Exams: Comprehensive Women's Imaging

Full Field Digital Mammography w/integrated R2 CAD

What is Mammography?
Mammography, commonly referred to as a mammogram, uses low-dose x-ray to examine the breast.

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What is Digital Mammography?
Digital Mammography is a mammography system in which the image is captured and retrieved using digital technology. From the patient standpoint, there is no difference in the procedure for a standard mammogram or a digital mammogram.

What are some common uses of Mammography?

• Screening Mammogram: Plays a part in early detection of breast cancers. Current guidelines recommend screening mammography every year for women, beginning at age 40.
• Diagnostic Mammogram: Used to evaluate a patient with abnormal clinical findings - such as breast lumps.

Does it hurt?
Though no one looks forward to having a mammogram, it is rarely as unpleasant as women imagine. The technologist is highly trained to provide a comfortable yet adequate exam. Breast compression allows for better visualization of breast tissues and less radiation dose. If you are concerned about possible discomfort, or have had a bad experience in the past, please discuss this with the technologist prior to your exam. She will be happy to work with you.

How should I prepare for the exam?
Before scheduling your exam, discuss any specific breast concerns you have with your breasts with your physician. Make sure to inform your doctor of any previous surgeries, hormone use, and family or personal history of breast cancer. Do not schedule your mammogram for the week before your period if your breasts are usually tender during this time. Inform your doctor and/or the technologist if there is any possibility you may be pregnant.

Additionally, please follow these guidelines:

• Do not wear antiperspirant, talcum powder, or lotion under your arms or on your breasts on the day of your exam.
• Describe any breast problems to your technologist.
• If possible, obtain any prior mammogram films and take them to your exam.

How is the procedure performed?
Mammography is performed on an outpatient basis. A technologist will position your breast in the mammography unit. Your breast will be placed on a special platform and compressed with a paddle. The technologist will gradually compress your breast. You will be asked to hold very still. When completed, you will be asked to wait until the technologist ensures the quality of your images.

Who interprets the results and how do I get them?
A board certified radiologist will analyze the images and send a signed report to your primary care or referring physician, who will share the results with you.

What is Computer-aided detection (CAD)?
Computer-aided detection (CAD) refers to sophisticated pattern recognition software used to help read medical images. This software identifies features on the images and brings them to the attention of the radiologist in order to decrease false negative readings. With mammograms, a radiologist first reviews the mammogram and then activates the CAD software, re-evaluating the marked area(s) before issuing a final report.

The American Cancer Society has recognized the benefits of CAD for breast cancer screening in women of average risk stating, “…CAD systems may aid the average radiologist by substantially improving detection of early stage malignancies…”