Breast Imaging Research

Denver Health Breast Imaging is focused on delivering efficient, productive and cutting-edge clinical care; a robust and growing educational program for students, residents and fellows; and a research portfolio focused on collaboration with others inside and outside of the Department. All faculty members in Breast Imaging at Denver Health have University appointments at the University of Colorado School of Medicine and are valued participants in University and Department of Radiology functions. Our faculty are a part of RAD-AID and have performed numerous lectures in the area of global health.

Selected Research Articles from Denver Health Breast Imaging Faculty by topic are listed below:

Mammography Utilization

• Randy C. Miles, MD, MPH, Flores EJ, Carlos RC, Boakye-Ansa NK, Brown C, Sohn YJ, Narayan AK. Impact of Health Care-Associated Cost Concerns on Mammography Utilization: Cross-Sectional Survey Results From the National Health Interview Survey. J Am Coll Radiol. 2022 Jul 14:S1546-1440(22)00444-6. doi: 10.1016/j.jacr.2022.06.001.
• Randy C Miles, MD, MPH, Constance D Lehman, MD, PhD, Shinn-Huey S Chou, MD, Young-Jin Sohn, BA, Claude E Guerrier, MD, MS, Gary X Wang, MD, PhD, Anand K Narayan, MD, PhD, Patient Sociodemographic Characteristics Associated With Saturday Breast Imaging Clinic Utilization, Journal of Breast Imaging, Volume 4, Issue 4, July/August 2022, Pages 378–383, https://doi.org/10.1093/jbi/wbac035.
• Balthazar P, Narayan AK, Reid N, Randy C. Miles, MD, MPH, Flores E. Effect of Sociodemographic Factors on Utilization of an Online Patient Portal to Self- Schedule Screening Mammography: A Cross-Sectional Study. J Am Coll Radiol. 2022 Jul;19(7):866-873. doi: 10.1016/j.jacr.2022.03.003. Epub 2022 Apr 14. PMID: 35430244.
• Dontchos BN, Achibiri J, Mercaldo SF, Wang GX, Lamb LR, Randy C. Miles, MD, MPH, Narayan AK, Lehman CD. Disparities in Same-Day Diagnostic Imaging in Breast Cancer Screening: Impact of an Immediate-Read Screening Mammography Program Implemented During the COVID-19 Pandemic. AJR Am J Roentgenol. 2022 Feb;218(2):270-278. doi: 10.2214/AJR.21.26597. Epub 2021 Sep 8. PMID: 34494449.
• Lamb LR, Gilman L, Specht M, D'Alessandro HA, Randy C. Miles, MD, MPH, Lehman CD. Retrospective Review of Preoperative Radiofrequency Tag Localization of Breast Lesions in 848 Patients. AJR Am J Roentgenol. 2021 Sep;217(3):605-612. doi: 10.2214/AJR.20.24374. Epub 2020 Oct 21. PMID: 33084384.
• Dontchos BN, Narayan AK, Seidler M, Mercaldo SF, Randy C. Miles, MD, MPH, Ebert E, Lehman CD. Impact of a Same-Day Breast Biopsy Program on Disparities in Time to Biopsy. J Am Coll Radiol. 2019 Nov;16(11):1554-1560. doi: 10.1016/j.jacr.2019.05.011. Epub 2019 May 29. PMID: 31152690.
• López DB, Flores EJ, Randy C. Miles, MD, MPH, Wang GX, Glover M 4th, Shepard JO, Lehman CD, Narayan AK. Assessing Eligibility for Lung Cancer Screening Among Women Undergoing Screening Mammography: Cross-Sectional Survey Results From the National Health Interview Survey. J Am Coll Radiol. 2019 Oct;16(10):1433-1439.doi: 10.1016/j.jacr.2019.04.006. Epub 2019 May 16. PMID: 31092347.
• Brian N Dontchos, MD, Christine E Edmonds, MD, Sarah F Mercaldo, PhD, Randy C Miles, MD, MPH, Katrina F Chu, MD, Constance D Lehman, MD, PhD, Patient-Assisted Compression in Screening Mammography: Patient Experience and Image Quality, Journal of Breast Imaging, Volume 1, Issue 3, September 2019, Pages 192–198, https://doi.org/10.1093/jbi/wbz024.
• Flores EJ, López D, Randy C. Miles, MD, MPH, Glover M 4th, Lehman CD, Harvey HB, Narayan AK. Impact of Primary Care Physician Interaction on Longitudinal Adherence to Screening Mammography Across Different Racial/Ethnic Groups. J Am Coll Radiol. 2019 Jul;16(7):908-914. doi: 10.1016/j.jacr.2018.12.020. Epub 2019 Feb 6. PMID: 30737162.
• Randy C. Miles, MD, MPH, Narayan AK, Lopez DB, Lehman CD, Harvey HB, Mishra V, Glover M 4th, Flores EJ. Chronic Medical Illness as a Risk Factor for Poor Mammography Screening Adherence. J Women's Health (Larchmt). 2019 Oct;28(10):1378-1383. doi: 10.1089/jwh.2018.7315. Epub 2018 Dec 19. PMID: 30565970.

