Dual-energy mammography

Dual-energy digital mammography is a complementary breast imaging modality.

The technique consists of high-energy and low-energy digital mammograms after administration of iodinated contrast agent.

Breast is exposed to low- and high-energy x-ray beams during a single breast compression in MLO projection. The breast is then released from compression, and the contrast agent injected. After a delay of about 3 minutes, the breast is compressed again, and the low- and high-energy exposures are repeated to create pre- and post-contrast dual-energy images, to evaluate the kinetics of uptake and washout.

The images are subtracted, canceling the soft-tissue contrast common to the two images and isolating the iodine signal in the region of angiogenesis.  Low- and high-energy acquisitions are chosen to maximize and minimize, respectively, the ratio of the attenuation of the breast tissue to that of the iodine.

For the high-energy beam is used a combination of rhodium target with aluminum filter, while for the low-energy beam the combination of molybdenum target with molybdenum filter.

Dual-energy enhanced mammography is a cheap technique useful in identification of lesions in dense breasts, capable of demonstrating cancers that are not visible at standard mammography.

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Article information

rID: 15407
System: Breast
Synonyms or Alternate Spellings:
  • Dual-energy digital mammography (DEDM)
  • DEDM

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