A mammogram is an x-ray that gives a picture of the internal structure of the breast. There are two types of mammography: Screening and Diagnostic. Screening mammography is performed on asymptomatic women to check for undetected tumors. Diagnostic mammography is used to follow up on breast abnormalities detected during self exam or check up, further evaluation following abnormal screening mammogram and for women with breast implants.
What to Expect During Your Mammogram
First, you will be asked to undress from the waist up. A female Radiologic Technologist certified by the American Registry of Radiological Technologists and specializing in mammography will perform the procedure. The technologist will then place your breast between two plates and compress them to take the x-ray. With your comfort in mind, we use Mammo Pads, single use foam cushions, which offer a warmer and softer barrier between the surfaces and edges of the mammography device. The experience is more comfortable, without impacting the clarity of the mammogram. Once the procedure is completed the exam is then sent through the iCAD computer aided detection to provide a secondary computer aided interpretation of any areas of concern within the breast. A board certified radiologist will interpret your exam and a report will be sent to your physician, and a patient result letter will be sent to you. How to Schedule an Appointment
To schedule a screening mammogram please call central scheduling at (580) 250-5800. If you need a diagnostic mammogram please have your physician set up your appointment. For added convenience your physician can schedule your bone density screening and mammogram back to back on the same day. An order from your physician will be needed for the diagnostic mammogram and bone density test.
The Women's Imaging facility at CCMH is certified by the American College of Radiology, The Mammography Quality Standards Act, is licensed by the Oklahoma Department of Public Health and is a Softer Mammogram provider.
Breast Imaging …Beyond Mammography
Breast Ultrasound As a follow up to a lump found on mammography, breast ultrasound is often recommended. This used sound waves to produce an image of the internal structures. The sound is transmitted and received by a transducer that rests on the skin surface. Ultrasound is painless.
Stereotactic Breast Biopsy This procedure offers a minimally invasive way of diagnosing a suspicious diagnostic imaging finding. Most women are candidates for this form of breast biopsy, which is as accurate as a surgical breast biopsy, less costly and less painful. To undergo a stereotactic breast biopsy a woman is placed on her stomach in a special mammography unit. Only a local anesthetic in the skin is required. A computer assists your surgeon in guiding a special biopsy needle into the suspicious area using digital imaging guidance. Very small core biopsies of the breast are taken. The procedure is brief, minimally painful and the patient is discharged with only steri-strips on the breast. The removed tissue is sent to pathology for complete evaluation.
Pre- Operative Hook-wire Localization Hook-wire localization is a mammogaphically guided procedure performed to help guide a surgeon to a lump that will be surgically excised. It is done immediately before a surgical biopsy. A local anesthetic is injected in the appropriate location in the skin of the breast. A special needle is then placed into the breast using mammographic imaging guidance. After confirming accurate placement of the needle and adjusting its position when needed the radiologist removes the needle leaving a soft hooked wire behind to help guide the surgeon. This procedure is minimally painful and is associated with very minimal risks.
Some Risk Factors to be aware of include: A family history of breast cancer (particulary a mother, sister or daughter) A previous diagnosis of cancer in one breast A prior abnormal breast biopsy Menstruation before 12 and menopause after 55 Giving birth later in life or being childless Taking hormone replacement therapy Having dense breast tissue
Bone Density Examination:
Osteoporosis affects at least 10-15 million Americans and will result in fractures in about 40 percent of women. Although often misperceived as only affecting women, it is also very common in men. Bone densitometry is an essential tool in osteoporosis management.Bone density examination is a safe, rapid and painless way to detect osteoporosis so that it can be treated and prevented from progressing.
Bone density examination takes about 15 minutes. Comfortable clothing without metal should be worn. The lumbar spine (lower spine) and hip are typically imaged. Let the technologist know if you have had previous hip or back surgery.
Osteoporosis Facts Osteoporosis is a silent, progressive disease characterized by decreased bone density and increased bone fragility, with a consequent susceptibility to fracture. In the United States over 28 million people are at risk of developing osteoporosis. Up to 1.5 million fractures a year are attributable to osteoporosis.
Important Risk Factors for Osteoporosis include:
Scheduling an Appointment: An order from your physician is required for this test. To schedule an appointment or if you have any questions regarding a DEXA scan please call Women's Imaging at (580) 250-5846.