Contrast Enhanced Spectral Mammography (CESM)

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Wilaiporn Bhothisuwan, MD
Pramaporn Kimhamanon, RT


CESM is a technique to detect abnormal contrast enhancement by dynamic iodinated contrast medium study via intravenous injection using digital mammographic unit on the basis of subtraction of low and high energies. The dynamic images are displayed to evaluate the depletion. The breast cancer will depict the contrast. The result is more sensitive and specific than CE-MRI. The other advantages to CE-MRI are lower cost of equipment, examination, contrast medium, shorter time of study and claustrophobia to MRI. It is recommended for the detection, extension of breast cancer or problem cases.


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Bhothisuwan W, Kimhamanon P. Contrast Enhanced Spectral Mammography (CESM). BKK Med J [Internet]. 2014Sep.20 [cited 2021Sep.22];8(1):71. Available from:
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1. Bhothisuwan W. Contrast enhanced subtraction mam-mography (CESM) in practicing breast imaging in Thailand 2013:187-265.
2. Fallenberg EM, Dromain C, Diekmann F, et al. Contrast- enhanced spectral mammography versus MRI: Initial results in the detection of breast cancer and assessment of tumour size. Eur Radiol 2014;24:256-64.
3. Chou CP, Chiang CL, Yang TL. Contrast-enhanced breast Tomosynthesis versus Dynamic Contrast-enhanced Breast MRI in the Diagnosis of suspicious Breast Lesions on Mammogram. VSBR31-04, RSNA 2013, Chicogo, USA.
4. Helal M, Kamal RM, Radwa Essam R. et al. Contrast-enhanced spectral digital mammogram versus contrast- enhanced MR mammography in the assessment of breast carcinoma: Initial clinical experience. VSBR31-03, RSNA 2013, Chicogo, USA.
5. Dromain C, Thibault F, Diekmann F et al. Dual-energy contrast-enhanced digital mammography: initial clinical results of a multireader, multicase study. Breast Cancer Res 2012;14:R94