Navigating Contrast-enhanced Digital Mammography

Tiffany C. Lewis, DO; Bhavika K. Patel, MD; Victor J. Pizzitola, MD


Appl Radiol. 2017;46(3) 

In This Article

Abstract and Introduction


Contrast-enhanced digital mammography (CEDM) takes sequential images at high and low energies that are used to construct a digitally subtracted image, highlighting areas of contrast medium enhancement. The low-energy image is of the same diagnostic quality as standard 2-dimensional mammography.[1] However, the digitally subtracted image is unlike those that mammographers are accustomed to interpreting and its use initially may be overwhelming.

With this paper, the authors aim to increase understanding of normal anatomic and non-anatomic structures encountered on subtracted images and increase awareness of commonly encountered artifacts. In addition, the authors outline a standardized reporting system to help further streamline interpretation and reporting of CEDM images.