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B-0456 - One step beyond contrast-enhanced spectral mammography: malignancy potential score as a new diagnostic tool in mammography

E. Nikolentzou, C. Tzimas, E. Gioutlaki, E. Feida, A. N. Chalazonitis; Athens/GR Type: Scientific Paper
Area of Interest: Breast
Imaging Technique: Mammography
Procedure: Contrast agent-intravenous
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Purpose: Contrast-enhanced spectral mammography (CESM) is a quite new imaging method which has been developed using contrast media for the detection of angiogenesis by tracking contrast agent uptake and washout in suspicious lesions. CESM and Digital Mammography (DM) can be combined in order to obtain a sc[...]

Methods and materials: Patients: From September 2014 to September 2015, 216 females (age range, 26–85 years; mean age 54.6 years) underwent screening or diagnostic mammograms, followed by CESM. 10 of these females had bilateral findings; so, 226 lesions were examined. Exclusion criteria were pregnancy or possible pregnanc[...]

Results: Of the 226 breast lesions in 216 patients (10 patients had bilateral findings) in this study, 98 (43%) lesions were malignant and 128 (57%) lesions were benign. The benign masses included sclerosing adenosis with or without microcal cifications and fibrocystic changes (n=89), atypical hyperplastic c[...]

Conclusion: Our study results showed that CESM presents higher diagnostic accuracy than digital mammography, 80.97 and 73.89%, respectively, in our selected population study (BI-RADS 3 to 5 findings). MPS is a diagnostic tool that seems to maintain and combine the advantages of both methods and to provide an ac[...]

Personal information: Gioutlaki Eleni MD Radiology Resident Radiology Department Alexandra General Hospital - Athens Greece Tzimas I. Christos MD Radiology Resident Radiology Department Alexandra General Hospital - Athens Greece   Nikolentzou Eleni MD Radiology Resident Radiology Department Alexandra Gener[...]

References: Dromain C, Thibault F, Muller S, Rimareix F, Delalloge S, Tardivon A, Balleyguier C. Dual-energy contrast-enhanced digital mammography: initial clinical results.European journal of radiology. 2011; 21(3):565-574. D’Orsi CJ, Sickles EA, Mendelson EB, Morris EA. Acr BI-RADS® Atlas, breast imaging repo[...]

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