Contrast Enhanced Spectral Mammography: A Review

Seminars in Ultrasound, CT, and MR
Bhavika K PatelJohn Lewin

Abstract

Contrast-enhanced spectral mammography (CESM) provides low-energy 2D mammographic images comparable to standard digital mammography and a post-contrast recombined image to assess tumor neovascularity similar to magnetic resonance imaging (MRI). The utilization of CESM in the United States is currently low but could increase rapidly given many potential indications for clinical use. This article discusses historical background and literature review of indications and diagnostic accuracy of CESM to date. CESM is a growing technique for breast cancer detection and diagnosis that has levels of sensitivity and specificity on par with contrast-enhanced breast MRI. Because of its similar performance and ease of implementation, CESM is being adopted for multiple indications previously reserved for MRI, such as problem-solving, disease extent in newly diagnosed patients, and evaluating the treatment response of neoadjuvant chemotherapy.

Citations

Nov 2, 2018·AJR. American Journal of Roentgenology·Hannah PerryTejas S Mehta
Jun 10, 2020·Tumori·Catherine DeprettoGianfranco P Scaperrotta
Sep 3, 2020·AJR. American Journal of Roentgenology·Dogan S PolatBasak E Dogan
Sep 16, 2020·ANZ Journal of Surgery·Siobhan LeeAndrew Thompson
Feb 16, 2020·Journal of Magnetic Resonance Imaging : JMRI·Paola ClauserThomas H Helbich
Sep 16, 2020·Korean Journal of Radiology : Official Journal of the Korean Radiological Society·Luca NicosiaEnrico Cassano
Nov 8, 2019·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Kimeya F GhaderiTejas S Mehta
Jan 26, 2020·Acta Radiologica·Ignacio González-HuebraLuis Pina
Mar 3, 2021·Radiology·Maxine S Jochelson, Marc B I Lobbes
Apr 10, 2021·Radiographics : a Review Publication of the Radiological Society of North America, Inc·William F SensakovicBhavika Patel
Aug 8, 2021·Journal of Clinical Medicine·Gisella GennaroFrancesca Caumo

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