Digital Breast Tomosynthesis and Contrast Enhanced Mammography - Case 2 - USA

We move to case number 2 of 47 year old lady who felt a pulpal lamp in the left breast. On conventional mammorphy we detect an asymmetry on the MLO view in a specific and on the crinocal view we see we detect a mask, but it is very difficult to assess the size or the margins of this mask. Of course, contrast enhanced mammography, we detect perfectly the mass, it's an irregular speculated mass and it's very easy to measure this lesion, 15 millimetres, much better than unconventional mammography. And if we move through some synthesis, we also detect the lesion, but it is not as easy as contrast enhanced mammography. Why? Because there are a lot of, there is a lot of dense tissue surrounding this cancer. That is why we detect the lesion on TOMO. But it is not very easy to know exactly the the shape and and the margins. But this is not a problem for contrast enhanced mammography because only the tumoral tissue is enhancing with the contrast. We can see the image of the MRI and the correlation is perfect between the contrast enhanced mammography and MRI. Finally, the result was a 15 millimetres invasive Dr. Casanova.

cima Case 2 Digital Breast Tomosynthesis and Contrast Enhanced Mammography Prof. Dr. Luis Pina NIVERSITAS ENSIS Breast Imaging Department (Radiología mamaria) Clínica Clínica Universidad de Navarra Universidad Pamplona, Spain de Navarra ARR Server: VIASRV Administrator R_Case 02, Pina * 1/1/1972 F Reading_2018 Series MG Breast Add Study MG Reading Current Prof. Pina CEM MG, 12/1/2017 Bilateral Contrast Enhanced DE First Step Quadrant Reset IN SIGHT CEM LM LMLO LE LO Findings IN SIGHT CEM LC Bilateral Mamo(prime) Tools ML Lock 8:45 AM CC Clinical information 47-year-old lady Palpable lump (left breast) 4 Findings MG MLO LML cal Previous LCC LE mage to SIEMENS Hide INSIGHT CEM LM Image to Next MLC Mext MRI MR CEM DBT Pathology 15 mm invasive ductal carcinoma, Luminal A subtype, (Ki67 10% Estrogen receptors 90%) ven Learnings TiCEM was even better than DBT to assess the borders of the lesion Siemens Healthineers AG, 2024 Please note: This learning material is for training purposes only. Please note: Some functions shown in this material are optional and might not be part of your system. Certain products, product related claims or functionalities (hereinafter collectively "Functionality") may not (yet) be commercially available in your country. Due to regulatory requirements, the availability of said Functionalities in any specific country is not guaranteed. Please contact your local Siemens Healthineers sales representative for the most current information. The reproduction, transmission or distribution of this training or its contents is not permitted without express written authority. Offenders will be liable for damages. The statements by customers of Siemens Healthineers described herein are based on results that were achieved in the customer's unique setting. Because there is no "typical" hospital or laboratory and many variables exist (e.g ., hospital size, samples mix, case mix, level of IT and/or automation adoption) there can be no guarantee that other customers will achieve the same results. The speakers and/or their employer receive financial support from Siemens Healthineers for collaborations. All rights, including rights created by patent grant or registration of a utility model or design, are reserved. Healthineers