Patient Preference for Contrast-Enhanced Mammography Compared to Breast MRI.
Patients more often prefer contrast-enhanced mammography over breast magnetic resonance imaging
Patient Preference for Contrast-Enhanced Mammography Compared to Breast MRI.
Contrast-enhanced mammography (contrast-enhanced mammography) is increasingly used as an alternative to breast magnetic resonance imaging (magnetic resonance imaging) in selected clinical settings.
Prospective and survey-based studies reporting extractable preference data were included.
most patients tested prefer contrast-enhanced mammography over magnetic resonance imaging
Overall, 284 participants preferred contrast-enhanced mammography, 75 preferred magnetic resonance imaging, and 36 reported no preference.
Excluding neutral responses increased preference for contrast-enhanced mammography to approximately 81.5% among participants expressing a definite preference.
Leave-one-out analyses showed consistent results.
Certainty of evidence was rated as low because of the limited number of studies, heterogeneous clinical indications, and methodological limitations.
Available evidence suggests that patients more frequently prefer contrast-enhanced mammography than breast magnetic resonance imaging when diagnostic performance is assumed to be comparable.
Preference appears largely related to reduced claustrophobia, shorter examination time, and lower anxiety.
These findings support incorporating patient experience into shared decision-making when both modalities are clinically appropriate, but they should not be interpreted as evidence of diagnostic equivalence.