Department of Radiology, Cooper University Hospital, 1 Cooper Plaza, Camden, NJ, 08103, USA.
Present address: SimonMed Imaging, 6900 E Camelback Road, Suite 700, Scottsdale, AZ, 85251, USA.
Cancer Imaging. 2023 Jan 23;23(1):10. doi: 10.1186/s40644-023-00526-1.
Contrast-enhanced mammography (CEM) is becoming a widely adopted modality in breast imaging over the past few decades and exponentially so over the last few years, with strong evidence of high diagnostic performance in cancer detection. Evidence is also growing indicating comparative performance of CEM to MRI in sensitivity with fewer false positive rates. As application of CEM ranges from potential use in screening dense breast populations to staging of known breast malignancy, increased familiarity with the modality and its implementation, and disease processes encountered becomes of great clinical significance. This review emphasizes expected normal findings on CEM followed by a focus on examples of the commonly encountered benign and malignant pathologies on CEM.
在过去几十年中，对比增强乳腺摄影（CEM）在乳腺成像中已被广泛采用，而且在过去几年中呈指数级增长，其在癌症检测方面具有出色的诊断性能。越来越多的证据表明，CEM 在敏感性方面与 MRI 的性能相当，假阳性率更低。由于 CEM 的应用范围从潜在用于筛查致密乳腺人群到已知乳腺恶性肿瘤的分期，因此对该模式及其应用以及所遇到的疾病过程的熟悉程度变得具有重要的临床意义。本综述强调了 CEM 上的预期正常发现，然后重点介绍了 CEM 上常见的良性和恶性病变的示例。
