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Corresponding Author

Mahmoud M. Ismail

Document Type

Original Article

Abstract

Background: The main purpose of our study is to compare between contrast-enhanced digital mammography (CEDM) and contrast enhanced magnetic resonance imaging (CEMRI) with histopathological results and to compare the sensitivity, specificity, positive and negative predictive values for both imaging modalities. Objective: to evaluate the diagnostic accuracy in comparison between contrast enhanced digital mammography and contrast enhanced magnetic resonance imaging in assessment of breast cancer. Patients & methods: Forty four patients who were suspected of having breast abnormalities by clinical examination, twenty two patients underwent CEDM and the other twenty two patients underwent CEMRI using histopathologic results, the sensitivity and specificity as well as predictive values are obtained for each modality and comparison was done. Results: In our study the sensitivity of CEMRI (92.86%) was higher than CEDM (84.62%) and the specificity of CEDM (88.9%) is slightly higher than CEMRI (87.5%). PPVs are nearly same for both imaging modalities (92.86 for CEMRI and 91.67% in CEDM) and NPVs is higher in CEMRI (87.5%) than CEDM (80%). Conclusion: No significant difference between sensitivity and specificity in both CEDM and CEMRI.

Keywords

Contrast Enhanced digital Mammography, Dynamic contrast enhanced magnetic resonance imaging, Breast Cancer.

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