Dual-energy contrast-enhanced digital mammography in routine clinical practice in 2013.
To date, analysis of the vascularisation of breast lesions mainly relies on MR imaging. However, the accessibility of MRI is sometimes limited and has led to the development of new means of imaging, such as dual-energy contrast-enhanced mammography, which provides data on the vascularisation of the breast along with the usual morphological information. The purpose of this paper is to present this new imaging technique as well as the recent references, illustrated by clinical reports derived from our everyday practice to focus on the advantages and disadvantages of this new breast exploration. Dual-energy contrast-enhanced mammography is a recent, seemingly promising technique, in the management of breast cancer. The main advantages consist of its easy installation, the good tolerance and the comfort in the interpretation of difficult to read mammograms. However, the indications and the role of dual-energy contrast-enhanced mammography still have to be determined within the diagnostic strategy of breast tumours. New studies are expected, especially to compare dual-energy contrast-enhanced mammography with breast MRI.
Centre Hospitalier d'Armentières, Centre d'imagerie de la femme, 112, rue Sadi-Carnot, 59280 Armentières, France; Centre Hospitalier Régional Universitaire de Lille, service d'imagerie de la femme, 2, avenue Oscar-Lambret, 59000 Lille, France. Electronic address: sammy.badr@etu.univ-lille2.fr.
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Badr
Centre Hospitalier d'Armentières, Centre d'imagerie de la femme, 112, rue Sadi-Carnot, 59280 Armentières, France; Centre Hospitalier de Valenciennes, service d'imagerie de la femme, avenue Désandrouin, 59300 Valenciennes, France; Centre Hospitalier Régional Universitaire de Lille, service d'imagerie de la femme, 2, avenue Oscar-Lambret, 59000 Lille, France.
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Laurent
Centre Hospitalier d'Armentières, Centre d'imagerie de la femme, 112, rue Sadi-Carnot, 59280 Armentières, France.
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Régis
Centre Hospitalier d'Armentières, Centre d'imagerie de la femme, 112, rue Sadi-Carnot, 59280 Armentières, France; Centre Hospitalier Régional Universitaire de Lille, service d'imagerie de la femme, 2, avenue Oscar-Lambret, 59000 Lille, France.
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Boulanger
Centre Hospitalier d'Armentières, Centre d'imagerie de la femme, 112, rue Sadi-Carnot, 59280 Armentières, France.
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Lemaille
Centre Hospitalier d'Armentières, Centre d'imagerie de la femme, 112, rue Sadi-Carnot, 59280 Armentières, France; Centre Hospitalier de Valenciennes, service d'imagerie de la femme, avenue Désandrouin, 59300 Valenciennes, France; Centre Hospitalier Régional Universitaire de Lille, service d'imagerie de la femme, 2, avenue Oscar-Lambret, 59000 Lille, France.
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Poncelet
D000328:Adult; D000368:Aged; D001943:Breast Neoplasms / Q000098:blood supply* / Q000000981:diagnostic imaging*; D018270:Carcinoma, Ductal, Breast / Q000098:blood supply* / Q000000981:diagnostic imaging*; D003287:Contrast Media; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007090:Image Interpretation, Computer-Assisted / Q000379:methods; D007472:Iohexol; D018810:Magnetic Resonance Angiography; D008327:Mammography / Q000379:methods*; D008875:Middle Aged; D010212:Papilloma / Q000098:blood supply / Q000000981:diagnostic imaging; D015900:Radiography, Dual-Energy Scanned Projection / Q000379:methods*; D012680:Sensitivity and Specificity; D016217:Ultrasonography, Mammary
D003287:Contrast Media; D007472:Iohexol
Breast cancer; Diagnosis; Dual-energy contrast-enhanced mammography; MRI; Mammography