Covington Matthew F
Department of Radiology and Imaging Sciences, University of Utah, Center for Quantitative Cancer Imaging, Huntsman Cancer Institute, 2000 Circle of Hope, Salt Lake City, UT 84112, USA.
Radiol Clin North Am. 2021 Jan;59(1):113-128. doi: 10.1016/j.rcl.2020.08.006. Epub 2020 Oct 29.
Contrast-enhanced mammography (CEM) is an emerging breast imaging technology that provides recombined contrast-enhanced images of the breast in addition to low-energy images analogous to a 2-dimensional full-field digital mammogram. Because most breast imaging centers do not use CEM at this time, a detailed overview of CEM implementation and performance is presented. Thereafter, the potential use of CEM for supplemental screening is discussed in detail, given the importance of this topic for the future of the CEM community. Diagnostic performance, safety, and cost considerations of CEM for dense breast tissue supplemental screening are discussed.
对比增强乳腺摄影（CEM）是一种新兴的乳腺成像技术，它除了提供类似于二维全场数字化乳腺摄影的低能量图像外，还能提供乳腺的重组对比增强图像。由于目前大多数乳腺成像中心尚未使用CEM，因此本文将对CEM的实施和性能进行详细概述。鉴于该主题对CEM领域未来的重要性，随后将详细讨论CEM在补充筛查中的潜在应用。本文还将讨论CEM用于致密乳腺组织补充筛查的诊断性能、安全性和成本考量。