Healthcare Disparities

• Randy C. Miles, MD, MPH. Addressing Racial and Ethnic Differences in Diagnostic Resolution of Abnormal Mammographic Findings. JAMA Oncol. 2022 Jun 23. doi: 10.1001/jamaoncol.2022.1864. Epub ahead of print. PMID: 35737428.
• Ross AB, Rother MDM, Randy C. Miles, MD, MPH, Flores EJ, Boakye-Ansa NK, Brown C, Narayan AK. Racial and/or Ethnic Disparities in the Use of Imaging: Results from the 2015 National Health Interview Survey. Radiology. 2022 Jan;302(1):140-142. doi: 10.1148/radiol.2021211449. Epub 2021 Nov 2. PMID: 34726530.
• Sohn YJ, Chang CY, Randy C. Miles, MD, MPH, Current Gaps in Breast Cancer Screening Among Asian and Asian American Women in the United States. J Am Coll Radiol. 2021 Oct;18(10):1376-1383. doi: 10.1016/j.jacr.2021.06.002. Epub 2021 Jun 23. PMID: 34174207.
• Randy C. Miles, MD, MPH. Closing the Gap: Disparities in Breast Cancer Mortality among African American Women. Radiol Imaging Cancer. 2020 Sep 25;2(5):e200124. doi: 10.1148/rycan.2020200124. PMID: 33778738; PMCID: PMC7983805.
• Lopez D, Randy C. Miles, MD, MPH, Flores EJ, Lehman CD, Narayan AK. Breast Cancer Screening in Puerto Rico and Other US Territories: Findings from the 2016 Behavioral Risk Factor Surveillance System Survey. J Health Care Poor Underserved.2020;31(1):340-352. doi: 10.1353/hpu.2020.0026. PMID: 32037335.
• Randy C. Miles, MD, MPH, Lehman CD, Mercaldo SF, Tamimi RM, Dontchos BN, Narayan AK. Obesity and breast cancer screening: Cross-sectional survey results from the behavioral risk factor surveillance system. Cancer. 2019 Dec 1;125(23):4158-4163. doi: 10.1002/cncr.32430. Epub 2019 Aug 8. PMID: 31393609.
• Randy C. Miles, MD, MPH, Onega T, Lee CI. Addressing Potential Health Disparities in the Adoption of Advanced Breast Imaging Technologies. Acad Radiol. 2018 May;25(5):547-551. doi: 10.1016/j.acra.2017.05.021. PMID: 29729855; PMCID: PMC6420779.

Health Literacy

• Lamb LR, Baird GL, Roy IT, Choi PHS, Lehman CD, Randy C. Miles, MD, MPH, Are English-language online patient education materials related to breast cancer risk assessment understandable, readable, and actionable? Breast. 2022 Feb;61:29-34.doi: 10.1016/j.breast.2021.11.012. Epub 2021 Nov 25. PMID: 34894464; PMCID: PMC8665407.
• Villa Camacho JC, Peña MA, Flores EJ, Little BP, Parikh Y, Narayan AK, Randy C. Miles, MD, MPH. Addressing Linguistic Barriers to Care: Evaluation of Breast Cancer Online Patient Educational Materials for Spanish-Speaking Patients. J Am Coll Radiol.2021 Jul;18(7):919-926. doi: 10.1016/j.jacr.2021.02.001. Epub 2021 Mar 5. PMID: 33676914.
• Randy C. Miles, MD, MPH, Baird GL. Improving Online Patient Educational Materials on Breast Density. Acad Radiol. 2020 Dec;27(12):1790. doi: 10.1016/j.acra.2020.10.004. PMID: 33222757.
• Rodriguez F, Ngo S, Baird G, Balla S, Randy C. Miles, MD, MPH, Garg M. Readability of Online Patient Educational Materials for Coronary Artery Calcium Scans and Implications for Health Disparities. J Am Heart Assoc. 2020 Sep 15;9(18):e017372. doi: 10.1161/JAHA.120.017372. Epub 2020 Aug 31. PMID: 32865121; PMCID: PMC7726991.
• Grayson L Baird, PhD, Elizabeth H Dibble, MD, Martha B Mainiero, MD, Randy C Miles, MD, MPH, Ana P Lourenco, MD, Dense Breast Notification Letters: What Do Breast Radiologists Think?, Journal of Breast Imaging, Volume 2, Issue 3, May/June 2020, Pages 225–231, https://doi.org/10.1093/jbi/wbaa010.
• Randy C. Miles, MD, MPH, Choi P, Baird GL, Dibble EH, Lamb L, Garg M, Lehman C. Will the Effect of New Federal Breast Density Legislation Be Diminished by Currently Available Online Patient Educational Materials? Acad Radiol. 2020 Oct;27(10):1400-1405. doi: 10.1016/j.acra.2019.11.008. Epub 2019 Dec 12. PMID: 31839567.
• Randy C. Miles, MD, MPH, Baird GL, Choi P, Falomo E, Dibble EH, Garg M. Readability of Online Patient Educational Materials Related to Breast Lesions Requiring Surgery. Radiology. 2019 Apr;291(1):112-118. doi: 10.1148/radiol.2019182082. Epub 2019 Jan 29. PMID: 30694156.
• Randy C. Miles, MD, MPH, Lehman C, Warner E, Tuttle A, Saksena M. Patient-Reported Breast Density Awareness and Knowledge after Breast Density Legislation Passage. Acad Radiol. 2019 Jun;26(6):726-731. doi: 10.1016/j.acra.2018.07.004. Epub 2018 Aug 16. PMID: 30122625.
• Randy C Miles, MD, MPH, Ana P Lourenco, MD, FSBI, Grayson L Baird, PhD, Ishita T Roy, MS, Paul H S Choi, MD, Constance Lehman, MD, PhD, Leslie R Lamb, MD, A Multimetric Evaluation of Online Patient Educational Materials for Breast Implant–associated Anaplastic Large Cell Lymphoma, Journal of Breast Imaging, Volume 3, Issue 5, September/October 2021, Pages 564–571, https://doi.org/10.1093/jbi/wbab053.

