Contrast Enhanced Spectral Mammography as the Method of Choice in the Diagnosis of Breast Cancer in Young Women
https://doi.org/10.52560/2713-0118-2023-3-11-23
Abstract
Breast cancer (BC) in young women is cancer that has developed in women aged less than 40 years. Purpose of this study was to compare the overall diagnostic performance of CESM and digital mammography (DM) in detecting breast cancer in women under 40 years. The study group included 75 patients.
When analyzing the data obtained, all indicators of diagnostic effectiveness in CESM statistically significantly exceeded the DM data.
Thus, due to the ability to assess vascularization, CESM is characterized by higher sensitivity in the diagnosis of breast cancer in young women comparing to DM.
About the Authors
A. V. ChernayaRussian Federation
Chernaya Antonina Viktorovna, Ph. D. Med., Radiologist, Senior Researcher, Scientific Department of Diagnostic and Interventional Radiology; Assistant of the Department of Radiation Diagnostics and Medical Imaging
68, Leningradskaya street, Pesochny, Saint Petersburg, 197758
+7 (812) 439-95-55
R. Kh. Ul’yanova
Russian Federation
Ul’yanova Roksana Khachikovna, Radiologist
154, Fontanka River Embankment, Saint Petersburg, 190103
+7 (812) 676-25-25
S. S. Bagnenko
Russian Federation
Bagnenko Sergey Sergeevich, M. D. Med., Associate Professor, Deputy Director, Head of the Scientific Department, Leading Researcher of the Scientific Department of Diagnostic and Interventional Radiology; Professor of the Department of Modern Methods of Diagnosis and Radiobeagion Therapy
68, Leningradskaya street, Pesochny, Saint Petersburg, 197758
+7 (812) 439-95-55
P. V. Krivorot’ko
Russian Federation
Krivorot’ko Petr Vladimirovich, M. D. Med., Professor, Head of the Surgical Department of Breast Tumors, Leading researcher
68, Leningradskaya street, Pesochny, Saint Petersburg, 197758
+7 (812) 439-95-55
S. N. Novikov
Russian Federation
Novikov Sergey Nikolaevich, M. D. Med., Professor, Head of the Radiotherapy Department, Leading researcher
68, Leningradskaya street, Pesochny, Saint Petersburg, 197758
+7 (812) 439-95-55
A. N. Zaytsev
Russian Federation
Zaytsev Aleksandr Nikolaevich, Ph. D. Med., Radiologist, Senior Researcher, Scientific Department of Diagnostic and Interventional Radiology
68, Leningradskaya street, Pesochny, Saint Petersburg, 197758
+7 (911) 231-25-20
References
1. Sulejmenova D. M., Zholdy`baj Zh. Zh., Ajnakulova A. S., Amankulova Zh. B., Isaeva A. M. Breast cancer in young women: adapted imaging recommendations. International Journal of Applied and Fundamental Research. 2021. Vol. 3. P. 46–52. (In Russ.).
2. Chyornaya A. V., Ul΄yanova R. X., Bagnenko S. S. et al. Сontrast enhanced spectral mammography as a tool for accurate diagnosis of cancer on the background of the dense breast tissue. Medical Visualization. 2023. Vol. 27, no. 1. P. 25–34. (In Russ.).
3. Chyornaya A. V., Ul΄yanova R. X., Krivorot`ko P. V. et al. Utility of dual-energy contrast-enhanced spectral mammography for the diagnosis of multicentric breast cancer. Tumors of female reproductive system. 2021. Vol. 17, no. 4. P. 20–28. (In Russ.).
4. Chernaya A. V., Novikov S. N., Krivorotko P. V., Ul΄yanova R. K., Danilov V. V. New technologies in breast cancer detection – contrast enhanced dual-energy spectral mammography. Medical Visualization. 2019. Vol. 2. P. 49–61. (In Russ.).
5. E΄rshtejn M. A. Meskih E. V., Kolesnik A. Yu., Oksanchuk E. A. Breast cancer screening: history and realities. Journal of radiology and nuclear medicine. 2019. Vol. 19, no. 2. P. 64–85. (In Russ.).
6. Dibble E. H., Singer T. M., Jimoh N., Baird G. L., Lourenco A. P. Dense Breast Ultrasound Screening After Digital Mammography Versus After Digital Breast Tomosynthesis. Am J. Roentgenol. 2019. Vol. 213, no. 6. P. 1397–1402.
7. Krammer J., Pinker-Domenig K., Robson M. E., Gönen M., Bernard-Davila B., Morris E. A., Mangino D. A., Jochelson M. S. Breast cancer detection and tumor characteristics in BRCA1 and BRCA2 mutation carriers. Breast Cancer Res. Treat. 2017. Vol. 163, no. 3. P. 565–571.
8. Mori M., Akashi-Tanaka S., Suzuki S. et al. Diagnostic accuracy of contrast-enhanced spectral mammography in comparison to conventional full-field digital mammography in a population of women with dense breasts. Breast Cancer. 2017. Vol. 24, no. 1. P.104–110.
9. Pandya T., Liu Z., Dolan H., Hersch J., Brennan M., Houssami N., Nickel B. Australian Women’s Responses to Breast Density Information: A Content Analysis. Int J. Environ Res Public Health. 2023. Vol. 20, no. 2. P. 1596.
10. Sung J. S., Lebron L., Keating D., D’Alessio D., Comstock C. E., Lee C. H., Pike M. C., Ayhan M., Moskowitz C. S., Morris E. A., Jochelson M. S. Performance of Dual-Energy Contrast-enhanced Digital Mammography for Screening Women at Increased Risk of Breast Cancer. Radiology. 2019. Vol. 293,. No. 1. P 81–88.
11. Tabar L., Dean P. B. Recommendations for breast cancer screening. Lancet Oncol. 2020. Vol. 21, no. 11. P. 511.
12. Vourtsis A., Berg W. A. Breast density implications and supplemental screening. Eur. Radiol. 2019. Vol. 29, no. 4. P. 1762– 1777.
Supplementary files
Review
For citations:
Chernaya A.V., Ul’yanova R.Kh., Bagnenko S.S., Krivorot’ko P.V., Novikov S.N., Zaytsev A.N. Contrast Enhanced Spectral Mammography as the Method of Choice in the Diagnosis of Breast Cancer in Young Women. Radiology - Practice. 2023;(3):11-23. (In Russ.) https://doi.org/10.52560/2713-0118-2023-3-11-23