05/16/13: Mammograms in June
10/04/12: Epidural Steroid Injection Statement
10/01/12: Eastern Radiologists Promotes Breast Cancer Awareness Month
CONTRAST ENHANCED SPECTRAL MAMMOGRAPHY
Now Available at Eastern Radiologists, Inc. Breast Imaging Center
CESM is the newest breast imaging procedure to help in the detection of breast cancer. ERI Breast Imaging Center is the 2nd facility in the United States to offer this exciting new tool.
What is CESM?
Contrast Enhanced Spectral Mammography (CESM) is a special type of mammogram that is performed after injecting X-ray contrast (iodine). CESM shows all of the information of a regular mammogram but also shows areas of increased blood supply. Breast cancer typically has a larger blood supply than normal tissue so it is highlighted on the images.
Who needs to have CESM?
Contrast Enhanced Spectral Mammography (CESM) is performed on patients when standard breast imaging tests are inconclusive. This may be after an abnormality is seen on mammogram or ultrasound or in patients (especially those at higher risk) with dense tissue on routine mammograms which limits cancer detection.
How is it different from a regular mammogram?
CESM is performed just like a diagnostic mammogram but after an injection of X-ray contrast material. A few extra images are taken to show the contrast but these are low dose images so the total radiation dosage is only increased by about 20%
How long does it take?
You should plan to be in our office for approximately one hour.
Does my insurance cover it?
CESM is covered by most insurance companies. It is the same charge as a diagnostic mammogram plus the cost of the contrast injection.
Does my doctor have to order a CESM for me?
Yes, just like a diagnostic mammogram, CESM requires a doctor’s order.
Who performs the exam?
Specially trained mammography technologists perform the CESM. A specialized radiologist will interpret the images and a written report will be sent to your referring doctor.
Will I be able to drive myself afterwards? Do I need to bring someone with me?
If you normally drive yourself to your doctor’s appointments, then you will be able to drive after a CESM. You are welcome to bring a friend or family member but that is not required.
How should I prepare for the exam?
Because of the contrast injection, it is necessary to be on a clear liquid diet for 4 hours prior to the exam. Just as with all mammogram exams, it is most comfortable for you to wear a two piece outfit that you can easily remove your top. Please do not apply deodorant on the day of the exam.