CESM – Contrast Enhanced Spectral Mammography: un nuovo paradigma per la diagnostica senologica

Abstract

Newly, analogic mammography has been completely replaced by digital mammography, which has allowed, with its
high quality images and high contrast resolution, to improve diagnostic accuracy in screening populations and to
develop applications such as CESM (Contrast Enhanced Spectral Mammography).
The topic in this paper concerns the dual energy subtractive digital mammography, with iodinated contrast in a
digital mammographic setting, which allows, as in magnetic resonance imaging (MRI), a contrast evaluation of the
breast, highlighting the areas that capture the radiological contrast, typical expression of neoplastic neoangiogenesis.