Barriers to implementation of contrast-enhanced mammography in clinical practice: AJR Expert Panel Narrative Review Review


Authors: van Nijnatten, T. J. A.; Lobbes, M. B. I.; Cozzi, A.; Patel, B. K.; Zuley, M. L.; Jochelson, M. S.
Review Title: Barriers to implementation of contrast-enhanced mammography in clinical practice: AJR Expert Panel Narrative Review
Abstract: Accumulating evidence shows that contrast-enhanced mammography (CEM) has higher diagnostic performance than digital mammography and ultrasound and comparable diagnostic performance to MRI for various indications. CEM also offers certain practical advantages for patients. Nevertheless, the clinical implementation of CEM has been limited because of a range of factors. This AJR Expert Panel Narrative Review explores such factors hindering CEM implementation. These factors include the following: the risks of iodinated contrast media, increased radiation exposure, indications for which CEM is not the preferred test or for which further evidence is needed, workflow adjustments needed when performing CEM examinations, incomplete availability of CEM-guided biopsy systems, and reimbursement challenges. Considerations that currently mitigate or are expected to mitigate these factors are also highlighted.
Keywords: mammography; mri; breast-cancer; women; high-risk; implementation; american-college; media; patient preferences; spectral; contrast-enhanced mammography; expert panel recommendations; digital subtraction mammography; disease consensus statements
Journal Title: American Journal of Roentgenology
Volume: 221
Issue: 1
ISSN: 0361-803X
Publisher: American Roentgen Ray Society  
Date Published: 2023-07-01
Start Page: 3
End Page: 6
Language: English
ACCESSION: WOS:001036030500002
DOI: 10.2214/ajr.22.28567
PROVIDER: wos
PUBMED: 36448912
Notes: Review -- Source: Wos
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  1. Maxine Jochelson
    135 Jochelson