Contrast-enhanced Mammography: A Guide to Setting Up a New Clinical Program

Area of Science:

• Radiology
• Medical Imaging
• Oncology

Background:

• Contrast-enhanced mammography (CEM) is a novel diagnostic imaging technique.
• It utilizes dual-energy imaging post-intravenous contrast administration.
• CEM demonstrates improved sensitivity over conventional mammography.

Purpose of the Study:

• To outline the essential considerations for integrating CEM into clinical practice.
• To provide guidance on workflow, equipment, and staffing for CEM implementation.
• To highlight the importance of staff training and communication for successful CEM adoption.

Main Methods:

• Review of CEM technology and its performance characteristics.
• Analysis of clinical workflow requirements for CEM procedures.
• Identification of necessary equipment and staffing for CEM implementation.
• Emphasis on training protocols for contrast safety and CEM interpretation.

Main Results:

• CEM shows comparable performance to contrast-enhanced MRI.
• Key requirements include CEM-capable equipment, power injectors, and trained personnel.
• Effective implementation hinges on defined indications, patient selection, and safety screening.
• Marketing and communication are vital for referring physicians and patients.

Conclusions:

• CEM is a valuable tool for breast cancer diagnosis, offering enhanced sensitivity.
• Radiology practices must establish clear protocols for indications, workflow, and patient management.
• Adequate training and resources are critical for the safe and effective use of CEM.