Peace of mind with a fast, accurate scan
One in eight women will be diagnosed with breast cancer in her lifetime. To help our patients get answers quickly, we’ve added the latest breast cancer diagnosis technology to our clinic. Midstate Radiology Associates is the first provider in Connecticut to offer SenoBright HD Contrast-Enhanced Spectral Mammography by GE Healthcare.
What is Contrast-Enhanced Spectral Mammography (CESM)?
Contrast-enhanced spectral mammography uses a contrast medium to highlight blood vessels in the breast. CESM can produce a better image to spot potential cancers than mammography or ultrasound, because the CESM technology helps reduce the masking effect of fibro-glandular breast tissue and increases the tumor signal1. As a result, CESM is particularly useful for women with dense breasts. Prior to CESM, MRI was the only available procedure to have images with such high quality.
How does CESM compare to a standard mammography?
The only difference is the use of a contrast medium. CESM uses an injectable iodine that collects in blood vessels that could be feeding something abnormal, such as a cancer, and allows the clinical team to identify areas of concern that may need further review.
Why is CESM an important technology for breast cancer diagnosis?
CESM technology is recommended for several reasons, such as:
- Achieving a higher quality image in women with dense breasts. About half of women who undergo breast cancer screening have dense breasts; nearly 10% extremely dense breasts2. Dense breasts makes it challenging to identify abnormalities on mammography because it is difficult to differentiate between fibro-glandular structures (fat) and tumor tissue. In other words, dense breasts provide a “hiding place” for tumors3.
- Assisting in the evaluation of abnormalities found on screening mammography or ultrasound4.
- Supporting the evaluation of the extent of the cancer4.
- Providing an excellent alternative to MRI. Because not all women can undergo MRI, such as those with pacemakers, aneurysm clips or other metallic hardware, claustrophobia, obesity, or the inability to lie motionless, these women need an alternative. Between 1% and 15% of those undergoing MRI have such high anxiety they require sedation5.
How does SenoBright HD CESM compare to an MRI?
The clarity and depth of information provided in both technologies enable us to quickly confirm whether an abnormality is a cancer. One advantage to SenoBright HD is that we can easily compare any abnormalities seen on the standard mammogram with the CESM images6. It is also much quicker than an MRI – SenoBright HD takes about seven minutes7 and can be done in the same facility as the mammogram. An MRI, on the other hand, takes up to 60 minutes and can be performed quite often in a different center.
What are the advantages of the SenoBright HD mammography technology?
SenoBright HD CESM has several advantages:
- High sensitivity, which increases the ability to identify disease more correctly
- High specificity, the ability to identify those without the disease
- The exam can be completed in close to 7 minutes8 to provide a clear and confident diagnosis
- The exam can be conducted in the same clinic, with the same equipment, in the same room, and even the same team
Is CESM considered safe?
Just like other medical procedures, this examination should be performed with experts in this domain with the appropriate precautions for each individual patient.
What about the radiation dose?
Studies find that radiation doses are well below the maximum dose recommended in the Mammography Quality Standards Act guidelines9.
How is a SenoBright HD exam conducted?
The patient receives an injection of the contrast medium. The rest of the exam is similar to a screening mammography, lasting less than seven minutes9.
Indeed, studies find that patients prefer CESM experience to breast MRI because it’s faster, more comfortable, quieter, and less anxiety-provoking10 11.
Can SenoBright be used for screening as well as diagnosis?
The FDA has not yet approved SenoBright HD for breast cancer screening.
With this new breast cancer technology at Midstate Radiology Associates, there are more options for personalized patient care.
Contact us to learn more about SenoBright HD CESM.
1. 510(k) K172404
2. Kerlikowske K, Zhu W, Hubbard RA, et al. Outcomes of screening mammography by frequency, breast density, and postmenopausal hormone therapy. JAMA Intern Med. 2013;173(9):807-816.
3. Travieso Aja MM, Rodriguez Rodriguez M, Alayon Hernandez S, et al. Dual-energy contrast-enhanced mammography. Radiologia (Roma). 2014;56(5):390-399.
4. Phillips J, Mehta TS. Setting Up a CESM Program. In: Lobbes M JM, ed. Contrast-Enhanced Mammography: Springer; 2019.
5. Patel BK, Gray RJ, Pockaj BA. Potential Cost Savings of Contrast-Enhanced Digital Mammography. AJR Am J Roentgenol. 2017;208(6):W231-w237.
6. Mann RM, Kuhl CK, Kinkel K, et al. Breast MRI: guidelines from the European Society of Breast Imaging. Eur Radiol. 2008;18(7):1307-1318.
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10. Patel BK, Gray RJ, Pockaj BA. Potential Cost Savings of Contrast-Enhanced Digital Mammography. AJR Am J Roentgenol. 2017;208(6):W231-w237.
11. Phillips J, Miller MM, Mehta TS, et al. Contrast-enhanced spectral mammography (CESM) versus MRI in the high-risk screening setting: patient preferences and attitudes. Clin Imaging. 2017;42:193-197.