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Updated: Mar 8, 2026

Clinical Imaging of Microwave Mammography
Published on: November 14, 2025
Contrast-enhanced spectral mammography (CESM) versus MRI in the high-risk screening setting: patient preferences and
Jordana Phillips1, Matthew M Miller1, Tejas S Mehta1
1Department of Radiology, Beth Israel Deaconess Medical Center and Harvard Medical School, 330 Brookline Avenue, Boston, MA 02215, USA.
Purpose:
Our study evaluates patient preferences toward screening CESM versus MRI.
Materials And Methods:
As part of a prospective study, high-risk patients had breast MRI and CESM. Patients completed an anonymous survey to evaluate preferences regarding the two modalities.
Results:
88% of participants completed the survey. 79% preferred CESM over MRI if the exams had equal sensitivity. 89% would be comfortable receiving contrast as part of an annual screening test.
Conclusion:
High-risk populations may accept CESM as a screening exam and may prefer it over screening MRI if ongoing trials demonstrate screening CESM to be clinically non-inferior MRI.
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