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Mammography

Advanced 3-D Mammography Can Lead to Easier, Earlier Detection of Breast Cancer

Conventional mammography images the entire breast in one exposure, which can result in abnormalities remaining hidden by overlapping tissue. Tomosynthesis, like a computed tomography (CT) scan, takes images from multiple angles and uses computer processing to build these “slices” into a three-dimensional image that a radiologist can manipulate, examining each slice individually for a more thorough examination. The resulting advantages include:

  • Easier detection: By reducing the effects of overlapping breast tissue which can hide small tumors, tomosynthesis can make a breast abnormality easier to see.
  • Fewer callbacks: Tomosynthesis can help radiologists reduce false alarms. For example, a three-dimensional view can prove that a spot that looked questionable in a mammogram screening is really no cause for concern. This leads to fewer callbacks, additional scans and biopsies.
  • Earlier detection: With tomosynthesis, additional images of the breast are taken and synthesized into a 3-D data set, much like a CT scan. This finer detail works to detect cancers earlier than standard mammography.
  • Better visualization: Three-dimensional images help radiologists see the size, shape and location of an abnormality. In a 2-D mammogram, it could be hidden.
  • More comprehensive care: When cancer is detected in one breast, 15 percent of women have another tumor in the same breast or in the other breast. Tomosynthesis screens the whole breast, not just the problem area.

What to Expect From a Tomosynthesis Exam

A tomosynthesis exam may be used as a screening tool in conjunction with traditional 2-D digital mammography. As with a digital mammogram, the technologist will take images from different angles.

During the tomosynthesis portion of the exam, the X-ray arm of the mammography machine makes a quick arc over the breast, taking a series of breast images at a number of angles.

The whole procedure should take approximately the same amount of time as that of a traditional digital mammogram, and the patient experience is very similar.