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Contrast-enhanced breast imaging: Current status and future challenges.

T J A van Nijnatten1, S Morscheid2, P A T Baltzer3

  • 1Department of Radiology and Nuclear Medicine, Maastricht University Medical Center+, Maastricht, the Netherlands; GROW - School for Oncology and Reproduction, Maastricht University Medical Center+, Maastricht, the Netherlands.

European Journal of Radiology
|January 18, 2024
PubMed
Summary
This summary is machine-generated.

Contrast-enhanced breast MRI and contrast-enhanced mammography (CEM) offer high diagnostic performance. While breast MRI is well-established, CEM shows promising results and requires further investigation for breast imaging.

Keywords:
Breast MRIBreast imagingContrast-enhanced mammography

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Area of Science:

  • Radiology
  • Medical Imaging
  • Oncology

Background:

  • Contrast-enhanced breast MRI and contrast-enhanced mammography (CEM) are advanced breast imaging techniques.
  • The current overview examines the evidence and challenges associated with these contrast-enhanced modalities.

Purpose of the Study:

  • To introduce and compare breast MRI and CEM, detailing their principles, techniques, and BI-RADS reporting.
  • To discuss indications and challenges including problem-solving, high-risk screening, dense breast tissue, implants, treatment response monitoring, and image-guided biopsy.

Main Methods:

  • Narrative review comparing breast MRI and CEM.
  • Analysis of existing evidence and ongoing challenges for both modalities.

Main Results:

  • Breast MRI is standardized and superior for problem-solving, high-risk screening, dense breasts, implants, and treatment response monitoring.
  • MRI-guided biopsy is reliable; CEM is newer with limited but promising data in these areas.

Conclusions:

  • Contrast-enhanced breast imaging offers the highest diagnostic performance and is essential.
  • Breast MRI has ample evidence of superiority, while CEM shows promise and warrants further study.