title: Potential Cost Savings of Contrast-Enhanced Digital Mammography.
abstract: OBJECTIVE
  The purpose of this article is to discuss whether the sensitivity and specificity of contrast-enhanced digital mammography (CEDM) render it a viable diagnostic alternative to breast MRI.
  
  
  CONCLUSIONS
  That CEDM couples low-energy images (comparable to the diagnostic quality of standard mammography) and subtracted contrast-enhanced mammograms make it a cost-effective modality and a realistic substitute for the more costly breast MRI.
authors.affiliation: 1 Department of Radiology, Mayo Clinic Hospital, 5777 E Mayo Blvd, Phoenix, AZ 85054.
authors.forename: Bhavika K
authors.initials: BK
authors.lastname: Patel
authors.affiliation: 2 Department of Surgery, Division of General Surgery, Mayo Clinic Hospital, Phoenix, AZ.
authors.forename: Richard J
authors.initials: RJ
authors.lastname: Gray
authors.affiliation: 2 Department of Surgery, Division of General Surgery, Mayo Clinic Hospital, Phoenix, AZ.
authors.forename: Barbara A
authors.initials: BA
authors.lastname: Pockaj
mesh_terms: D001130:Arizona / Q000453:epidemiology; D001943:Breast Neoplasms / Q000000981:diagnostic imaging* / Q000191:economics* / Q000453:epidemiology; D017046:Cost Savings / Q000191:economics* / Q000706:statistics & numerical data; D005260:Female; D017048:Health Care Costs / Q000706:statistics & numerical data*; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000191:economics* / Q000706:statistics & numerical data; D008327:Mammography / Q000191:economics* / Q000706:statistics & numerical data; D015995:Prevalence; D015203:Reproducibility of Results; D012680:Sensitivity and Specificity; D014057:Tomography, X-Ray Computed / Q000191:economics* / Q000706:statistics & numerical data
keywords: CEDM; CESM; breast MRI; contrast-enhanced digital mammography; contrast-enhanced spectral mammography; costs; sensitivity; specificity