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Review
. 2021 Feb;61(2):177-182.
doi: 10.1007/s00117-021-00805-7. Epub 2021 Jan 18.

[Contrast-enhanced mammography]

[Article in German]
Affiliations
Review

[Contrast-enhanced mammography]

[Article in German]
Eva M Fallenberg. Radiologe. 2021 Feb.

Abstract

Early detection is of great importance for the successful treatment of breast cancer and for a good prognosis. Contrast-enhanced mammography and especially contrast-enhanced spectral mammography (CESM) show promising initial results and are a valuable addition to currently available methods. The advantage of these methods is that imaging of both breasts can be performed in a single examination with a single contrast agent application. The accuracy of CESM is similar to that of magnetic resonance imaging (MRI), easily available at low costs, which is why this procedure is increasingly used in the diagnostic work up of breast cancer. CESM is also a good alternative to MRI if this cannot be performed due to contraindications.

Eine frühzeitige Erkennung ist für die erfolgreiche Behandlung des Mammakarzinoms sowie für eine gute Prognose von großer Bedeutung. Die Kontrastmittelmammographie und insbesondere die kontrastmittelverstärkte spektrale Mammographie (CESM) zeigt vielversprechende erste Ergebnisse und stellt eine wertvolle Ergänzung zu den derzeit verfügbaren Methoden dar. Der Vorteil dieses Verfahrens besteht darin, dass eine Bildgebung beider Brüste in nur einem Untersuchungsgang mit einer Kontrastmittelgabe erfolgen kann. Die CESM zeigt ähnlich gute Resultate wie die Magnetresonanztomographie (MRT), ist gut verfügbar und kostengünstig und findet daher zunehmend Anwendung in der Mammadiagnostik. Die CESM stellt auch eine gute Alternative zur MRT dar, wenn diese aufgrund von Kontraindikationen nicht durchgeführt werden kann.

Keywords: Breast cancer; Contrast-enhanced spectral mammography; Early diagnosis; Magnetic resonance imaging; Quality control.

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