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Year : 2018  |  Volume : 35  |  Issue : 1  |  Page : 5-12

Contrast-enhanced spectral mammography versus magnetic resonance imaging in the assessment of breast masses

1 Department of Radiology, Faculty of Medicine, Benha University, Benha, Egypt
2 Department of Radiology, Faculty of Medicine, Al-Anbar University, Ramadi, Iraq

Correspondence Address:
Lara M Jameel
Altejara Street, Benha, 13511
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/bmfj.bmfj_177_17

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Background Contrast-enhanced spectral mammography (CESM) has high diagnostic accuracy. It involves the same principles as MRI in terms of the enhancement pattern because of the similar uptake of contrast medium or enhancement. Therefore, the indication should be the same. Aim The aim of the study was to compare CESM and MRI in the assessment of breast masses. Patients and methods This study included 20 patients, and was carried out from December 2016 to May 2017. The age of the patients ranged from 30 to 60 years. Our study was carried out using CESM and breast MRI. Results This study included 20 patients with breast lesions. The age of the patients ranged from 30 to 60 years. All multiple histologically proven lesions were detected by CESM (100%) and MRI (100%), with no significant difference in their site and number in both modalities. Conclusion CESM is useful for the differentiation of local recurrence of post-treatment scarring after breast-conserving therapy and evaluation of residual tumor after treatment, with unknown primary site of malignancy. Recommendations CESM is recommended as the imaging modality of choice in the detection and extension of breast cancer, particularly in problematic cases, or when conservative breast therapy is attempted, but the best correlations with lesion pathology were found in MRI more than CESM, as in MRI, there are the same overlapping patterns of benign and malignant enhancements.

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