ROLE OF CONTRAST ENHANCED SPECTRAL MAMMOGRAPHY AFTER CONSERVING BREAST SURGERY
Nada, O., El Fiky, S., Chalabi, N., Nasr, M. (2021). ROLE OF CONTRAST ENHANCED SPECTRAL MAMMOGRAPHY AFTER CONSERVING BREAST SURGERY. EKB Journal Management System, 72(4), 767-779. doi: 10.21608/asmj.2021.222682
Omnia Mokhtar Nada; Sahar Mohamed El Fiky; Nivine Abdelmonem Chalabi; Merhan Ahmed Nasr. "ROLE OF CONTRAST ENHANCED SPECTRAL MAMMOGRAPHY AFTER CONSERVING BREAST SURGERY". EKB Journal Management System, 72, 4, 2021, 767-779. doi: 10.21608/asmj.2021.222682
Nada, O., El Fiky, S., Chalabi, N., Nasr, M. (2021). 'ROLE OF CONTRAST ENHANCED SPECTRAL MAMMOGRAPHY AFTER CONSERVING BREAST SURGERY', EKB Journal Management System, 72(4), pp. 767-779. doi: 10.21608/asmj.2021.222682
Nada, O., El Fiky, S., Chalabi, N., Nasr, M. ROLE OF CONTRAST ENHANCED SPECTRAL MAMMOGRAPHY AFTER CONSERVING BREAST SURGERY. EKB Journal Management System, 2021; 72(4): 767-779. doi: 10.21608/asmj.2021.222682

ROLE OF CONTRAST ENHANCED SPECTRAL MAMMOGRAPHY AFTER CONSERVING BREAST SURGERY

Ain Shams Medical Journal
Article 8, Volume 72, Issue 4, December 2021, Page 767-779  XML PDF (1.1 MB)
Document Type: Original Article
DOI: 10.21608/asmj.2021.222682
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Authors
Omnia Mokhtar Nada1; Sahar Mohamed El Fiky2; Nivine Abdelmonem Chalabi2; Merhan Ahmed Nasr2
1Radio-diagnosis Department; National Cancer institute, Egypt.
2Radio-diagnosis Department - Faculty of Medicine - Ain Shams University, Egypt.
Abstract
Background: CESM is an imaging technique combining digital mammography with intravenous injection of iodinated contrast media to detect hyper vascularized lesions. Adding the iodinated contrast agent to Mammography facilitates the visualization of breast lesions. Contrast enhanced spectral mammography (CESM) is feasible and has an important role in evaluation of recurrent breast mass lesion after surgical treatment of primary breast cancer.
Aim of the Work: To illustrate the growing and useful role of CESM in breast lesions detected post conserving breast surgery.
Patients and Methods: This study was carried on 54 female patients presenting with history of previous breast conserving surgery on either breast sides, which requires follow up. The results were studied and compared to the pathological results.
Results: Dual-energy CESM has an important role in detection of recurrent breast cancer mass lesion and its ability to differentiate between positive lesions and benign post-operative findings.
Conclusion: CESM, then seems to be a promising tool for increasing the sensitivity of mammography, CESM as an adjunct to mammography is expected to improve diagnostic accuracy compared to mammography alone. CESM reduced false positive results. CESM helped in assessment of recurrent breast disease.
Keywords
Breast cancer; Conserving Breast Surgery; Contrast Enhanced Spectral Mammography
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