Overview
Contrast enhanced mammography uses iodinated contrast to highlight tumor vascularity and can improve detection in dense breasts. Abbreviated MRI protocols shorten exam time while preserving high sensitivity for cancer detection. Both modalities offer options for patients who need supplemental imaging.
Clinical Indications
Consider contrast enhanced mammography for problem solving when MRI is contraindicated or unavailable. Use abbreviated MRI for high risk screening or problem solving when rapid throughput is needed. Patient selection should be guided by risk and prior imaging findings.
Operational Considerations
Contrast enhanced mammography requires contrast administration protocols and monitoring similar to CT and staff training for interpretation. Abbreviated MRI protocols require sequence optimization and workflow adjustments to maintain throughput. Reimbursement and access influence adoption decisions.
Evidence and Outcomes
Studies show both modalities can improve cancer detection in selected populations but comparative effectiveness versus full MRI varies by indication. Standardized reporting and prospective studies will clarify optimal use cases. Shared decision making with patients supports appropriate modality selection.