Targeted Scan Shows Promise in Ruling Out Breast Cancer False Alarms
When doctors screen for breast cancer, they sometimes find suspicious areas that do not look like traditional lumps. These are known as non-mass enhancements. To figure out if these unusual spots are dangerous, medical teams often use magnetic resonance imaging (MRI) or an advanced x-ray called contrast-enhanced spectral mammography (CESM). However, these conventional scans can sometimes be overly sensitive. They frequently flag harmless tissue as suspicious, leaving doctors uncertain and patients worried. A recent study investigated what happens when an additional technology, called positron emission mammography (PEM), is added to the diagnostic process. PEM is a specialized scan that detects areas of high cellular activity, which is a common feature of cancer. Researchers reviewed the medical records of 108 women who had these unclear spots on their initial scans. Half of the women had their PEM scans reviewed alongside an MRI, while the other half had their PEM scans paired with a CESM scan. The addition of PEM dramatically improved the accuracy of the diagnoses. When paired with an MRI, the PEM scan correctly identified all the cancers while boosting the ability to accurately rule out harmless spots to 100 percent, a massive improvement from the 30 percent accuracy of MRI alone. A similar improvement was seen when PEM was paired with CESM. Additionally, different radiologists looking at the PEM scans agreed with each other much more often than they did when reviewing the other types of imaging. Out of 30 highly unclear cases that ultimately turned out to be completely harmless, the PEM scan correctly recognized 29 of them.
