About this Program

Contrast Enhanced Spectral Mammography (CESM) is one of the latest mammography screening technologies.  Even though it has been FDA approved in the United States since 2011, the concept has been slow to be utilized as a breast screening tool.

There are three FDA-approved CESM manufacturers in the United States.  GE, Hologic, and Siemens all have software that can be purchased for CESM technology.  All three units have similar components, but the filters are composed of different elements. CESM can also be used as a diagnostic imaging tool to help gain information about the physiological component of the breast.

Stereotactic breast biopsy utilizing CESM technology is now being performed.  This has been a new technology helping in diagnosing breast cancer diseases.  Very few facilities have used this type of biopsy intervention. 

Educational Objectives

This course will provide knowledge about the theory of Contrast Enhanced Spectral Mammography (CESM) and all three approved units will be discussed. 

  1. CESM vocabulary
  2. The three manufacturers of CESM units.
  3. Different components of each manufacture’s unit.
  4. The sensitivity and specificity of CESM
  5. What contrast is used?
  6. Iodine element
  7. The timed delay of breast imaging.
  8. GFR-Glomerular Filtration Rate
  9. The procedure workflow
  10. Case studies.


In-person and live webinar options

Contrast Enhanced Spectral Mammography

  • Different names
  • FDA approval

Three Manufacturers

  • GE
  • Hologic
  • Siemens

Sensitivity and Specificity

  • Mammography
  • CESM

Iodine Contrast

  • How much is used
  • Time-sensitive imaging

GFR - Glomerular Filtration Rate

  • Blood work
  • Stages of kidney diseases
  • Pre-medications

Procedure Workflow

  • Patient instructions
  • Injection
  • Imaging

Introduction to CESM Stereotactic Breast Biopsies

  • Benefit of CESM biopsies
  • Biopsy protocol


Who should attend?

Mammography Technologists

Program Faculty

Meet your presenter(s)

Deborah Davis

Deborah Davis


Deborah has been a registered radiologic technologist since 1995, specializing in mammography since 1996. Deborah has been a lead technologist at MD Anderson Cancer Center in Houston, Texas for 24 years.  With her 25 years of experience as a mammographer, she started teaching mammography continuing education courses and has been performing mammography consulting for 18 years.  Deborah currently is a medical educator at the UT School of Health Professions at MD Anderson Cancer Center bachelor program teaching the 40-hour initial mammography training curriculum and preparation for the ARRT registry.  She completed her Master of Science in Radiologic Sciences degree at UT School of Health Professions in August 2021.  She travels around the United States to help guide the accreditation process and MQSA yearly inspections for MTMI.  She is passionate about breast health and shares her experience and knowledge to help fight the battle with breast cancer. 


Accredited training programs

ASRT Category A Credit Information

ASRT Category A

This program provides 2.25 hour(s) of Category A continuing education credit for radiologic technologists approved by ASRT and recognized by the ARRT and various licensure states.  Category A credit is also recognized for CE credit in Canada.  You must attend the entire program to receive your certificate of completion.  


Convenient payment options available

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Early Pricing Guidelines

Qualifying 'Early' registrations must be made at least 4 days in advance for the program.

Cancellation Policy

Webinars less than 8 hours of credit

Refunds, minus a $15 processing fee, will be granted for cancellations received at least 3 days prior to the program. Cancellations received within 3 days of the webinar will receive a credit toward a future MTMI program, minus the $15 processing fee. No refunds will be made after the webinar starts. MTMI reserves the right to cancel any scheduled program because of low advance registration or other reasons. MTMI’s liability is limited to a refund of any program tuition paid. WEBINAR ATTENDEES that cannot log in due to unsolvable technical issues beyond their control will be eligible for a full refund.