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Abstract
Aim of work: The purpose is to study the impact of Contrast- Enhanced Spectral Mammography (CESM) versus Digital Breast Tomosynthesis (DBT) in detection &3T3 staging of breast cancer. Conclusion: Our results concluded that DBT showed the highest sensitivity in detecting extensions (spiculations) in a breast lesion, CEDM showed the highest sensitivity in detection of multiplicities. Both DM & DBT showed similar performance in detection of malignant calcifications. Combining two or more breast imaging modalities significantly improves diagnostic quality & helps in better T-staging of malignant breast lesions