiki/Q932510","display_name":"General surgery","level":1,"score":0.2800999879837036},{"id":"https://openalex.org/C2779572924","wikidata":"https://www.wikidata.org/wiki/Q542022","display_name":"Lumpectomy","level":5,"score":0.2606000006198883},{"id":"https://openalex.org/C194495517","wikidata":"https://www.wikidata.org/wiki/Q7646222","display_name":"Surgical pathology","level":2,"score":0.2572999894618988}],"mesh":[{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D001943","descriptor_name":"Breast Neoplasms","qualifier_ui":"Q000000981","qualifier_name":"diagnostic imaging","is_major_topic":true},{"descriptor_ui":"D001943","descriptor_name":"Breast Neoplasms","qualifier_ui":"Q000000981","qualifier_name":"diagnostic imaging","is_major_topic":true},{"descriptor_ui":"D001943","descriptor_name":"Breast Neoplasms","qualifier_ui":"Q000000981","qualifier_name":"diagnostic imaging","is_major_topic":true},{"descriptor_ui":"D001943","descriptor_name":"Breast Neoplasms","qualifier_ui":"Q000473","qualifier_name":"pathology","is_major_topic":true},{"descriptor_ui":"D001943","descriptor_name":"Breast Neoplasms","qualifier_ui":"Q000473","qualifier_name":"pathology","is_major_topic":true},{"descriptor_ui":"D001943","descriptor_name":"Breast Neoplasms","qualifier_ui":"Q000473","qualifier_name":"pathology","is_major_topic":true},{"descriptor_ui":"D001943","descriptor_name":"Breast Neoplasms","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true},{"descriptor_ui":"D001943","descriptor_name":"Breast Neoplasms","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true},{"descriptor_ui":"D001943","descriptor_name":"Breast Neoplasms","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005500","descriptor_name":"Follow-Up Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005500","descriptor_name":"Follow-Up Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005500","descriptor_name":"Follow-Up Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008279","descriptor_name":"Magnetic Resonance Imaging","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D008279","descriptor_name":"Magnetic Resonance Imaging","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D008279","descriptor_name":"Magnetic Resonance Imaging","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D008327","descriptor_name":"Mammography","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D008327","descriptor_name":"Mammography","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D008327","descriptor_name":"Mammography","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D008408","descriptor_name":"Mastectomy","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D008408","descriptor_name":"Mastectomy","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D008408","descriptor_name":"Mastectomy","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011300","descriptor_name":"Preoperative Care","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011300","descriptor_name":"Preoperative Care","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011300","descriptor_name":"Preoperative Care","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011379","descriptor_name":"Prognosis","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011379","descriptor_name":"Prognosis","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011379","descriptor_name":"Prognosis","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012189","descriptor_name":"Retrospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012189","descriptor_name":"Retrospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012189","descriptor_name":"Retrospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":3,"locations":[{"id":"doi:10.1245/s10434-026-20137-x","doi":"https://doi.org/10.1245/s10434-026-20137-x","is_oa":true,"landing_page_url":"https://doi.org/10.1245/s10434-026-20137-x","pdf_url":"https://link.springer.com/content/pdf/10.1245/s10434-026-20137-x.pdf","source":{"id":"https://openalex.org/S177486402","display_name":"Annals of Surgical Oncology","issn_l":"1068-9265","issn":["1068-9265","1534-4681"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","jufo-2","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310319900","host_organization_name":"Springer Science+Business Media","host_organization_lineage":["https://openalex.org/P4310319900","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Springer Science+Business Media","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Annals of Surgical Oncology","raw_type":"journal-article"},{"id":"pmid:42467150","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42467150","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Annals of surgical oncology","raw_type":"Journal Article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13630832","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13630832/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13630832/pdf/10434_2026_Article_20137.