الفهرس 
? Anatomy of the BreastOnly 14 pages are availabe for public view
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Abstract
Aim: To evaluate the capability of CESM to upgrade/downgrade BIRADS category of equivocal and suspicious breast lesions.
Patients and methods: Thirty female patients for equivocal and suspicious breast lesions, were enrolled in our study, age ranged from 27 to 79 years. All patients underwent conventional mammography and ultrasound then CESM.
Results: Mammography categorized 21/23 cases (91.3%) cases to be malignant (BIRADS 4, 5) and 10/12 lesions (83.3%) to be benign (BIRADS1, 3). Ultrasound categorized 22/23 (95.7%) proved malignant cases and 9/12 (75%) proved benign cases. CESM categorized 22/23 (95.7%) proved malignant cases and 4/12 33.3% proved benign cases. Disagreement about BIRADS category was observed in 25.7% and 14.2% (mammography and ultrasound) of the examined lesions.
Conclusion: CESM has better diagnostic performance than mammography plus Ultrasound and provides a valuable tool to accurately evaluate equivocal and suspicious breast lesions.