Department of Medical Imaging, Breast Division, Western University, St. Joseph Health Care, London, Ontario, Canada.
Can Assoc Radiol J. 2022 Feb;73(1):141-156. doi: 10.1177/08465371211029047. Epub 2021 Sep 7.
The purpose of this article is to provide a detailed and updated review of the physics, techniques, indications, limitations, reporting, implementation and management of contrast enhanced mammography.
Contrast enhanced mammography (CEM), is an emerging iodine-based modified dual energy mammography technique. In addition to having the same advantages as standard full-field digital mammography (FFDM), CEM provides information regarding tumor enhancement, relying on tumor angiogenesis, similar to dynamic contrast enhanced magnetic resonance imaging (DCE-MRI). This article reviews current literature on CEM and highlights considerations that are critical to the successful use of this modality.
Multiple studies point to the advantage of using CEM in the diagnostic setting of breast imaging, which approaches that of DCE-MRI.
本文旨在详细介绍和更新对比增强乳腺摄影的物理原理、技术、适应证、局限性、报告、实施和管理。
对比增强乳腺摄影（CEM）是一种新兴的碘基改良双能乳腺摄影技术。除了具有标准全视野数字乳腺摄影（FFDM）的相同优势外，CEM 还可通过肿瘤血管生成提供肿瘤增强信息，类似于动态对比增强磁共振成像（DCE-MRI）。本文综述了 CEM 的最新文献，并强调了成功使用该方法的关键注意事项。
多项研究表明，CEM 在乳腺成像的诊断中具有优势，接近 DCE-MRI。
