The diagnostic value of contrast-enhanced 2D mammography in everyday clinical use

Neeter, Lidewij M.F.H.; Raat, H.; Meens-Koreman, Stephanie; Stiphout, Rogier S. A. van; Timmermans, Steffie; Duvivier, Katya M.; Smidt, Marjolein L.; Wildberger, Joachim E.; Nelemans, Patricia J.; Lobbes, M.

doi:10.1038/s41598-021-01622-7

Cited by 3 publications

(1 citation statement)

References 28 publications

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“…Irrespective of the strict study eligibility criteria applied, the results show that there was still considerable between-study heterogeneity with I 2 values higher than 80%. Although studies were performed on CEM systems by two vendors this probably did not contribute to the high I 2 values, since recent research showed that diagnostic accuracy of CEM is likely to be vendor system independent 38 . One source of the variation between study results could be methodological issues, such as differences in patient populations and variation in reader experience.…”

Section: Discussionmentioning

confidence: 99%

Comparing the Diagnostic Performance of Contrast-Enhanced Mammography and Breast MRI: a Systematic Review and Meta-Analysis

Neeter¹,

Robbe²,

Nijnatten³

et al. 2023

J. Cancer

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Background: To provide a systematic review and meta-analysis that evaluates the diagnostic accuracy of contrast-enhanced mammography (CEM) compared to standard contrast-enhanced breast magnetic resonance imaging (breast MRI). Like breast MRI, CEM enables tumour visualization by contrast accumulation. CEM seems to be a viable substitute for breast MRI. Methods: This systematic search assessed the diagnostic accuracy of these techniques in women with suspicious breast lesions on prior imaging or physical examination, who have undergone both breast MRI and CEM. CEM had to be performed on a commercially available system. The MRI sequence parameters had to be described sufficiently to ensure that standard breast MRI sequence protocols were used. Pooled values of sensitivity, specificity, positive likelihood ratio, negative likelihood ratio, and diagnostic odds ratio (DOR), were estimated using bivariate mixed-effects logistic regression modeling. Hierarchical summary receiver operating characteristic curves for CEM and breast MRI were also constructed. Results: Six studies (607 patients with 775 lesions) met the predefined inclusion criteria. Pooled sensitivity was 96% for CEM and 97% for breast MRI. Pooled specificity was 77% for both modalities. DOR was 79.5 for CEM and 122.9 for breast MRI. Between-study heterogeneity expressed as the I 2 -index was substantial with values over 80%. Conclusion: Pooled sensitivity was high for both CEM and breast MRI, with moderate specificity. The pooled DOR estimates, however, indicate higher overall diagnostic performance of breast MRI compared to CEM. Nonetheless, current scientific evidence is too limited to prematurely discard CEM as an alternative for breast MRI.

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Section: Discussionmentioning

confidence: 99%

Comparing the Diagnostic Performance of Contrast-Enhanced Mammography and Breast MRI: a Systematic Review and Meta-Analysis

Neeter¹,

Robbe²,

Nijnatten³

et al. 2023

J. Cancer

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Brief communication: The current status of contrast-enhanced mammography in breast imaging

Savaria,

Kaushik

2024

Clinical Imaging

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Mamografia com contraste e prótese mamária: relato de caso e revisão bibliográfica

Oliveira,

Bianco,

Silva

et al. 2024

Revista Científica Multidisciplinar Núcleo do Conhecimento

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A mamografia com contraste (CEM) é um método de imagem que permite a avaliação morfológica e funcional de lesões mamárias, uma vez que o uso do contraste endovenoso à base de iodo reflete-se como áreas de captação ou realce nas imagens. Recentemente a CEM vem sendo usada, para rastreamento do câncer de mama com destaque para mulheres assintomáticas que possuem história familiar para a doença, e também no controle pós-tratamento quimioterápico neoadjuvante. Tendo isto como contexto, este artigo visa responder quais seriam as vantagens, limitações e validade da CEM na avaliação das lesões em mamas que utilizam prótese/implantes e se este seria um bom método alternativo a ressonância magnética, fazendo com que seja uma possível ferramenta a mais no diagnóstico destas pacientes. Tem se por finalidade realizar uma revisão bibliográfica sobre a técnica de aquisição e do uso da CEM em mulheres que possuem prótese/implante mamário e descrever um caso de uma paciente com implantes mamários a qual apresentou queixa de lesão palpável em mama direita a qual foi submetida a CEM, a fim de ilustrar e comprovar a utilidade do método em casos similares. Foi utilizada a revisão de literatura com a descrição do caso como metodologia, detalhando a história pessoal e familiar e expondo as alterações encontradas na CEM, correlacionando-as com a ressonância magnética e o resultado histopatológico. Conclui-se que a CEM, em paciente com prótese/implante mamário, é um método viável para identificação de lesões.

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The diagnostic value of contrast-enhanced 2D mammography in everyday clinical use

Cited by 3 publications

References 28 publications

Comparing the Diagnostic Performance of Contrast-Enhanced Mammography and Breast MRI: a Systematic Review and Meta-Analysis

Comparing the Diagnostic Performance of Contrast-Enhanced Mammography and Breast MRI: a Systematic Review and Meta-Analysis

Brief communication: The current status of contrast-enhanced mammography in breast imaging

Mamografia com contraste e prótese mamária: relato de caso e revisão bibliográfica

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