Digital Breast Tomosynthesis and Contrast Enhanced Mammography - Case 5 - USA

Case #5 It was an 81 year old lady who came to our institution because of a palpable lamp in the left breast. As you can see, unconventional mammography, an irregular speculative mass was detected on both MLO and clinical view. After the administration of contrast, we can see an uptake of the mass on both MLO and cranial cloudal view, even showing a ring enhancement, which is typical of malignant lesions. If we move to the TOMO, we can see also exactly the same lesion. So the correlation is perfect between the contrast and the TOMO study. But there was a very tiny additional lesion on the control lateral breast. It was this tiny well the limited mass that was not visible unconventional nor nor in tumult synthesis. As you can see on MRI the lesion was detected, the control lateral lesion and the final astrology was an invasive ductal cancer on the left breast and a papilloma on the right breast. So in this case, the correlation between MRI and contrast enhanced mammography was very, very good.

13 cima Case 5 Digital Breast Tomosynthesis and Contrast Enhanced Mammography Prof. Dr. Luis Pina ENSIS Breast Imaging Department (Radiología mamaria) Clínica Clínica Universidad de Navarra Universidad Pamplona, Spain de Navarra ARR Administrator Server: VIASRV R_Case_05, Pina * 1/1/1936 F Reading_2018 Series MG Breast Add Study MG Reading INSIGHT CLM_LC First Step MLO Quadrant - CC Findings MG, 8/7/2018 Unknown study description Tools Lock Hide 8:57 AM ady Clinical information 81-year-old lady Palpable lump (left breast) 4 Findings MG CC INSIGHT 2D RCC LCC LE - MLO Previous Reset SIEMENS Technical RCC LO Prof. Pina CEM Rese Next INSIGHT CLM RM B RES-B Ultrasound P 52mm PRC 11/3/1 PST 2 PRS 4 DR. PINA LA523 D1 1.32 cm IN The lesion was clearly seen on US G --- Next ReportFlow step [CTRL F] 8:58 AM TOMO_RCC Q + MRI MRI showed the mass and a contralateral lesion DBT Pathology t breast 11mm invasive ductal carcinoma 95%, Ki67 5%) Left breast Luminal A (ER 95%, Ki67 5%) Right breast FFDM Papilloma (borderline lesion) TiCEM showed the contralateral lesion as a tiny well circumscribed mass MR Learnings CEM owed an excellent correlation th MRI showed an with MRI XV 6 PRC 11/3/1 PRS PST 0.56 cm Second look US discovered the contralateral lesion PRS XV PRC 11/3/1 PRS 4 nings M detected derline n not seen ammography, and initial US TiCEM detected a borderline lesion not seen on mammography, DBT and initial US 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 avallable in your country. Due to regulatory requirements, the avallability of said Functionalities in any specific country is not guaranteed. Please contart 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 llable 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 .. Healt Healthineers