Contrast-enhanced spectral mammography in clinical practice: results in a screening population

This dissertation studies a new method to detect breast cancer called Contrast Enhanced Spectral Mammography (CESM). Abnormal breast tissue can be detected with CESM by administering intravenous iodinated contrast. This dissertation explains the way in which CESM works. Furthermore, the use of CESM in clinical practice is studied in women who have been referred after taking part in the national breast cancer screening programme. The study topics include safety, practicability and reproducibility. CESM is shown to be not only more accurate than a regular mammogram, but also a potential replacement for MRI under certain conditions.