![]() The patients’ age was ranged from 33 to 83 years with the mean age 52 years.Īll patients had previously undergone mammography (MG) and ultrasound and had a breast lesion of BIRADS 4. ![]() Our study was a prospective study done in the period between January 2017 and May 2018 on 50 patients. Our study aimed to assess the accuracy of CESM in comparison to contrast-enhanced breast MRI in the evaluation of BIRADS 4 breast lesions. Also, CESM can replace MRI in case of patient contraindicating for MRI as patients with pacemakers, aneurysm clips or metal implants, or severe claustrophobia. Also, the higher sensitivity of MRI is plagued by numerous false-positive foci of enhancement. The advantage of CESM over MRI is that it is less expensive and easier to perform with shorter examination time. It includes high- and low-energy images during a single compression after contrast injection. ĬESM like contrast-enhanced magnetic resonance imaging (CE-MRI) is used to detect angiogenesis of the lesion in the mammography suite. Ĭontrast-enhanced spectral mammogram (CESM) is considered now a relatively new imaging modality which can provide both anatomic and functional information of the breast lesion similar to MRI. But, it has many limitations as low specificity, high cost, long duration of examination time, and limited availability. Ĭontrast-enhanced MRI has been used for a long time as a gold standard method for the diagnosis of breast cancer, depending upon the new angiogenesis of the lesions. Although FFDM has the advantages of higher imaging quality and higher contrast resolution with faster image processing as compared to screen-film mammography, both FFDM and screen-film mammography have the same sensitivity with about half of the cases can go undetected. Screen-film mammography is almost entirely replaced by full-field digital mammography (FFDM). ![]() Mammography can detect breast cancer with variable sensitivity ranging from 63 to 98%, but its sensitivity is decreased to 30–48% in the case of dense breasts. įor so long that mammography was the only breast imaging examination that reduced breast cancer mortality, with a population-based sensitivity of 75% to 80%. The most important goal is to early diagnose breast cancer accurately and in a cost-effective way in every woman, regardless of ages, races, economic levels, risk levels, and geographic settings. In the last few years, the incidence and the mortality rate of breast cancer have increased about 20% & 14% respectively. It is responsible for about 23% of cancer in females in both developed and developing countries. Breast cancer is the most common cancer in women worldwide. ![]()
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