Contrast-Enhanced Stereotactic Biopsy (CESB): Patient selection and practical considerations.

Eur J Radiol

Zuyderland Medical Center, Department of Surgery, Sittard-Geleen, the Netherlands; Maastricht University, Faculty of Scientific Engineering, Maastricht, the Netherlands.

Published: December 2024

Since its introduction in 2012, contrast-enhanced mammography (CEM) has shown increased clinical relevance as a diagnostic tool in breast imaging. Its diagnostic accuracy is on par with breast MRI, rendering it a viable and potentially cost-effective alternative for breast MRI indications, especially in areas with lower accessibility to MRI. Like MRI, CEM occasionally shows 'CEM-only' lesions, i.e., areas of contrast enhancement without corresponding findings on low-energy images, ultrasound, or digital tomosynthesis. The current workaround usually consists of performing MRI-guided biopsy. However, contrast-enhanced stereotactic biopsy (CESB) offers a new alternative and has become commercially available since 2020. This narrative review will outline patient selection, the procedure, important considerations when performing CESB, and an overview of current literature.

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http://dx.doi.org/10.1016/j.ejrad.2024.111768DOI Listing

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