Digital Breast Tomosynthesis and Contrast Enhanced Mammography - Case 4 - USA

Next case number three, it was a 42 year old lady with no symptoms, routine mammography and unconventional mammography. We detected a suspicious mass, irregular maybe speculated mass on the right breast. It was detected on the MLO view but difficult to be detected on the cranial caudal view. After the administration of contrast, we can see clearly on the MLO view and irregular speculated mass highly suspicious for malignancy. We also perform a thermal study and we see the speculation or the distortion surrounding the lesion, but clearly it was better to be detected on contrast enhanced mammography. Final result in this case was a 12mm invasive Dr. cancer luminal AID subtype. And as you can see on MRI, it was very difficult to detect lesion because of strong breast pouring chemo enhancement. That is why in this case Tyson was very nice because was not as much influenced by the ovarian cycle as MRI was.

13 80%) cima Case 3 Digital Breast Tomosynthesis and Contrast Enhanced Mammography Prof. Dr. Luis Pina VNIVERSITAS ENSIS Breast Imaging Department (Radiología mamaria) Clínica Clínica Universidad de Navarra Universidad Pamplona, Spain de Navarra Administrator R_Case_03, Pina * 1/1/2018 O Reading_2018 Series MG Breast Add Study MG Reading R-MLO Prof. Pina CEM TOMO LCC First Step Next Quadrant MLO Reset 4 Findings CC Tools Lock 8:50 AM TOMO RCC cal Breast ear-old lady Undo MG Clinical information 42-year-old lady Asymptomatic Rep Image to Previous LCC SIEMENS RCC OMO RCC TOMO_RCC RMLO LMLO CAD Ultrasound B RES-B P 52mm PST 2 DR. PINA LA523 D1 1.50 cm IN FFDM asive cinoma subtype Pathology 12 mm invasive ductal carcinoma Luminal A subtype (Ki67 5%, Estrogen & Progesteron receptors 80%) MRI Strong breast parenchymal enhancement MR as Learnings TiCEM was not as much influenced by the ovarian cycle as MRI 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