Contrast-Enhanced Digital Mammography (CEDM)

Description

This book offers a comprehensive, practical resource entirely devoted to Contrast-Enhanced Digital Mammography (CEDM), a state-of-the-art technique that has emerged as a valuable addition to conventional imaging modalities in the detection of primary and recurrent breast cancer, and as an important preoperative staging tool for women with breast cancer. CEDM is a relatively new breast imaging technique based on dual energy acquisition, combining mammography with iodine-based contrast agents to display contrast uptake in breast lesions. It improves the sensitivity and specificity of breast cancer detection by providing higher foci to breast-gland contrast and better lesion delineation than digital mammography. Preliminary results suggest that CEDM is comparable to breast MRI for evaluating the extent and size of lesions and detecting multifocal lesions, and thus has the potential to become a readily available, fast and cost-effective examination. With a focus on the basic imaging principles of CEDM, this book takes a practical approach to breast imaging. Drawing on the editors’ and authors’ practical experience, it guides the reader through the basics of CEDM, making it especially accessible for beginners. By presenting the key aspects of CEDM in a straightforward manner and supported by clear images, the book represents a valuable guide for all practicing radiologists, in particular those who perform breast imaging and have recently incorporated or plan to incorporate CEDM into their diagnostic arsenal. Front Matter ....Pages i-xii Front Matter ....Pages 1-1 Introduction (Maninderpal Kaur, Jacopo Nori)....Pages 3-7 Mammographic Breast Density and Its Effects on Imaging (Vincenzo Lattanzio, Angela Maria Guerrieri)....Pages 9-16 Physics and Practical Considerations of CEDM (Andrew P. Smith)....Pages 17-23 Contrast Media in CEDM (Felix Diekmann, Rüdiger Lawaczeck)....Pages 25-33 An Overview of the Literature on CEDM (Diego De Benedetto, Chiara Bellini)....Pages 35-46 Comparison Between Breast MRI and Contrast-Enhanced Digital Mammography (Marc B. I. Lobbes)....Pages 47-56 Implementation of Contrast-Enhanced Mammography in Clinical Practice (Maninderpal Kaur, Claudia Lucia Piccolo, Shantini Arasaratnam)....Pages 57-74 Artefacts in CEDM (Maninderpal Kaur, Claudia Lucia Piccolo, Victor Chong Xing Dao)....Pages 75-91 CEDM Lexicon and Imaging Interpretation Tips (Giulia Bicchierai, Federica Di Naro, Francesco Amato)....Pages 93-118 Pitfalls and Limitations (Cecilia Boeri, Valeria Selvi, Carlotta Checcucci)....Pages 119-135 Front Matter ....Pages 137-137 Benign Lesions (Ermanno Vanzi, Federica Di Naro, Chiara Bellini)....Pages 139-167 High-Risk (B3) Lesions (Giulia Bicchierai, Jacopo Nori, Francesco Amato)....Pages 169-184 Malignant Lesions (Jacopo Nori, Chiara Bellini, Claudia Piccolo)....Pages 185-214 Clinical Cases (Jacopo Nori, Maninderpal Kaur, Marc B. I. Lobbes, Felix Diekmann, Giulia Bicchierai, Diego de Benedetto)....Pages 215-254 Back Matter ....Pages 255-260