0:00

Overall, the wonderful thing is that

0:03

CEM-guided core biopsy is now available.

0:06

You can get it.

0:07

It's amazing.

0:09

Um, I'll show you an example of how that's used.

0:11

I know we're running out of time.

0:13

So this was a patient who had a recombined

0:15

only finding. Um, let me show you this.

0:20

So this was a patient who had architectural distortion

0:22

in the left breast, marked by that yellow arrow.

0:24

And we did a biopsy, a tomosynthesis-guided biopsy.

0:28

And you'll see that our clip is actually not where the

0:31

tomosynthesis— where the architectural distortion was.

0:34

So we weren't sure what to do about this.

0:36

Did we sample appropriately

0:37

the distortion and the clip moved, or were we just off?

0:41

And this can happen with tomosynthesis-guided biopsy.

0:43

I imagine everybody on the call

0:46

or at least many people on the call have had this issue.

0:48

So we did a contrast mammo to get more information,

0:52

and we found that there was no enhancement in

0:54

the area of distortion, which is great, but

0:58

there was enhancement in the right breast.

0:59

The enhancement here marked by the

1:01

pink color was fibroadenoma, known fibroadenoma,

1:04

but you'll see that there was actually an incidental

1:06

enhancement in the, um, outer central right breast.

1:09

And this was...

1:10

This was a malignancy.

1:12

So— but what we're, you know, what

1:13

are we gonna do with this thing?

1:14

We sent her to ultrasound, we couldn't find it.

1:16

There was no associated correlate on the low-energy

1:18

exam, so we had to send this patient to MRI.

1:21

Um, but now with contrast-enhanced

1:23

mammo biopsy, we'll be able to do that.