Can Contrast-Enhanced Spectral Mammography (CESM) Reduce Benign Breast Biopsy?
Amanda Ling Fung LiewHollie Mei Yeen LimElizabeth Chun Mei FokSiu Cheng LokeErn Yu TanBee Kiang ChongYeong Shyan LeeMun Yew Patrick ChanNiketa ChotaiPublished in: The breast journal (2022)
There is evidence that the absence of enhancement in CESM strongly favors benignity. It may provide the reporting radiologist with greater confidence in imaging assessment, especially in BI-RADS 4A cases, where a proportion of them are in actuality BI-RADS 3. Greater accuracy of BI-RADS grading can reduce nearly half of benign biopsies and allow better resource allocation. CESM also increases the detection rate of potentially malignant lesions, thereby changing the treatment strategies.
Keyphrases
- contrast enhanced
- magnetic resonance imaging
- diffusion weighted
- magnetic resonance
- computed tomography
- diffusion weighted imaging
- ultrasound guided
- dual energy
- high resolution
- optical coherence tomography
- emergency department
- loop mediated isothermal amplification
- adverse drug
- fluorescence imaging
- mass spectrometry
- real time pcr
- sensitive detection