CONTRAST ENHANCED MAMMOGRAPHY

An important new screening and diagnostic tool for women at high risk

Contrast-enhanced mammography (CEM) is an advanced breast imaging technique that combines traditional digital mammography with the administration of an intravenous iodinated contrast agent. The contrast agent highlights areas of increased blood supply within breast tissue, which can be an indication of tumor growth.

CEM allows radiologists to better visualize abnormalities that may not be clearly visible on conventional mammography. It offers the improved ability to detect breast cancers, especially in women with dense breast tissue, because it emphasizes areas with abnormal vascular activity. This can lead to earlier and more accurate detection.

CEM is also beneficial in evaluating the extent of breast cancer in patients who have already been diagnosed with the disease. It can help determine tumor size, identify additional lesions in the same or opposite breast, and assist in treatment planning. In some cases, CEM may serve as an alternative to breast MRI for patients who cannot undergo MRI due to contraindications such as implanted devices, claustrophobia, or limited access to MRI facilities.

Contrast Enhanced Mammography offers:

Comparable sensitivity to breast MRI in detecting cancer¹ and higher specificity²
Fewer false positives compared with breast MRI³
A shorter exam time (8-10 minutes versus about 1 hour)
A way to prevent unnecessary biopsies
A significantly lower cost compared with breast MRI
Less difficulty obtaining insurance pre-authorization
An iodine-based contrast agent (a safer and better-tolerated alternative than gadolinium for most patients)
An ideal solution for women who are anxious, claustrophobic, overweight or have implanted metal devices

You may not be eligible to have a CEM if you are allergic to iodine or have kidney failure. If you are taking metformin for diabetes (Glucophage, Riomet, Fortamet, Glumetza or Glucophage XR), you must refrain from taking this medication for several days prior to CEM.

Learn more about Contrast Enhanced Mammography!

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