Contrast-enhanced spectral mammography (CESM) versus MRI in the high-risk screening setting: patient preferences and attitudes

Publication date: March–April 2017
Source:Clinical Imaging, Volume 42
Author(s): Jordana Phillips, Matthew M. Miller, Tejas S. Mehta, Valerie Fein-Zachary, Audrey Nathanson, Wendy Hori, Rita Monahan-Earley, Priscilla J. Slanetz
PurposeOur study evaluates patient preferences toward screening CESM versus MRI.Materials and methodsAs part of a prospective study, high-risk patients had breast MRI and CESM. Patients completed an anonymous survey to evaluate preferences regarding the two modalities.Results88% of participants completed the survey. 79% preferred CESM over MRI if the exams had equal sensitivity. 89% would be comfortable receiving contrast as part of an annual screening test.ConclusionHigh-risk populations may accept CESM as a screening exam and may prefer it over screening MRI if ongoing trials demonstrate screening CESM to be clinically non-inferior MRI.



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