Abstract: |
Screening mammography is known to decrease breast cancer mortality. It is relatively inexpensive and available to large populations of women. However, sensitivity is reduced in women with dense breast tissue. Consequently, other imaging techniques are used to improve upon the performance of digital mammography both for screening and to better evaluate the breast once cancer is diagnosed. Ultrasound and contrast-enhanced breast MRI are two of the most commonly used examinations for supplemental imaging. Using contrast to enhance tumor vascularity, MRI provides significant improvements in sensitivity but MRI is limited by lack of widespread availability and high costs. Contrast-enhanced digital mammography (CEDM) is an emerging technology that utilizes the MRI concept of imaging enhancing neovascularity on an adapted digital mammography platform to improve the sensitivity and specificity of mammography alone. The purpose of this book chapter is to review the current status of CEDM. © 2022, Springer Nature Switzerland AG. |