对比增强乳腺X线摄影：聚焦常见的良性和恶性诊断。
Contrast enhanced mammography: focus on frequently encountered benign and malignant diagnoses.
发表日期：2023 Jan 23
作者：
Mindy L Yang, Chandni Bhimani, Robyn Roth, Pauline Germaine
来源：
CANCER IMAGING
摘要：
对比增强乳腺X线摄影（CEM）是过去几十年中乳腺成像中广泛采用的一种模式，近年来呈指数级增长，有强有力的证据表明其在肿瘤检测方面具有高诊断性能。证据也越来越多地表明，CEM在敏感性方面与MRI的性能相当，但误检率更低。由于CEM的应用范围从潜在用于筛查密集性乳腺人群到已知乳腺恶性肿瘤的分期，因此熟悉该模式及其实施和疾病过程显得非常重要。本文重点介绍了CEM上预期的正常发现，然后着重介绍了在CEM上普遍遇到的良性和恶性病理学例子。© 2023年。作者（们）。
Contrast-enhanced mammography (CEM) is becoming a widely adopted modality in breast imaging over the past few decades and exponentially so over the last few years, with strong evidence of high diagnostic performance in cancer detection. Evidence is also growing indicating comparative performance of CEM to MRI in sensitivity with fewer false positive rates. As application of CEM ranges from potential use in screening dense breast populations to staging of known breast malignancy, increased familiarity with the modality and its implementation, and disease processes encountered becomes of great clinical significance. This review emphasizes expected normal findings on CEM followed by a focus on examples of the commonly encountered benign and malignant pathologies on CEM.© 2023. The Author(s).