Contrast-enhanced spectral mammography (CESM) versus MRI in the high-risk screening setting: patient preferences and attitudes

Clin Imaging. Mar-Apr 2017;42:193-197. doi: 10.1016/j.clinimag.2016.12.011. Epub 2016 Dec 28.


Purpose: Our study evaluates patient preferences toward screening CESM versus MRI.

Materials and methods: As part of a prospective study, high-risk patients had breast MRI and CESM. Patients completed an anonymous survey to evaluate preferences regarding the two modalities.

Results: 88% of participants completed the survey. 79% preferred CESM over MRI if the exams had equal sensitivity. 89% would be comfortable receiving contrast as part of an annual screening test.

Conclusion: High-risk populations may accept CESM as a screening exam and may prefer it over screening MRI if ongoing trials demonstrate screening CESM to be clinically non-inferior MRI.

Keywords: Breast cancer; Contrast-enhanced breast magnetic resonance imaging; Contrast-enhanced spectral mammography; High-risk screening.

MeSH terms

  • Attitude to Health*
  • Breast Neoplasms / diagnostic imaging*
  • Contrast Media
  • Early Detection of Cancer
  • Female
  • Humans
  • Magnetic Resonance Imaging / methods*
  • Mammography / methods*
  • Mass Screening
  • Middle Aged
  • Patient Preference*
  • Prospective Studies
  • Sensitivity and Specificity


  • Contrast Media