Dual-energy contrast-enhanced digital mammography in routine clinical practice in 2013

• Published in: Diagnostic and interventional imaging Vol. 95; no. 3; pp. 245 - 258
• Main Authors: Badr, S, Laurent, N, Régis, C, Boulanger, L, Lemaille, S, Poncelet, E
• Format: Journal Article
• Language: English
• Published: France Elsevier Masson SAS 01-03-2014; Elsevier
• Subjects: Adult; Aged; Breast cancer; Breast Neoplasms - blood supply; Breast Neoplasms - diagnostic imaging; Carcinoma, Ductal, Breast - blood supply; Carcinoma, Ductal, Breast - diagnostic imaging; Computer Science; Contrast Media; Diagnosis; Diagnosis, Differential; Dual-energy contrast-enhanced mammography; Female; Humans; Image Interpretation, Computer-Assisted - methods; Iohexol; Magnetic Resonance Angiography; Mammography; Mammography - methods; Medical Imaging; Middle Aged; MRI; Papilloma - blood supply; Papilloma - diagnostic imaging; Radiography, Dual-Energy Scanned Projection - methods; Radiology; Sensitivity and Specificity; Ultrasonography, Mammary; Breast cancer; Mammography; Diagnosis; MRI; Dual-energy contrast-enhanced mammography
• ISSN: 2211-5684; 2211-5684
• DOI: 10.1016/j.diii.2013.10.002

Abstract To date, analysis of the vascularisation of breast lesions mainly relies on MR imaging. However, the accessibility of MRI is sometimes limited and has led to the development of new means of imaging, such as dual-energy contrast-enhanced mammography, which provides data on the vascularisation of the breast along with the usual morphological information. The purpose of this paper is to present this new imaging technique as well as the recent references, illustrated by clinical reports derived from our everyday practice to focus on the advantages and disadvantages of this new breast exploration. Dual-energy contrast-enhanced mammography is a recent, seemingly promising technique, in the management of breast cancer. The main advantages consist of its easy installation, the good tolerance and the comfort in the interpretation of difficult to read mammograms. However, the indications and the role of dual-energy contrast-enhanced mammography still have to be determined within the diagnostic strategy of breast tumours. New studies are expected, especially to compare dual-energy contrast-enhanced mammography with breast MRI.