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Egyptian Journal of Radiology and Nuclear Medicine
Fig. 3 | Egyptian Journal of Radiology and Nuclear Medicine

Fig. 3

From: The integration of artificial intelligence with contrast-enhanced mammogram in the work up of suspicious breast lesions: what do you expect?

Fig. 3

Bilateral breast masses in a 57-year-old female presented for diagnostic mammogram proved to be bilateral invasive ductal carcinoma; right grade II and left grade III. A Bilateral mammogram cranio-caudal view that showed an indistinct faintly dense irregular mass (BI-RADS 4) at the deep central portion of the right breast and a circumscribed dense rounded mass (BI-RADS 3) at the lower inner quadrant of the left breast. B Magnification view and ultrasound image of the right breast mass, features at ultrasound confirm the suspicion of malignancy in the form of margin spiculation and perifocal desmoplastic reaction that upgraded the BI-RADS category from 4 to 5. C Ultrasound image of the left breast mass presented purely solid texture. The point of suspicion was the large size of the mass. D Bilateral contrast-enhanced mammogram cranio-caudal view that displayed malignant looking features of the left breast mass (BI-RADS 5). E AI scanned mammogram presented 53% (possibly cancer) scoring for the right breast mass and 87% (probably cancer) scoring for the left breast mass. Although the left breast mass showed features of a probably benign lesion (i.e., BI-RADS 3) on digital mammogram, yet contrast-enhanced mammogram and AI features suggested likely malignant probability that matched with the pathology results

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