APBI 2016

CESM vs MRI

 CESM is nearly comparable to MRI for cancer staging  Same sensitivity for primary cancer, slightly lower for 2 nd ary foci  Slighty higher specificity  Good estimation of lesion size similar to MRI  Better patient experience than MRI***  Faster time procedure and greater comfort  Lower noise level and rates of anxiety

Authors Jochelson, 2012

N Analysis MX CESM MRI

52 Per patient Per lesion

81 % 59 %

96% 83%

96% 93%

Dromain, RSNA 2011

53 Per patient Per lesion 80 Per patient

NA 94% 93%

100% 98%

Fallenberg, 2013

81 %

100% 97%

Luczynca, 2015 102 Per patient

NA 100% 93%

*Lobbes MB et al. J Cancer. 2015 Jan 5;6(2):144-50 **Cheung YC et al Eur Radiol, 2015; DOI 10,1007 ***Hobbs MM et al. J Med Imaging Radiat Oncol. 2015;59(3): 300-5