Diagnostic performance of dual-energy contrast-enhanced subtracted mammography in dense breasts compared to mammography alone: interobserver blind-reading analysis

Cheung, Yun‐Chung; Lin, Yu‐Ching; Wan, Yung-Liang; Yeow, Kee‐Min; Huang, Pinbo; Lo, Yung‐Feng; Tsai, Hung-Hsu; Ueng, Shir-Hwa; Chang, Ching‐Jui

doi:10.1007/s00330-014-3271-1

Cited by 159 publications

(90 citation statements)

References 30 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In our study, the sensitivity of CESM was 100% and is comparable to the results of other researchers,whereitrangedfrom63.5to100% [35,36,37,38]. Moreover, in the group of carcinomas (in situ and invasive)wefoundasignificantrelationshipbetweenthedegreeofenhancementinCESMandhistology (strong enhancement characterized invasive carcinomas).SpecificityofCESMreportedbyuswas relatively high (39%) and might suggest that some features of neoplastic angiogenesis might begin in selected benign lesions, before the development of malignantphenotype.…”

Section: Discussionsupporting

confidence: 76%

Correlation between blood and lymphatic vessel density and results of contrast-enhanced spectral mammography

Łuczyńska¹,

Niemiec²,

Ambicka³

et al. 2015

pjp

View full text Add to dashboard Cite

Section: Discussionsupporting

confidence: 76%

Correlation between blood and lymphatic vessel density and results of contrast-enhanced spectral mammography

Łuczyńska¹,

Niemiec²,

Ambicka³

et al. 2015

pjp

View full text Add to dashboard Cite

“…Digital mammography (DM) is the preferred breast imaging technique for diagnostic and/or screening purposes [5] and is the most commonly used breast imaging technique in Kuwait. Nevertheless, the limitations of mammography are well known [3].…”

Section: Introductionmentioning

confidence: 99%

Comparison of Digital Breast Tomosynthesis and Digital Mammography for Detection of Breast Cancer in Kuwaiti Women

et al. 2018

View full text Add to dashboard Cite

Objective: To investigate the sensitivity and specificity of digital mammography (DM) and digital breast tomosynthesis (DBT) for the detection of breast cancer in comparison to histopathology findings. Subjects and Methods: We included 65 breast lesions in 58 women, each detected by two diagnostic mammography techniques – DM and DBT using Senographe Essential (GE Healthcare, Buc, France) – and subsequently confirmed by histopathology. The Breast Imaging Reporting and Data System was used for characterizing the lesions. Results: The average age of women was 48.3 years (range 26–81 years). There were 34 malignant and 31 benign breast lesions. The sensitivity of DM and DBT was 73.5 and 100%, respectively, while the specificity was 67.7 and 94%, respectively. Receiver operating characteristic curve analysis showed an overall diagnostic advantage of DBT over DM, with a significant difference between DBT and DM (p < 0.001). By performing Cohen’s kappa test, we found that there was a strong level of agreement according to Altman guidelines between DBT and histopathology findings (0.97), but a weak agreement between DM and histopathology findings (0.47). Conclusion: DBT improves the clinical accuracy of mammography by increasing both sensitivity and specificity. We believe that this improvement is due to improved image visibility and quality. These results could be of interest to health care institutions as they may impact their decision on whether to upgrade to DBT not only for diagnosis, but also for screening.

show abstract

“…Severe acute reactions to contrast media occur in 4/10,000 (0.04%) patients. 14 According to a study of Lalji et al, the low-energy CESM images are non-inferior to Full-Field Digital Mammography (FFDM) images with no significant differences in image quality, average glandular dose, and contrast detail. 15 The LE images therefore are equivalent to a standard mammogram.…”

Section: How Is It Performed?mentioning

confidence: 99%

Contrast-Enhanced Spectral Mammography: A Radiologic-Pathologic Perspective of a Novel Functional Imaging Modality for Breast Cancer

Buenaflor¹,

Moria²

2017

PJP

View full text Add to dashboard Cite

Contrast-enhanced Spectral Mammography (CESM) is an emerging and promising functional imaging modality that tries to address the paucity of physiologic-based tumor imaging for the detection of breast cancer.This article describes two cases of women with non-dense and dense breasts presenting with clinically palpable breast masses and the depiction of breast cancer utilizing Contrast-enhanced Spectral Mammography.

show abstract

Diagnostic performance of dual-energy contrast-enhanced subtracted mammography in dense breasts compared to mammography alone: interobserver blind-reading analysis

Abstract: • DE-CESM improves the cancer diagnosis in dense breasts compared with mammography. • DE-CESM shows greater consistency than mammography alone by interobserver blind reading. • Diagnostic improvement of DE-CESM is independent of the mammographic reading experience.

Cited by 159 publications

References 30 publications

Correlation between blood and lymphatic vessel density and results of contrast-enhanced spectral mammography

Correlation between blood and lymphatic vessel density and results of contrast-enhanced spectral mammography

Comparison of Digital Breast Tomosynthesis and Digital Mammography for Detection of Breast Cancer in Kuwaiti Women

Contrast-Enhanced Spectral Mammography: A Radiologic-Pathologic Perspective of a Novel Functional Imaging Modality for Breast Cancer

Contact Info

Product

Resources

About