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Ann Surg Oncol","raw_type":"Text"}],"best_oa_location":{"id":"doi:10.1245/s10434-026-20137-x","doi":"https://doi.org/10.1245/s10434-026-20137-x","is_oa":true,"landing_page_url":"https://doi.org/10.1245/s10434-026-20137-x","pdf_url":"https://link.springer.com/content/pdf/10.1245/s10434-026-20137-x.pdf","source":{"id":"https://openalex.org/S177486402","display_name":"Annals of Surgical Oncology","issn_l":"1068-9265","issn":["1068-9265","1534-4681"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","jufo-2","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310319900","host_organization_name":"Springer Science+Business Media","host_organization_lineage":["https://openalex.org/P4310319900","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Springer Science+Business Media","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Annals of Surgical Oncology","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.9537000060081482,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"sustainable_development_goals_aurora":[{"score":0.46496808528900146,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"},{"score":0.42885974049568176,"display_name":"Peace, justice, and strong institutions","id":"https://metadata.un.org/sdg/16"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7169610237.pdf","grobid_xml":"https://content.openalex.org/works/W7169610237.grobid-xml"},"referenced_works_count":21,"referenced_works":["https://openalex.org/W1557676941","https://openalex.org/W1830814323","https://openalex.org/W1978791903","https://openalex.org/W2001593478","https://openalex.org/W2005090777","https://openalex.org/W2013416277","https://openalex.org/W2023536320","https://openalex.org/W2036374319","https://openalex.org/W2112669742","https://openalex.org/W2117381783","https://openalex.org/W2146172372","https://openalex.org/W2146232565","https://openalex.org/W2158308922","https://openalex.org/W2168140453","https://openalex.org/W2170563262","https://openalex.org/W2321856242","https://openalex.org/W3115528879","https://openalex.org/W3151760520","https://openalex.org/W4229064977","https://openalex.org/W4290973616","https://openalex.org/W4403499762"],"related_works":[],"abstract_inverted_index":{"BACKGROUND:":[0],"Preoperative":[1,71],"mammography":[2,229],"and":[3,27,68,99,112,145,174,195,221,245],"magnetic":[4],"resonance":[5],"imaging":[6,72,110,113,148,220],"(MRI)":[7],"guide":[8],"surgical":[9],"planning":[10],"in":[11,141],"breast":[12],"cancer":[13],"but":[14],"may":[15],"misestimate":[16],"disease":[17,37],"extent.":[18],"We":[19,50],"quantified":[20],"imaging-pathology":[21,241],"discordance":[22,139,242],"among":[23],"patients":[24,238],"undergoing":[25,239],"mastectomy":[26,31,55,193],"estimated":[28],"the":[29,102,121,132,252],"discordance-driven":[30],"rate":[32],"(DDMR),":[33],"defined":[34],"as":[35,42,78,101],"imaging-extensive":[36],"with":[38,177],"localized":[39,79],"final":[40],"pathology,":[41],"a":[43,59,235],"measure":[44],"of":[45,237,254,257],"discordance.":[46],"PATIENTS":[47],"AND":[48],"METHODS:":[49],"retrospectively":[51],"reviewed":[52],"245":[53],"consecutive":[54],"cases":[56,144],"(2018-2019)":[57],"at":[58,167],"tertiary":[60],"academic":[61],"center;":[62],"236":[63],"had":[64,171],"usable":[65],"postoperative":[66],"pathology":[67,93,222],"were":[69,107,129,175,190,205],"analyzed.":[70],"(mammography":[73],"and/or":[74,86],"MRI)":[75],"was":[76,94,118,125,146,158,223,243],"classified":[77,96],"versus":[80,210],"extensive":[81],"using":[82,97],"predefined":[83],"extent-indicating":[84,172],"features":[85,173],"maximum":[87],"size":[88,98],">":[89],"5":[90],"cm.":[91],"Final":[92],"similarly":[95],"multifocality/multicentricity":[100],"reference":[103],"standard.":[104],"Concordance":[105],"categories":[106],"concordant-localized,":[108],"concordant-extensive,":[109],"overestimation,":[111],"underestimation.":[114],"The":[115],"primary":[116],"outcome":[117,124],"any":[119],"discordance;":[120],"key":[122],"clinical":[123,261],"DDMR.":[126],"Decision":[127],"drivers":[128],"abstracted":[130],"from":[131],"medical":[133],"record":[134],"when":[135,166],"available.":[136],"RESULTS:":[137],"Overall":[138],"occurred":[140,164],"119/236":[142],"(50.4%)":[143],"predominantly":[147,246],"due":[149],"to":[150],"overestimation":[151],"(113/236,":[152],"47.9%;":[153],"95%":[154],"CI":[155],"41.4-54.5);":[156],"underestimation":[157],"uncommon":[159],"(6/236,":[160],"2.5%).":[161],"DDMR":[162,188,201],"events":[163],"only":[165],"least":[168],"one":[169],"modality":[170],"common":[176,244],"mammography-only":[178],"(44/53,":[179],"83.0%),":[180],"MRI-only":[181],"(30/43,":[182],"69.8%),":[183],"or":[184],"both":[185],"(39/62,":[186],"62.9%).":[187],"rates":[189],"similar":[191],"across":[192],"subtypes":[194],"by":[196],"neoadjuvant":[197],"chemotherapy":[198],"receipt.":[199],"Among":[200,234],"cases,":[202],"surgeon-only":[203],"requests":[204,212],"most":[206],"frequent":[207],"(71/113,":[208],"62.8%)":[209],"patient-only":[211],"(31/113,":[213],"27.4%;":[214],"p":[215],"<":[216],"0.001).":[217],"Agreement":[218],"between":[219],"low":[224],"(MRI":[225],"\u03ba":[226,230],"=":[227,231],"0.241;":[228],"0.123).":[232],"CONCLUSIONS:":[233],"cohort":[236],"mastectomy,":[240],"reflected":[247],"overestimation.":[248],"These":[249],"findings":[250],"highlight":[251],"importance":[253],"cautious":[255],"interpretation":[256],"imaging-defined":[258],"extent":[259],"within":[260],"decision-making.":[262]},"counts_by_year":[{"year":2026,"cited_by_count":1}],"updated_date":"2026-10-12T09:40:04.860316","created_date":"2026-07-18T00:00:00"}