Screening Guidelines

• Randy C. Miles, MD, MPH, Nicolae A, Ravi A. Routine Breast Cancer Screening in Average-Risk Women Younger Than 50 Years: Current Paradigms Based on National Guidelines.Oncology (Williston Park). 2021 Jun 18;35(6):320-323. doi: 10.46883/ONC.2021.3506.0320. PMID: 34143590.
• Randy C. Miles, MD, MPH, Lee CI, Sun Q, Bansal A, Lyman GH, Specht JM, Fedorenko CR, Greenwood-Hickman MA, Ramsey SD, Lee JM. Patterns of Surveillance Advanced Imaging and Serum Tumor Biomarker Testing Following Launch of the Choosing Wisely Initiative. J Natl Compr Canc Netw. 2019 Jul 1;17(7):813-820. doi: 10.6004/jnccn.2018.7281. PMID: 31319393; PMCID: PMC9311311.
• Randy C. Miles, MD, MPH, Wan F, Onega TL, Lenderink-Carpenter A, O'Meara ES, Zhu W, Henderson LM, Haas JS, Hill DA, Tosteson ANA, Wernli KJ, Alford-Teaster J, Lee JM, Lehman CD, Lee CI. Underutilization of Supplemental Magnetic Resonance Imaging Screening Among Patients at High Breast Cancer Risk. J Women's Health (Larchmt). 2018 Jun;27(6):748-754. doi: 10.1089/jwh.2017.6623. Epub 2018 Jan 17. PMID: 29341851; PMCID: PMC6007803.

