Contrast Enhanced Mammography

Contrast-enhanced mammography (CEM) is an X-ray examination of the breast tissue combining 3D mammography with an injection of intravenous contrast material (or contrast dye) to improve the visualisation of breast tissue.

Contrast-enhanced mammography increases the detection of breast cancer by identifying and characterising lesions that may not be visible on a standard mammogram.

Contrast-enhanced mammography may be useful for women who have a high risk of breast cancer or women with dense breasts.

Contrast Enhanced Mammography FAQs

    • Our team will provide any specific instructions at the time of booking and these should be followed carefully.
    • Please shower before the appointment and we ask that you refrain from using deodorant, antiperspirant, talcum powder, perfume or lotions, as this can interfere with the quality of the images.
    • Please bring any previous examinations performed outside of Queensland X-Ray with you. If you have had your previous mammograms with us, we will have your images stored.
    • Please arrive early for your appointment as you will need to change into a gown. We recommend wearing a separate top and bottoms during your appointment as this makes changing for the examination easier.
    • On arrival, please present to reception. You will be asked to complete a short questionnaire about your medical history.
    • We recommend you have an appointment one week after your period has finished, as this is when your breasts are less tender.
    • Prior to the exam, a cannula will be inserted into your arm. We use this to administer iodine-based contrast dye that can help to enhance the images we take. It is important to tell the staff if you have had any form of reaction to contrast before.
    • Shortly after the contrast injection, the mammographer will take the images.
    • You will be asked to remove the gown and lean towards the machine as the radiographer places your breast on a flat plate that is moved to the correct height.
    • A plastic paddle is then lowered onto the breast to compress the breast tissue. It will be done as quickly as possible, applying the optimal amount of compression to obtain the best images. The compression only lasts for a few seconds, and although it may be a little uncomfortable, it is essential to the success of the examination.
    • This is usually repeated on both breasts with two images performed of each breast.
    • Following the mammogram, a breast radiologist will review the images to ensure we have captured everything they need to provide a report.
  • In most cases, a contrast enhanced mammography scan will be performed within 15 minutes.

  • If you are pregnant or there is a possibility of you being pregnant, please let our staff know before your examination.

  • A radiographer or mammographer, who is a trained medical professional, will perform your mammogram.

    A radiologist will make a diagnosis upon review of the images captured by the mammographer.

    All of our radiographers who perform mammograms are female.

How much will it cost?

Fees for radiology procedures will vary depending on a variety of factors. We will advise you about the cost of your service at the time of booking but if you do have any questions, contact us and one of our team will be happy to help with your query. You can read more about our billing information here.

How do I access my images?

At Queensland X-Ray, we provide our patients with their images and results online. To access your images and results, you’ll need to register for an account when you visit one of our practices. If you’ve already registered, you can access the Patient Portal here.

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