Contrast-Enhanced Mammography (CEM)

CEM (contrast-enhanced mammography) is an advanced digital mammogram technique that combines the accessibility of a mammogram with the improved cancer detection capabilities of a contrast-enhanced study. This technique obtains similar information as a breast MRI (magnetic resonance imaging) and is particularly useful in patients who cannot have or prefer not to have MRI. The only thing that will seem different from a standard mammogram is the IV placement and the injection of iodinated contrast (the same as used for CT scan) right before the mammogram.

CEM exams can be performed following a traditional mammogram or ultrasound to gather more information about an area in the breast that appears abnormal. This can be especially important in those with dense breast tissue.

CEM is indicated for women with:

• Inconclusive mammography results.
• Recently diagnosed breast cancer
• History of breast cancer

Like any procedure, it does carry certain risks, including allergic reaction to the contrast agent.  As with all medical tests, the risks and benefits are evaluated for each indication. Your doctor can determine if CEM is recommended for you.