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Kontrastmittelunterstützte Mammographie

Contrast-enhanced mammography

Der Radiologe volume 61, pages 177–182 (2021)Cite this article

Zusammenfassung

Eine frühzeitige Erkennung ist für die erfolgreiche Behandlung des Mammakarzinoms sowie für eine gute Prognose von großer Bedeutung. Die Kontrastmittelmammographie und insbesondere die kontrastmittelverstärkte spektrale Mammographie (CESM) zeigt vielversprechende erste Ergebnisse und stellt eine wertvolle Ergänzung zu den derzeit verfügbaren Methoden dar. Der Vorteil dieses Verfahrens besteht darin, dass eine Bildgebung beider Brüste in nur einem Untersuchungsgang mit einer Kontrastmittelgabe erfolgen kann. Die CESM zeigt ähnlich gute Resultate wie die Magnetresonanztomographie (MRT), ist gut verfügbar und kostengünstig und findet daher zunehmend Anwendung in der Mammadiagnostik. Die CESM stellt auch eine gute Alternative zur MRT dar, wenn diese aufgrund von Kontraindikationen nicht durchgeführt werden kann.

Abstract

Early detection is of great importance for the successful treatment of breast cancer and for a good prognosis. Contrast-enhanced mammography and especially contrast-enhanced spectral mammography (CESM) show promising initial results and are a valuable addition to currently available methods. The advantage of these methods is that imaging of both breasts can be performed in a single examination with a single contrast agent application. The accuracy of CESM is similar to that of magnetic resonance imaging (MRI), easily available at low costs, which is why this procedure is increasingly used in the diagnostic work up of breast cancer. CESM is also a good alternative to MRI if this cannot be performed due to contraindications.

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Abbreviations

AGD:

Average glandular dose

CEDM:

Contrast enhanced dual energy mammography

CESM:

Contrast enhanced spectral mammography

HE:

High energy

LE:

Low energy

MG:

Mammographie

MRT:

Magnetresonanztomographie

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Author information

Affiliations

  1. Bereichsleitung: Diagnostische und interventionelle Senologie LMU, Klinik und Poliklinik für Radiologie, Campus Innenstadt/Großhadern, LMU Klinikum, Marchioninistr. 15, 81377, München, Deutschland

    Eva M. Fallenberg

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  1. Eva M. Fallenberg
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Correspondence to Eva M. Fallenberg.

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Interessenkonflikt

E.M. Fallenberg ist als Referent für die Firmen GE Healthcare, Siemens Healthineers, Bayer Healthcare und Guerbet tätig und die Klinik hat für Ihre Projekte Forschungsförderungen von GE Healthcare, Bayer, Guerbet und Siemens erhalten.

Für diesen Beitrag wurden vom Autor keine Studien an Menschen oder Tieren durchgeführt. Für die aufgeführten Studien gelten die jeweils dort angegebenen ethischen Richtlinien.

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Cite this article

Fallenberg, E.M. Kontrastmittelunterstützte Mammographie. Radiologe 61, 177–182 (2021). https://doi.org/10.1007/s00117-021-00805-7

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  • DOI: https://doi.org/10.1007/s00117-021-00805-7

Schlüsselwörter

  • Brustkrebs
  • Früherkennung
  • Qualitätskontrolle
  • Kontrastmittelverstärkte spektrale Mammographie
  • Magnetresonanztomographie

Keywords

  • Breast cancer
  • Early diagnosis
  • Quality control
  • Contrast-enhanced spectral mammography
  • Magnetic resonance imaging