{"doi":"10.1016/j.ejrad.2024.111312","title":"Contrast-enhanced breast imaging: Current status and future challenges","abstract":null,"journal":"European Journal of Radiology","year":2024,"id":630320,"datarank":0.519860385419959,"base_score":3.4657359027997265,"endowment":3.4657359027997265,"self_citation_contribution":0.519860385419959,"citation_network_contribution":0.0,"self_endowment_contribution":0.519860385419959,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":31,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":null,"is_data_producer":false,"deposit_databanks":null,"is_oa":false,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":null,"fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":1632857,"name":"S. Morscheid","orcid":null,"position":1,"is_corresponding":false},{"id":1632858,"name":"P.A.T. Baltzer","orcid":null,"position":2,"is_corresponding":false},{"id":1632859,"name":"P. Clauser","orcid":null,"position":3,"is_corresponding":false},{"id":1632860,"name":"R. Alcantara","orcid":null,"position":4,"is_corresponding":false},{"id":1632861,"name":"C.K. Kuhl","orcid":null,"position":5,"is_corresponding":false},{"id":1632862,"name":"J.E. Wildberger","orcid":null,"position":6,"is_corresponding":false},{"id":1632856,"name":"T.J.A. van Nijnatten","orcid":null,"position":0,"is_corresponding":false}],"reference_count":0,"raw_metadata":{"has_enrichment":true,"resolved":true,"title":"Contrast-enhanced breast imaging: Current status and future challenges","abstract":"BACKGROUND: Contrast-enhanced breast MRI and recently also contrast-enhanced mammography (CEM) are available for breast imaging. The aim of the current overview is to explore existing evidence and ongoing challenges of contrast-enhanced breast imaging. METHODS: This narrative provides an introduction to the contrast-enhanced breast imaging modalities breast MRI and CEM. Underlying principle, techniques and BI-RADS reporting of both techniques are described and compared, and the following indications and ongoing challenges are discussed: problem-solving, high-risk screening, supplemental screening in women with extremely dense breast tissue, breast implants, neoadjuvant systemic therapy (NST) response monitoring, MRI-guided and CEM- guided biopsy. RESULTS: Technique and reporting for breast MRI are standardised, for the newer CEM standardisation is in progress. Similarly, compared to other modalities, breast MRI is well established as superior for problem-solving, screening women at high risk, screening women with extremely dense breast tissue or with implants; and for monitoring response to NST. Furthermore, MRI-guided biopsy is a reliable technique with low long-term false negative rates. For CEM, data is as yet either absent or limited, but existing results in these settings are promising. CONCLUSION: Contrast-enhanced breast imaging achieves highest diagnostic performance and should be considered essential. Of the two contrast-enhanced modalities, evidence of breast MRI superiority is ample, and preliminary results on CEM are promising, yet CEM warrants further study.","is_dataset_classified":null,"base_score":3.4657359027997265,"endowment":3.4657359027997265,"datacite_reuse_total":0,"file_count":0,"downloads":0,"views":0,"has_version_chain":false,"is_dataset":false,"is_oa":false,"pmid":"38237520","pmcid":null,"openalex_id":"https://openalex.org/W4390940665","authors":[],"funders":[{"funder_name":"Department of Radiology, Weill Cornell Medical College","grant_id":"","title":null}],"total_grants":1,"fwci":8.1644,"citation_percentile":0.98346128,"influential_citations":2,"citation_trend":[{"year":2024,"count":8},{"year":2025,"count":15},{"year":2026,"count":8}],"oa_status":"hybrid","license":"cc-by","oa_locations":[{"url":"http://www.ejradiology.com/article/S0720048X24000287/pdf","host_type":"journal"},{"url":"http://www.ejradiology.com/article/S0720048X24000287/pdf","host_type":"HYBRID"},{"url":"http://www.ejradiology.com/article/S0720048X24000287/pdf","host_type":"publisher"},{"url":"https://api.elsevier.com/content/article/PII:S0720048X24000287?httpAccept=text/xml","host_type":"publisher"},{"url":"https://api.elsevier.com/content/article/PII:S0720048X24000287?httpAccept=text/plain","host_type":"publisher"},{"url":"https://doi.org/10.1016/j.ejrad.2024.111312","host_type":"journal"},{"url":"https://pubmed.ncbi.nlm.nih.gov/38237520","host_type":"repository"},{"url":"https://cris.maastrichtuniversity.nl/en/publications/3950787f-1d8e-4ae1-80bf-8075bed9452b","host_type":"repository"},{"url":"http://hdl.handle.net/10230/61396","host_type":"repository"}],"fields_of_study":["MRI in cancer diagnosis","Advanced MRI Techniques and Applications","Breast Lesions and Carcinomas","Medicine","Female","Humans","Breast","Breast Density","Breast Neoplasms","Contrast Media","Magnetic Resonance Imaging","Mammography"],"mesh_terms":["Breast Density","Breast","Breast Neoplasms","Contrast Media","Female","Humans","Magnetic Resonance Imaging","Mammography"],"keywords":["Medicine","Breast imaging","Breast MRI","Mammography","Modalities","Radiology","Breast ultrasound","Biopsy","Magnetic resonance imaging","Breast biopsy","Breast tissue","Narrative review","Medical physics","Breast cancer","Medical imaging","Intensive care medicine","Internal medicine","Contrast-enhanced Mammography"],"sdg_mappings":[{"sdg_number":0,"sdg_label":"Good health and well-being"}],"linked_datasets":[],"clinical_trials":[],"software_tools":[],"database_accessions":[],"source":"live","citation_network_status":"fetched"},"created_at":"2026-08-05T20:55:42.812214Z","pmid":null,"pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}