The added value of contrast enhanced spectral mammography in identification of multiplicity of suspicious lesions in dense breast

The added value of contrast enhanced spectral mammography in identification of multiplicity of suspicious lesions in dense breast

Objective: To evaluate the additive value of Contrast Enhanced Spectral Mammography (CESM) in the preoperative assessment of malignant lesions in dense breast parenchyma regarding multiplicity. Material and methods: The study included 160 women having heterogeneous dense breast parenchyma (ACR c and...

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Main Authors: Amr Farouk Ibrahim Moustafa, Eman Faker Kamal, Maher M. Hassan, Mona Sakr, Mohammed Mohammed Mohammed Gomaa
Format: Article
Language:English
Published: SpringerOpen 2018-03-01
Series:The Egyptian Journal of Radiology and Nuclear Medicine
Online Access:http://www.sciencedirect.com/science/article/pii/S0378603X17301705
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spelling doaj-41aacc9e1d99475591c3d0ce83f7d7682020-11-25T02:21:23ZengSpringerOpenThe Egyptian Journal of Radiology and Nuclear Medicine0378-603X2018-03-01491259264The added value of contrast enhanced spectral mammography in identification of multiplicity of suspicious lesions in dense breastAmr Farouk Ibrahim Moustafa0Eman Faker Kamal1Maher M. Hassan2Mona Sakr3Mohammed Mohammed Mohammed Gomaa4National Cancer Institute, Lecturer at Radiology Department, Faculty of Medicine – Cairo University, Cairo, Egypt; Corresponding author.Kasr El Aini hospital, Lecturer at Radiology Department, Faculty of Medicine – Cairo University, Kasr Elainy Hospital, Giza, EgyptNational Cancer Institute, Lecturer at Surgical Oncology Department, Cairo University, Cairo, EgyptNational Cancer Institute; Lecturer at Surgical Pathology Department, Cairo University, Cairo, EgyptNational Cancer Institute, Lecturer at Radiology Department, Faculty of Medicine – Cairo University, Cairo, EgyptObjective: To evaluate the additive value of Contrast Enhanced Spectral Mammography (CESM) in the preoperative assessment of malignant lesions in dense breast parenchyma regarding multiplicity. Material and methods: The study included 160 women having heterogeneous dense breast parenchyma (ACR c and d) with suspicious lesions identified on sono mammography examination. All patients performed contrast enhanced spectral mammography to confirm or exclude lesion multiplicity. The number of lesions was calculated in the contrast high energy subtraction images with the reference standard being histopathological analysis. Results: Adding CESM to sono-mammography the accuracy in identifying multiple malignant lesion increased from 81.8% accuracy of sono-mammography up to 100% accuracy after adding CESM. Conclusion: Contrast enhanced spectral mammogram showed an added value in the preoperative assessment of breast masses increasing the accuracy of detection of lesions and multiplicity (multifocality and multi-centricity). Keywords: Breast cancer, Contrast enhanced spectral mammogramhttp://www.sciencedirect.com/science/article/pii/S0378603X17301705
collection DOAJ
language English
format Article
sources DOAJ
author Amr Farouk Ibrahim Moustafa
Eman Faker Kamal
Maher M. Hassan
Mona Sakr
Mohammed Mohammed Mohammed Gomaa
spellingShingle Amr Farouk Ibrahim Moustafa
Eman Faker Kamal
Maher M. Hassan
Mona Sakr
Mohammed Mohammed Mohammed Gomaa
The added value of contrast enhanced spectral mammography in identification of multiplicity of suspicious lesions in dense breast
The Egyptian Journal of Radiology and Nuclear Medicine
author_facet Amr Farouk Ibrahim Moustafa
Eman Faker Kamal
Maher M. Hassan
Mona Sakr
Mohammed Mohammed Mohammed Gomaa
author_sort Amr Farouk Ibrahim Moustafa
title The added value of contrast enhanced spectral mammography in identification of multiplicity of suspicious lesions in dense breast
title_short The added value of contrast enhanced spectral mammography in identification of multiplicity of suspicious lesions in dense breast
title_full The added value of contrast enhanced spectral mammography in identification of multiplicity of suspicious lesions in dense breast
title_fullStr The added value of contrast enhanced spectral mammography in identification of multiplicity of suspicious lesions in dense breast
title_full_unstemmed The added value of contrast enhanced spectral mammography in identification of multiplicity of suspicious lesions in dense breast
title_sort added value of contrast enhanced spectral mammography in identification of multiplicity of suspicious lesions in dense breast
publisher SpringerOpen
series The Egyptian Journal of Radiology and Nuclear Medicine
issn 0378-603X
publishDate 2018-03-01
description Objective: To evaluate the additive value of Contrast Enhanced Spectral Mammography (CESM) in the preoperative assessment of malignant lesions in dense breast parenchyma regarding multiplicity. Material and methods: The study included 160 women having heterogeneous dense breast parenchyma (ACR c and d) with suspicious lesions identified on sono mammography examination. All patients performed contrast enhanced spectral mammography to confirm or exclude lesion multiplicity. The number of lesions was calculated in the contrast high energy subtraction images with the reference standard being histopathological analysis. Results: Adding CESM to sono-mammography the accuracy in identifying multiple malignant lesion increased from 81.8% accuracy of sono-mammography up to 100% accuracy after adding CESM. Conclusion: Contrast enhanced spectral mammogram showed an added value in the preoperative assessment of breast masses increasing the accuracy of detection of lesions and multiplicity (multifocality and multi-centricity). Keywords: Breast cancer, Contrast enhanced spectral mammogram
url http://www.sciencedirect.com/science/article/pii/S0378603X17301705
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