Indeterminate breast lesions: Can contrast enhanced digital mammography change our decisions?
Objective: To assess the efficiency of dual energy contrast enhanced mammography in the assessment of the indeterminate breast lesions (BIRADS 3 and BIRADS 4). Materials and methods: 34 female having 39 indeterminate breast lesions (BIRADS 3 and BIRADS 4) by digital mammography were further examined...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
SpringerOpen
2017-06-01
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| Series: | The Egyptian Journal of Radiology and Nuclear Medicine |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S0378603X17300529 |
| _version_ | 1819076871120224256 |
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| author | Samira Saraya Lamia Adel Asmaa Mahmoud |
| author_facet | Samira Saraya Lamia Adel Asmaa Mahmoud |
| author_sort | Samira Saraya |
| collection | DOAJ |
| description | Objective: To assess the efficiency of dual energy contrast enhanced mammography in the assessment of the indeterminate breast lesions (BIRADS 3 and BIRADS 4).
Materials and methods: 34 female having 39 indeterminate breast lesions (BIRADS 3 and BIRADS 4) by digital mammography were further examined by dual energy contrast enhanced mammography. Two images were acquired at low and high energy in MLO view after 2 min and in CC view at 4 min post iodinated contrast injection (1.5 ml/kg with flow of 4 ml/s). Images were processed to obtain subtracted images to enhance the areas of the contrast uptake.
Results: Results from pathology were detected for all cases. Contrast enhanced digital mammography showed specificity, sensitivity, PPV, NPV, FDR, FPR and accuracy of 93.75%, 91.3%, 88.2%, 95.4%, 11.7%, 8.6% and 92.3% respectively compared to full field digital mammography which were 68.75%, 69.5%, 61.1%, 76.1%, 38.8%, 30% and 69.2% respectively.
Conclusion: Contrast-enhanced digital mammography is a useful tool to be used for breast cancer detection especially in indeterminate lesions (BIRADS 3 and 4). |
| first_indexed | 2024-12-21T18:48:11Z |
| format | Article |
| id | doaj.art-898f398b23fe4d83959c2e4efe31a3cd |
| institution | Directory Open Access Journal |
| issn | 0378-603X |
| language | English |
| last_indexed | 2024-12-21T18:48:11Z |
| publishDate | 2017-06-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | The Egyptian Journal of Radiology and Nuclear Medicine |
| spelling | doaj.art-898f398b23fe4d83959c2e4efe31a3cd2022-12-21T18:53:49ZengSpringerOpenThe Egyptian Journal of Radiology and Nuclear Medicine0378-603X2017-06-0148254755210.1016/j.ejrnm.2017.03.006Indeterminate breast lesions: Can contrast enhanced digital mammography change our decisions?Samira SarayaLamia AdelAsmaa MahmoudObjective: To assess the efficiency of dual energy contrast enhanced mammography in the assessment of the indeterminate breast lesions (BIRADS 3 and BIRADS 4). Materials and methods: 34 female having 39 indeterminate breast lesions (BIRADS 3 and BIRADS 4) by digital mammography were further examined by dual energy contrast enhanced mammography. Two images were acquired at low and high energy in MLO view after 2 min and in CC view at 4 min post iodinated contrast injection (1.5 ml/kg with flow of 4 ml/s). Images were processed to obtain subtracted images to enhance the areas of the contrast uptake. Results: Results from pathology were detected for all cases. Contrast enhanced digital mammography showed specificity, sensitivity, PPV, NPV, FDR, FPR and accuracy of 93.75%, 91.3%, 88.2%, 95.4%, 11.7%, 8.6% and 92.3% respectively compared to full field digital mammography which were 68.75%, 69.5%, 61.1%, 76.1%, 38.8%, 30% and 69.2% respectively. Conclusion: Contrast-enhanced digital mammography is a useful tool to be used for breast cancer detection especially in indeterminate lesions (BIRADS 3 and 4).http://www.sciencedirect.com/science/article/pii/S0378603X17300529Breast cancerFull field digital mammographyContrast enhanced digital mammographyBIRADS 3 and 4 |
| spellingShingle | Samira Saraya Lamia Adel Asmaa Mahmoud Indeterminate breast lesions: Can contrast enhanced digital mammography change our decisions? The Egyptian Journal of Radiology and Nuclear Medicine Breast cancer Full field digital mammography Contrast enhanced digital mammography BIRADS 3 and 4 |
| title | Indeterminate breast lesions: Can contrast enhanced digital mammography change our decisions? |
| title_full | Indeterminate breast lesions: Can contrast enhanced digital mammography change our decisions? |
| title_fullStr | Indeterminate breast lesions: Can contrast enhanced digital mammography change our decisions? |
| title_full_unstemmed | Indeterminate breast lesions: Can contrast enhanced digital mammography change our decisions? |
| title_short | Indeterminate breast lesions: Can contrast enhanced digital mammography change our decisions? |
| title_sort | indeterminate breast lesions can contrast enhanced digital mammography change our decisions |
| topic | Breast cancer Full field digital mammography Contrast enhanced digital mammography BIRADS 3 and 4 |
| url | http://www.sciencedirect.com/science/article/pii/S0378603X17300529 |
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