Contrast-Enhanced Digital Mammography: Technique, Clinical Applications, and Pitfalls

AJR Am J Roentgenol. 2020 Nov;215(5):1267-1278. doi: 10.2214/AJR.19.22412. Epub 2020 Sep 2.

Abstract

OBJECTIVE. Contrast-enhanced digital mammography (CEDM) combines the high spatial resolution of mammography with the improved enhancement provided by contrast medium. In this article, CEDM technique-the current and potential clinical applications and current challenges-will be reviewed. CONCLUSION. CEDM is a promising technique in the supplemental evaluation of patients with mammographically inconclusive findings and potentially in the screening of women with mammographically dense breasts. CEDM is emerging as a cost-effective alternative to dynamic contrast-enhanced MRI to stage newly diagnosed breast cancer and evaluate response to neoadjuvant chemotherapy.

Keywords: breast cancer; breast screening; contrast-enhanced digital mammography; contrast-enhanced dual-energy mammography.

Publication types

  • Review

MeSH terms

  • Breast Neoplasms / diagnostic imaging*
  • Contrast Media*
  • Female
  • Humans
  • Mammography / methods*

Substances

  • Contrast Media