Potential Cost Savings of Contrast-Enhanced Digital Mammography

AJR Am J Roentgenol. 2017 Jun;208(6):W231-W237. doi: 10.2214/AJR.16.17239. Epub 2017 Apr 5.

Abstract

Objective: The purpose of this article is to discuss whether the sensitivity and specificity of contrast-enhanced digital mammography (CEDM) render it a viable diagnostic alternative to breast MRI.

Conclusion: That CEDM couples low-energy images (comparable to the diagnostic quality of standard mammography) and subtracted contrast-enhanced mammograms make it a cost-effective modality and a realistic substitute for the more costly breast MRI.

Keywords: CEDM; CESM; breast MRI; contrast-enhanced digital mammography; contrast-enhanced spectral mammography; costs; sensitivity; specificity.

Publication types

  • Comparative Study

MeSH terms

  • Arizona / epidemiology
  • Breast Neoplasms / diagnostic imaging*
  • Breast Neoplasms / economics*
  • Breast Neoplasms / epidemiology
  • Cost Savings / economics*
  • Cost Savings / statistics & numerical data
  • Female
  • Health Care Costs / statistics & numerical data*
  • Humans
  • Magnetic Resonance Imaging / economics*
  • Magnetic Resonance Imaging / statistics & numerical data
  • Mammography / economics*
  • Mammography / statistics & numerical data
  • Prevalence
  • Reproducibility of Results
  • Sensitivity and Specificity
  • Tomography, X-Ray Computed / economics*
  • Tomography, X-Ray Computed / statistics & numerical data