Healthcare Innovation and Implementation

• Randy C. Miles, MD, MPH, Lehman CD. Artificial Intelligence for Image Interpretation: Point-The Radiologist's Potential Friend. AJR Am J Roentgenol. 2021 Sep;217(3):556-557. doi: 10.2214/AJR.21.25564. Epub 2021 Feb 3. PMID: 33533640.
• Randy C. Miles, MD, MPH, Flores EJ, Lopez DB, Sohn YJ, Gillis EA, Lehman CD, Narayan AK. Leveraging Emergency Department Encounters to Improve Cancer Screening Adherence. J Am Coll Radiol. 2021 Jun;18(6):834-840. doi: 10.1016/j.jacr.2020.12.025. Epub 2021 Jan 23. PMID: 33497614.
• Narayan AK, Mercaldo SF, Gupta YP, Warner ET, Lehman CD, Randy C. Miles, MD, MPH. Potential of using mammography screening appointments to identify high-risk women: cross-sectional survey results from the national health interview survey. Breast Cancer Res Treat. 2021 Feb;186(1):229-235. doi: 10.1007/s10549-020-06002-9. Epub 2020 Nov 12. PMID: 33180237.
• Whorms DS, Narayan AK, Pourvaziri A, Randy C. Miles, MD, MPH, Glover M 4th, Herrington J, Saini S, Brink JA, Flores EJ. Analysis of the Effects of a Patient-Centered Rideshare Program on Missed Appointments and Timeliness for MRI Appointments at an Academic Medical Center. J Am Coll Radiol. 2021 Feb;18(2):240-247. doi: 10.1016/j.jacr.2020.05.037. Epub 2020 Aug 10. PMID: 32791235.
• Wang GX, Pizzi BT, Randy C. Miles, MD, MPH, Dontchos BN, LaPointe AP, Lehman CD, Narayan AK. Implementation and Utilization of a "Pink Card" Walk-In Screening Mammography Program Integrated with Physician Visits. J Am Coll Radiol. 2020 Dec;17(12):1602-1608. doi: 10.1016/j.jacr.2020.07.007. Epub 2020 Jul 30. PMID: 32739416.
• Narayan AK, Pourvaziri A, Lopez DB, Randy C. Miles, MD, MPH, Kambadakone A, Flores EJ.Using CT Encounters to Improve Colorectal Cancer Screening Utilization: Cross-Sectional Survey Results From the National Health Interview Survey. Current Problems in Diagnostic Radiology. 2021 May-Jun;50(3):332-336. doi: 10.1067/j.cpradiol.2020.02.009. Epub 2020 Mar 3. PMID: 32249019.
• Yala A, Schuster T, Randy C. Miles, MD, MPH, Barzilay R, Lehman C. A Deep Learning Model to Triage Screening Mammograms: A Simulation Study. Radiology. 2019 Oct;293(1):38-46. doi: 10.1148/radiol.2019182908. Epub 2019 Aug 6. PMID: 31385754.
• Narayan AK, Lopez DB, Randy C. Miles, MD, MPH, Dontchos B, Flores EJ, Glover M 4th, Lehman CD. Implementation of an Intimate Partner Violence Screening Assessment and Referral System in an Academic Women's Imaging Department. J Am Coll Radiol. 2019 Apr;16(4 Pt B):631-634. doi: 10.1016/j.jacr.2018.12.026. PMID: 30947898.
• Randy C. Miles, MD, MPH, Hippe DS, Elmore JG, Wang CL, Payne TH, Lee CI. Patient Access to Online Radiology Reports: Frequency and Sociodemographic Characteristics Associated with Use. Acad Radiol. 2016 Sep;23(9):1162-9. doi:10.1016/j.acra.2016.05.005. Epub 2016 Jun 7. PMID: 27287715.

Trainee Education

• Wang GX, Chou SS, Lamb LR, Narayan AK, Dontchos BN, Lehman CD, Randy C. Miles, MD, MPH. Opportunities for Radiology Trainee Education Amid the COVID-19 Pandemic: Lessons From an Academic Breast Imaging Program. Acad Radiol. 2021 Jan;28(1):136-141. doi: 10.1016/j.acra.2020.09.009. Epub 2020 Oct 3. PMID: 33036896; PMCID: PMC7532749.
• Roberto A Salas Fragomeni, MD, Emily B Ambinder, MD, Kelly Myers, MD, Young-Jin Sohn, BA, Randy C. Miles, MD, MPH, Eniola Oluyemi, MD, Perceptions of Adequacy of Breast Imaging Training in the United States among Breast Radiologists, Journal of Breast Imaging, Volume 3, Issue 1, January/February 2021, Pages 77–86, https://doi.org/10.1093/jbi/wbaa095
• Panigrahi B, Randy C. Miles, MD, MPH, Chou SS, Brackett DG, Sohn YJ, Lehman C. Rare case of invasive lobular carcinoma in a male. Radiol Case Rep. 2020 Apr 8;15(6):727-729. doi: 10.1016/j.radcr.2020.02.005. PMID: 32304318; PMCID: PMC7152592.
• Randy C. Miles, MD, MPH, Patel AK. The Radiology Twitterverse: A Starter's Guide to Utilization and Success. J Am Coll Radiol. 2019 Sep;16(9 Pt A):1225-1231. doi: 10.1016/j.jacr.2019.03.014. Epub 2019 May 16. PMID: 31092350.
• Randy C. Miles, MD, MPH, Amornsiripanitch N, Scheel J. Inflammatory breast cancer in accessory abdominal breast tissue. Radiol Case Rep. 2017 Sep 21;12(4):639-641. doi: 10.1016/j.radcr.2017.08.008. PMID: 29484038; PMCID: PMC5823292.

Other

• Randy C. Miles, MD, MPH, Gullerud RE, Lohse CM, Jakub JW, Degnim AC, Boughey JC. Local recurrence after breast-conserving surgery: multivariable analysis of risk factors and the impact of young age. Ann Surg Oncol. 2012 Apr;19(4):1153-9. doi: 10.1245/s10434-011-2084-6. Epub 2011 Oct 12. PMID: 21989658.