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Contrast enhanced mammography - revisiting structured reporting with special focus on suggested modifications
Dr Veenu Singla1, Dr Pallavi T1, Dr Dollphy Garg1
1Department of Radiodiagnosis, PGIMER, Chandigarh 160012, India.
Current Problems in Diagnostic Radiology
|April 27, 2025
Summary
Contrast-enhanced mammography (CEM) offers valuable morphological and functional breast imaging data, serving as a cost-effective alternative to MRI. This review details CEM
Area of Science:
- Radiology and Medical Imaging
- Oncology
- Breast Health
Background:
- Contrast-enhanced mammography (CEM) integrates mammography and MRI benefits.
- It provides morphological and functional breast imaging data.
- CEM is a cost-effective alternative to MRI, particularly in resource-limited settings.
Purpose of the Study:
- To explore the evolving role of CEM in breast imaging.
- To present a structured reporting format using the ACR BI-RADS® CEM lexicon.
- To offer guidance on diagnostic challenges and propose lexicon refinements.
Main Methods:
- Review of CEM indications, contraindications, and technical aspects.
- Description of a structured reporting format with illustrative examples.
- Analysis of diagnostic challenges and proposed ACR BI-RADS® CEM lexicon enhancements.
Main Results:
- CEM provides comprehensive breast imaging information.
- A structured reporting format aids in understanding CEM descriptors.
- Guidance is offered for accurate CEM interpretation.
Conclusions:
- CEM is a valuable breast imaging tool with expanding applications.
- Refinements to the ACR BI-RADS® CEM lexicon can improve clinical utility.
- Standardized reporting enhances CEM's role in breast cancer diagnosis.
