ontrast enhanced mammography · ontrast enhanced mammography early detection is the key! what is...
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Contrast Enhanced Mammography
Conventional Contrast Enhanced Mammogram Mammography
Contact Us
Breast Imaging Victoria
Ground Floor
Epworth Cliveden
29 Simpson Street
East Melbourne
VIC 3002
P: 03 9419 6766
F: 03 9419 6416
www.breastimagingvictoria.com.au
Contrast Enhanced Mammography
Early Detection is
the Key!
What is Contrast Enhanced
Mammography?
A Contrast Enhanced Mammogram (CEM) examination
provides additional information beyond a conventional
mammogram, and may result in earlier detection of
some cancers. CEM has been shown to detect cancers
that may not be visible on a standard mammogram, es-
pecially in women with dense breasts.
A CEM exam uses contrast dye containing iodine (the
same dye as used in CT scans). This dye makes it easier
to find new blood vessels that develop when cancers
grow.
Why might one need a CEM?
A doctor may recommend that a patient has a CEM for:
• Breast cancer screening. CEM may be useful especially
for women who are at increased risk for developing
breast cancer and for women who have dense breasts.
• Evaluating any lumps in the breast(s) that were found
during a physical exam. Unilateral Contrast Enhance Mammography (CEM)
Item No Description Fee Medicare Out of Pocket
59305 Unilateral Mammogram with tomosynthesis $250.00 $67.15 $182.85
104 Radiologist consultation to facilitate CEM $200.00 $75.05 $124.95
Total $450.00 $142.20 $307.80
Bilateral Contrast Enhance Mammography (CEM)
Item No Description Fee Medicare Out of Pocket
59302 Bilateral Mammogram with tomosynthesis $400.00 $141.95 $258.05
104 Radiologist consultation to facilitate CEM $200.00 $ 75.05 $124.95
Total $600.00 $217.00 $383.00
Preparation for a CEM Examination
It is required to fast for 3 hours prior to the examination.
During the fasting period it is important to be kept well
hydrated , with lots of clear fluids.
Results
Results are usually available within 48 hours and will be
given to you by your referring doctor or specialist.
If you have any queries regarding this procedure,
please do not hesitate to contact us:
Breast Imaging Victoria Pty Ltd
Ground Floor, Epworth Cliveden
29 Simpson St
East Melbourne VIC 3002
Ph: 9419 6766 Fax: 9419 6416
You can also find more information on our website
www.breastimagingvictoria.com.au
What to expect during a CEM exam? A CEM exam is very similar to having a conventional
mammogram, except that prior to the exam, a small IV
line is placed, and the iodine dye is injected into the pa-
tient’s arm.
Once the contrast agent flows into the breast, the tech-
nologist performs the mammogram. There is no addition-
al compression required for a CEM exam other than what
is generally required for a conventional mammogram and
it takes the same amount of time.
Fee Schedule – Contrast Enhanced Mammography
PLEASE NOTE: Costs are current as of 01/07/2019.
Will there be a need to have other
imaging or testing other than CEM?
Just like with regular mammogram, additional tests may
be required to evaluate the CEM findings. These may
include an ultrasound, MRI or a biopsy.
What are the risks of CEM?
Patient’s undergoing a CEM exam are exposed to slight-
ly more radiation than people who have regular mam-
mograms.
A history of renal function, diabetes, high blood pres-
sure and allergic profile will be needed on/prior to the
appointment to ensure the patient’s compatibility for
the CEM.
Rarely, patient’s may have an allergic reaction to intra-
venous (IV) contrast. Most reactions are mild, such as
hives. However, some patient’s can have more serious
reactions, such as having trouble breathing or facial
swelling. It is therefore paramount to advise the doctor
if the patient has had an allergic reaction to iodinated
contrast in the past.