The Additional Role of Dual-Energy Contrast-Enhanced Digital Mammography in Characterization of Breast Lesions, ABEER A. EL-SHARAWY, MAHA H. HELAL, ASHRAF S. SELIM, RASHA WESSAM, MOHAMED EL-AZAB and IMAN GOUDA
Abstract
Purpose: To assess the role of dual-energy Contrast-Enhanced Digital Mammography (CEDM) in proper charac-terization of probably benign and suspicious breast lesions diagnosed by digital mammography with ultrasound and correlate the findings with the pathology results.
Material and Methods: CEDM examinations were per-formed in 58 female patients who had probably benign and suspicious breast lesions described in digital mammography and ultrasound. Each detected lesion was specified according to Breast Imaging Reporting and Data System (BI-RADS) classification. The imaging findings were compared to the pathology results.
Results: 58 lesions were detected in 58 cases. 41/58 of the lesions were pathologically diagnosed as malignant and 17/58 were benign. CEDM showed higher sensitivity and specificity compared to digital mammography with ultrasound.
Conclusion: CEDM is feasible and has an important role in proper characterization of breast lesions with higher sensi-tivity and specificity compared to mammography and ultra-sound examination.