Comparison of CE-DBT and MRI in Patients With Known Breast Lesions

This study is comparing two breast imaging techniques — contrast-enhanced digital breast tomosynthesis (CE-DBT, a specialized 3D mammogram with contrast dye) and MRI — in women with suspicious breast lesions, to see if CE-DBT can offer similar diagnostic accuracy with greater convenience. **You may be eligible if...** - You are a woman, 18 or older - You have a suspected breast lesion rated BIRADS 4 or higher on prior imaging (meaning it needs further evaluation) - You have had or are scheduled to have a breast MRI at UNC Hospitals within 3 months of the research scan - You can provide written informed consent **You may NOT be eligible if...** - You have severe claustrophobia that cannot be treated - You have metallic implants (including breast implants) that are incompatible with MRI - You have a known allergy to iodine-based contrast dye Talk to your doctor to see if this trial is right for you.