Contrast-enhanced mammography in breast cancer screening: Our experiences

Background/Aim. Breast cancer is a leading global health concern. Contrast-enhanced mammography (CEM) presents a promising advancement in early breast cancer detection, excelling in sensitivity, specificity, and cost-effectiveness. The aim of the study was to assess the overall diagnostic efficacy o...

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Main Authors: Nićiforović Dijana, Basta-Nikolić Marijana, Drvendžija Zorka, Nikolić Olivera, Mijatović Aleksandra, Lukač Sonja, Stojanović Sanja
Format: Article
Language:English
Published: Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade 2025-01-01
Series:Vojnosanitetski Pregled
Subjects:
Online Access:https://doiserbia.nb.rs/img/doi/0042-8450/2025/0042-84502500005N.pdf
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author Nićiforović Dijana
Basta-Nikolić Marijana
Drvendžija Zorka
Nikolić Olivera
Mijatović Aleksandra
Lukač Sonja
Stojanović Sanja
author_facet Nićiforović Dijana
Basta-Nikolić Marijana
Drvendžija Zorka
Nikolić Olivera
Mijatović Aleksandra
Lukač Sonja
Stojanović Sanja
author_sort Nićiforović Dijana
collection DOAJ
description Background/Aim. Breast cancer is a leading global health concern. Contrast-enhanced mammography (CEM) presents a promising advancement in early breast cancer detection, excelling in sensitivity, specificity, and cost-effectiveness. The aim of the study was to assess the overall diagnostic efficacy of CEM in breast cancer screening, particularly in distinguishing benign from malignant lesions in dense breasts. Methods. A two-year retrospective study was conducted at the Center for Radiology, including a total of 279 women undergoing CEM following standard mammography. Results. CEM demonstrated high sensitivity (92.4%), specificity (75.1%), and a noteworthy negative predictive value of 97.0%, significantly reducing unnecessary biopsies. Conclusion. CEM is a valuable screening tool, offering enhanced diagnostic capabilities and the potential to reduce the number of unnecessary biopsies. It is particularly beneficial for patients with dense breasts or inconclusive traditional mammography results.
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institution DOAJ
issn 0042-8450
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language English
publishDate 2025-01-01
publisher Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade
record_format Article
series Vojnosanitetski Pregled
spelling doaj-art-304b4b7d3f0942e79ef84a9fe39e706d2025-08-20T03:20:23ZengMinistry of Defence of the Republic of Serbia, University of Defence, BelgradeVojnosanitetski Pregled0042-84502406-07202025-01-01822869310.2298/VSP240606005N0042-84502500005NContrast-enhanced mammography in breast cancer screening: Our experiencesNićiforović Dijana0Basta-Nikolić Marijana1https://orcid.org/0000-0003-2769-886XDrvendžija Zorka2Nikolić Olivera3Mijatović Aleksandra4Lukač Sonja5https://orcid.org/0009-0002-7984-7062Stojanović Sanja6https://orcid.org/0000-0002-3011-5218University Clinical Center of Vojvodina, Center for Radiology, Novi Sad, Serbia + University of Novi Sad, Faculty of Medicine, Novi Sad, Serbia University Clinical Center of Vojvodina, Center for Radiology, Novi Sad, Serbia + University of Novi Sad, Faculty of Medicine, Novi Sad, Serbia University of Novi Sad, Faculty of Medicine, Novi Sad, Serbia University Clinical Center of Vojvodina, Center for Radiology, Novi Sad, Serbia + University of Novi Sad, Faculty of Medicine, Novi Sad, Serbia University Clinical Center of Vojvodina, Center for Radiology, Novi Sad, SerbiaUniversity Clinical Center of Vojvodina, Center for Radiology, Novi Sad, SerbiaUniversity Clinical Center of Vojvodina, Center for Radiology, Novi Sad, Serbia + University of Novi Sad, Faculty of Medicine, Novi Sad, Serbia Background/Aim. Breast cancer is a leading global health concern. Contrast-enhanced mammography (CEM) presents a promising advancement in early breast cancer detection, excelling in sensitivity, specificity, and cost-effectiveness. The aim of the study was to assess the overall diagnostic efficacy of CEM in breast cancer screening, particularly in distinguishing benign from malignant lesions in dense breasts. Methods. A two-year retrospective study was conducted at the Center for Radiology, including a total of 279 women undergoing CEM following standard mammography. Results. CEM demonstrated high sensitivity (92.4%), specificity (75.1%), and a noteworthy negative predictive value of 97.0%, significantly reducing unnecessary biopsies. Conclusion. CEM is a valuable screening tool, offering enhanced diagnostic capabilities and the potential to reduce the number of unnecessary biopsies. It is particularly beneficial for patients with dense breasts or inconclusive traditional mammography results.https://doiserbia.nb.rs/img/doi/0042-8450/2025/0042-84502500005N.pdfbreast cancerdiagnosisdifferential diagnosismammographymass screeningsensitivity and specificityultrasonographymammary
spellingShingle Nićiforović Dijana
Basta-Nikolić Marijana
Drvendžija Zorka
Nikolić Olivera
Mijatović Aleksandra
Lukač Sonja
Stojanović Sanja
Contrast-enhanced mammography in breast cancer screening: Our experiences
Vojnosanitetski Pregled
breast cancer
diagnosis
differential diagnosis
mammography
mass screening
sensitivity and specificity
ultrasonography
mammary
title Contrast-enhanced mammography in breast cancer screening: Our experiences
title_full Contrast-enhanced mammography in breast cancer screening: Our experiences
title_fullStr Contrast-enhanced mammography in breast cancer screening: Our experiences
title_full_unstemmed Contrast-enhanced mammography in breast cancer screening: Our experiences
title_short Contrast-enhanced mammography in breast cancer screening: Our experiences
title_sort contrast enhanced mammography in breast cancer screening our experiences
topic breast cancer
diagnosis
differential diagnosis
mammography
mass screening
sensitivity and specificity
ultrasonography
mammary
url https://doiserbia.nb.rs/img/doi/0042-8450/2025/0042-84502500005N.pdf
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