Abstract
Background: Bilateral mammogram and ultrasound is the standard local assessment after diagnosis of early breast cancer. MRI is selectively used but remains controversial. Contrast enhanced mammography (CEM) is reported to have higher sensitivity than mammography, better specificity than ultrasound, and similar performance with better accessibility than MRI. We introduced CEM as near-routine for assessment of patients with screen-detected breast cancer, to identify mammographically occult disease.
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