Radial scar appearances on contrast-enhanced mammography.
Wilmi Elizabeth PienaarDonna Blanche TaylorElizabeth J WyliePublished in: Journal of medical imaging and radiation oncology (2023)
With modern technological advances in imaging, radial scars are more frequently encountered in clinical practice. The management of radial scars remains challenging due to associated upgrade to malignancy at excision. Contrast-enhanced mammography (CEM) has a similar sensitivity compared to MRI in addition to lower cost, better availability and fewer contra-indications. CEM is reported to have an overall excellent negative predictive value for malignancy. In this study, imaging of 55 patients with a core biopsy diagnosis of radial scar since the introduction of CEM into local practice was reviewed. Nine patients underwent CEM as part of their diagnostic work-up and these appearances are presented as a pictorial essay to demonstrate enhancement patterns of radial scars on CEM in this cohort and consider how this knowledge may influence management.
Keyphrases
- contrast enhanced
- diffusion weighted
- magnetic resonance imaging
- ultrasound guided
- magnetic resonance
- computed tomography
- diffusion weighted imaging
- high resolution
- clinical practice
- healthcare
- end stage renal disease
- newly diagnosed
- ejection fraction
- platelet rich plasma
- primary care
- fine needle aspiration
- prognostic factors
- peritoneal dialysis
- dual energy
- mass spectrometry
- image quality