Positive molecular breast imaging: challenges and problem solving with contrast-enhanced spectral mammography
| Autor: | Jeremy S.L. Ong, Deepthi Dissanayake, Donna Taylor, Felicity Whitewood |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Breast imaging Concordance Breast surgery medicine.medical_treatment Contrast Media Breast Neoplasms 030218 nuclear medicine & medical imaging Diagnosis Differential 03 medical and health sciences 0302 clinical medicine Breast cancer Novel Diagnostic Procedure Biopsy medicine Humans Mammography Early Detection of Cancer Contrast enhanced spectral mammography medicine.diagnostic_test business.industry General Medicine Middle Aged Image Enhancement medicine.disease 030220 oncology & carcinogenesis Female Radiology business Hypervascular lesion |
| Zdroj: | BMJ Case Rep |
| ISSN: | 1757-790X |
| DOI: | 10.1136/bcr-2019-230043 |
| Popis: | Molecular breast imaging (MBI) is a relatively new technique with high sensitivity for breast cancer detection. However, because it only provides limited anatomical information, cross-correlation of MBI findings with conventional breast imaging modalities such as full field digital mammography can be challenging. We report a case of a positive MBI study in a supplemental screening setting, where cross-correlation of MBI, ultrasound, mammogram and biopsy findings was difficult. Contrast-enhanced spectral mammography (CESM) demonstrated a hypervascular lesion at the biopsy clip, helping to prove imaging/histopathological concordance. This case highlights the challenges of incorporating MBI into conventional imaging workup, as well as the use of CESM in problem solving. |
| Databáze: | OpenAIRE |
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