0:00

So sometimes lesions are seen only on contrast imaging.

0:06

At my facility, we do not do contrast enhanced mammography,

0:11

so I use a resource

0:13

to obtain some information to present here.

0:15

Um, importantly, the breast would be

0:18

positioned in compression before injection of contrast.

0:23

You can target with stereotaxis

0:25

or tomosynthesis with contrast enhanced biopsies.

0:30

The initial post biopsy imaging is usually obtained two

0:33

to two and a half minutes after injection.

0:36

It's important to work quickly to optimize the detection

0:41

of the lesion relative to background enhancement.

0:45

Just like Mr. Uh, there can be washout of a target

0:48

and background parenchyma will progressively

0:51

enhance over time.

0:53

So you need to work early and quickly to see the lesion.

0:56

The best following identification of the target.

1:00

The remainder of the steps, um, is analogous

1:03

to routine mammographic ID core biopsies with tomosynthesis

1:07

or stereotactic imaging.