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Utility of Routine Use of Breast Ultrasound Following Contrast-enhanced Spectral Mammography by E. Klang; A. Krosser; M.M. Amitai; V. Sorin; O. Halshtok Neiman; A. Shalmon; M. Gotlieb; M. Sklair-Levy is a Medicine article available to read on EtoBox.

What is Utility of Routine Use of Breast Ultrasound Following Contrast-enhanced Spectral Mammography about?

## Aim: To evaluate whether breast ultrasound (us) is routinely indicated following contrast-enhanced spectral mammography (cesm). ## Materials and methods: Consecutive screening and diagnostic cesm examinations with concurrent breast us were collected retrospectively (may 2012 to february 2016). radiologists assigned a separate breast imaging-reporting and data system (birads) score for cesm and for us. birads scores were grouped into three categories: normal/benign appearing (birads 1, 2); probably benign, short-term follow-up (birads 3); or suspicious appearing (birads 0, 4, 5). patients with a suspicious-appearing lesion in either us or cesm underwent biopsy. the associations between malignant pathology with either suspicious-appearing cesm or suspicious-appearing us were calculated. the sensitivities and specificities of cesm and us were analysed. ## Results: Eighty-seven lesions were biopsied, 37 (43%) biopsies were malignant and 50 (57%) were benign. although suspicious-appearing cesm was associated with malignant biopsies (p<0.0001), suspicious-appearing us was not (p=0.985). among 37 malignant biopsies, cesm had a sensitivity of 97% (36/37 lesions), compared to 92% (34/37

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Author

E. Klang; A. Krosser; M.M. Amitai; V. Sorin; O. Halshtok Neiman; A. Shalmon; M. Gotlieb; M. Sklair-Levy

Published

2018

Language

EN

Field

Medicine (Health Sciences)