Contrast-enhanced spectral mammography (CESM)

J J James; S L Tennant

doi:10.1016/j.crad.2018.05.005

Contrast-enhanced spectral mammography (CESM)

Clin Radiol. 2018 Aug;73(8):715-723. doi: 10.1016/j.crad.2018.05.005. Epub 2018 Jun 21.

Authors

J J James¹, S L Tennant²

Affiliations

¹ Nottingham Breast Institute, Nottingham University Hospitals, Nottingham, NG5 1PB, UK. Electronic address: jonathan.james@nuh.nhs.uk.
² Nottingham Breast Institute, Nottingham University Hospitals, Nottingham, NG5 1PB, UK.

PMID: 29937340
DOI: 10.1016/j.crad.2018.05.005

Abstract

Contrast-enhanced spectral mammography (CESM) is a valuable tool in the diagnosis and staging of primary breast cancer. It combines an iodinated contrast agent with conventional mammography to improve diagnostic accuracy, particularly in women with denser parenchymal background patterns. This review describes the CESM technique, reviews performance compared to conventional mammography and magnetic resonance imaging, assesses its role in the diagnosis and staging of primary breast cancer, and investigates its potential as a screening tool.

Publication types

Review

MeSH terms

Breast Density
Breast Neoplasms / diagnostic imaging*
Breast Neoplasms / pathology*
Contrast Media*
Diagnosis, Differential
Female
Humans
Magnetic Resonance Imaging
Mammography / methods*
Neoplasm Staging
Neovascularization, Pathologic / diagnostic imaging
Neovascularization, Pathologic / pathology
Radiographic Image Interpretation, Computer-Assisted
Sensitivity and Specificity

Substances

Contrast Media