Digital Breast Tomosynthesis and Contrast Enhanced Mammography - Case 6 - USA

Case six. It was a 71 year old lady with no symptoms within mammography. Unconventional mammography. Several calcified fibradenomas were detected on the left breast. Tomosynthesis an irregular mass was detected adjacent to the calcified fibroadenomas. Regular speculated mass suspicious for malignancy after the administration of contrast. The correlation is very good with tomosynthesis because there is an uptake of contrast in the irregular mass and not in the fibroadenomas and the correlation between thermosynthesis and contrast. It's easier to measure lesion on contrast enhanced mammography than in Thermo in this case because of the artifact of the calcified fibroadenoma and the surrounding tissue. Finally, the result was an invasive doctoral cancer count measuring only 4mm and the correlation with MRI was perfect because only the carcinoma was detected on MRI and not the fibro adenomas.

13 cima Case 6 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 Administrator R_Case_06, Pina * 1/1/1946 F Reading_2018 Series MG Breast Add Study MG Reading INSIGHT_CEM_LC LCC_LE First Step Quadrant MG, 10/30/2017 Bilateral Mamo(prime) CC Reset TOMO_RCC Findings RMLO TOMO LCC Tools 9:00 AM tion matic Clinical information 71-year-old lady Asymptomatic 4 Findings MG RCC LMLO SIEMENS Prevous LOck Next MLC Previous Next ReportFlow step [CTRL F] Image to Technical Slice 1 / 47 solid mass, calcs SL13, spic. mass SL20 Pixel Size Magnification: 0.497 True Size Magnification: 1.5 MLO LCC LE Prof. Pina CEM Lock Text Ultrasound P 44mm RES-B PRC 12/2/1 PRS D1 0.59 cm PRC 12/2/1 PST 0.59 cm DBT Pathology ductal carcinoma and associated IS Luminal ubtype 67 2%, rogen eptors 98%) 4 mm invasive DCIS Luminal A subtype (Ki67 2%, Estrogen receptors 98%) Learnings to detect a breast cancer in a background of fibroadenomas The malignant invasive lesion was very small (4mm) MR TiCEM showed good correlation with 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