Siemens Healthineers expands CEM capabilities of Mammomat B.brilliant

Siemens Healthineers has increased the capabilities of Mammomat B.brilliant mammography systems, advancing contrast-enhanced mammography (CEM) and biopsy functionality. In addition to generating high resolution 3D breast images via wide angle tomosynthesis in five seconds, the system will now be equipped with an image reconstruction technique for contrast-enhanced examinations. By leveraging differences in contrast uptake between healthy and malignant tissue, as well as the distinct x-ray absorption properties of iodine versus breast tissue, CEM supports identification and characterisation of suspicious findings with greater confidence. The ClearCEM image-reconstruction technique is said to provide crystal-clear enhancement and consistent image quality that supports lesion detection. Powered by advanced algorithms, it generates a more uniform background that supports differentiation of suspicious areas. If a biopsy is required following a contrast-enhanced finding, it is typically performed using contrast as well, ensuring continuity in diagnostic precision. ClearCEM provides a contrast localiser image for tomosynthesis-guided biopsies, which, due to its high depth resolution, enables targeting accuracy within ±1mm.

Read this report on page 8 of the April 2026 issue of RAD Magazine.