Procedure

Digital Mammography

Mammography is the single most effective method for detecting breast cancer in its earliest stages. The American Cancer Society recommends a baseline study at 35-40 years of age; at 40-49 years of age a study every 1 to 2 years, then every year for women over 50 years of age. The three key elements to early detection are a physician exam once a year, a monthly self-exam, and a mammogram at the recommended intervals.

A mammogram is a special X-ray of the breast tissue. It is performed by qualified female personnel on equipment designed specifically for this purpose. We use low dose X-ray equipment which requires the smallest possible amounts of radiation exposure to produce the highest quality imaging.

Digital mammograms produce images that appear on the technologist’s monitor in a matter of seconds. There is no waiting for film to develop, which can mean a shorter time spent in the breast imaging suite.

With digital mammography, the radiologist reviews electronic images of the breast using special high-resolution monitors. The physician can adjust the brightness, change the contrast, and zoom in for close ups of specific areas of interest. Being able to manipulate images is one of the main benefits of digital technology.

A routine mammogram is performed with images of both breasts obtained from two different angles. In order to separate the complex structures in the breast, fairly significant compression must be used. Although this may be uncomfortable, it should not be painful. Communicate with your technologist to let her know how you are feeling. Keep in mind that more compression means a more detailed and accurate study. Questionable areas seen on the routine mammogram are usually benign (not cancer). The question can be resolved in a number of ways. The best way is to compare the current study to a previous mammogram. This is very important and can answer most questions. If we think the questionable area is just a combination of shadows, we can ask for a spot compression, which often separates the tissues and clarifies the region. At times, the radiologist may recommend an ultrasound of the breast to evaluate a nodule. The ultrasound helps to determine if something is a solid mass or a fluid filled mass. Spot compression, magnification, and ultrasound recommendations usually require a return visit for completion.