-
- S Moghadasi, V Grundeken, L A M Janssen, N H Dijkstra, M Rodríguez-Girondo, W A G van Zelst-Stams, J C Oosterwijk, M G E M Ausems, R A Oldenburg, M A Adank, E W Blom, M W G Ruijs, T A M van Os, van Deurzen C H M CHM Department of Pathology, Erasmus Medical Centre, Rotterdam, the Netherlands., J W M Martens, C P Schroder, J T Wijnen, M P G Vreeswijk, and C J van Asperen.
- Department of Clinical Genetics, Leiden University Medical Centre, Leiden, the Netherlands.
- Clin. Genet. 2018 Jan 1; 93 (1): 52-59.
AbstractTo establish whether existing mutation prediction models can identify which male breast cancer (MBC) patients should be offered BRCA1 and BRCA2 diagnostic DNA screening, we compared the performance of BOADICEA (Breast and Ovarian Analysis of Disease Incidence and Carrier Estimation Algorithm), BRCAPRO (BRCA probability) and the Myriad prevalence table ("Myriad"). These models were evaluated using the family data of 307 Dutch MBC probands tested for BRCA1/2, 58 (19%) of whom were carriers. We compared the numbers of observed vs predicted carriers and assessed the Area Under the Receiver Operating Characteristic (ROC) Curve (AUC) for each model. BOADICEA predicted the total number of BRCA1/2 mutation carriers quite accurately (observed/predicted ratio: 0.94). When a cut-off of 10% and 20% prior probability was used, BRCAPRO showed a non-significant better performance (observed/predicted ratio BOADICEA: 0.81, 95% confidence interval [CI]: [0.60-1.09] and 0.79, 95% CI: [0.57-1.09], vs.© 2017 The Authors. Clinical Genetics published by John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
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