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Title Contrast-Enhanced Digital Mammography (CEDM) / Jacopo Nori, Maninderpal Kaur, editors
Published Cham, Switzerland : Springer, [2018]


Description 1 online resource : illustrations
Contents Intro; Preface; Contents; Abbreviations; Part I: Principles and Clinical Aspects of CEDM; 1: Introduction; 2: Mammographic Breast Density and Its Effects on Imaging; 2.1 Introduction; 2.2 MBD Assessment Methods; 2.2.1 Visual Methods; 2.2.2 Computer-Assisted Methods; 2.3 Breast Density: Clinical Relevance; 2.3.1 Masking Effect; 2.3.2 Independent Risk Factors; 2.4 Diagnostic Tools; References; 3: Physics and Practical Considerations of CEDM; 3.1 Introduction; 3.2 Physics Theory; 3.3 Generating the Iodine Image; 3.4 Exposure Techniques and Radiation Dose; 3.5 Dense Breast Imaging
3.6 Imaging Procedure Workflow3.7 2D and 3D Iodine Imaging; 3.8 Technical Comparison to Gadolinium MRI Breast Imaging; References; 4: Contrast Media in CEDM; 4.1 Basic Considerations; 4.1.1 Temporal Subtraction; 4.1.2 Contrast-Enhanced Digital Mammography (CEDM); 4.1.3 Timing of the Image Acquisition After Contrast Media Application; 4.1.4 Interventions: Contrast Enhancement During the Use of a Compression Paddle with Opening for Wire Localization; 4.1.5 Medical Considerations to Iodine-Containing Contrast Agents in Comparison to Gadolinium-Based Contrast Media
4.2 Future Developments of Contrast Media in CEDM4.2.1 Dynamics of Contrast Media; 4.2.2 Other Contrast Media; References; 5: An Overview of the Literature on CEDM; 5.1 Introduction; 5.2 Literature Review of the Diagnostic Accuracy of CEDM; 5.3 CEDM in Comparison with FFDM Alone and FFDM + US; 5.4 CEDM in Dense Breasts; 5.5 CEDM in Comparison with MRI; 5.6 Review of the Literature on New Potential Clinical Indications; References; 6: Comparison Between Breast MRI and Contrast-Enhanced Digital Mammography; 6.1 Inconclusive Findings During Conventional Breast Imaging
6.2 Preoperative Staging of Breast Cancer Patients6.3 Evaluation of Patients with Unknown Primary Cancer; 6.4 Response Monitoring of Breast Cancer Patients Treated with Neoadjuvant Chemotherapy; 6.5 Imaging After Breast Conservative Therapy; 6.6 Screening of High-Risk Patients; 6.7 Evaluation of Breast Implants; 6.8 Imaging-Guided Breast Biopsy Procedures; References; 7: Implementation of Contrast-Enhanced Mammography in Clinical Practice; 7.1 Configuring a Contrast-Enhanced Digital Mammography (CEDM) Unit; 7.1.1 Patient Issues; 7.1.2 Radiologist and Technologist Considerations
7.1.3 Radiation Dose Considerations7.1.4 Examination Interpretation and Results Communication; 7.2 Performing Contrast-Enhanced Imaging of the Breast; 7.2.1 Patient Handling; 7.2.2 Contrast Reactions; 7.2.3 Image Acquisition; 7.3 Clinical Applications; 7.3.1 Inconclusive Findings in Conventional Imaging; 7.3.2 Preoperative Staging; 7.3.3 Assessment of Response to Neoadjuvant Chemotherapy; 7.3.4 Screening of High-Risk Patients; 7.3.5 Unknown Primary Cancer; 7.4 Future of Contrast-Enhanced Mammography; References; 8: Artefacts in CEDM; 8.1 FFDM-Related Factors; 8.1.1 Motion
Summary 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
Bibliography Includes bibliographical references and index
Notes Online resource; title from PDF title page (EBSCO, viewed October 2, 2018)
In Springer eBooks
Subject Breast -- Radiography.
Radiography, Medical -- Digital techniques.
Breast Diseases -- diagnosis
General Surgery
surgery (health care function)
MEDICAL -- Diagnostic Imaging -- Radiography.
MEDICAL -- Gynecology & Obstetrics.
Breast -- Radiography
Radiography, Medical -- Digital techniques
Form Electronic book
Author Nori, Jacopo, editor
Maninderpal Kaur, editor
ISBN 9783319945538