Breast Imaging
The breast imaging program offers a comprehensive system of diagnostic breast imaging services utilizing cutting-edge equipment. Clinically, over 35,000 examinations are performed each year utilizing state-of-the-art equipment.
The most common examination performed is screening mammography of asymptomatic women 40 years of age and over as recommended by the American Medical Association, American Cancer Society and American College of Radiology. If a finding is discovered on the screening mammogram that is new or different than the year before, then further evaluation may be required such as a diagnostic mammogram with a possible targeted breast ultrasound. Other options for the diagnosis of a suspicious breast finding include stereotactic core biopsy, ultrasound core biopsy, fine needle aspiration biopsy or a wire localization procedure, galactography or palpable core biopsy (this last procedure performed by a breast surgeon).
The division is also actively involved in the multidisciplinary University of Breast Care Center, a major referral center for woman with both malignant and benign breast problems. This provides a close working relationship with the departments of Surgery, Pathology, Radiation Oncology and Internal Medicine.
Screening mammography is a radiographic examination of the breast of asymptomatic women, usually 40 years of age or older. It is used to detect breast abnormalities before they have a chance to become clinically apparent. Annual screening starting at age 40 is recommended by the American Medical Association, the American Cancer Society and the American College of Radiology.
Diagnostic mammogram is a radiographic examination used to further investigate a finding identified on screening mammography or when there is a clinical finding, such as a new mass. More images or an ultrasound may be required as directed by the radiologist. Diagnostic mammography is also performed to follow up certain women with mammographic or sonographic finds, after biopsies, and for women with prior cancer diagnoses.
Stereotactic core biopsy uses X-ray mammography to guide the radiologist to obtain samples of tissue through a small incision using needles. It is performed as an outpatient procedure using local anesthesia.
Ultrasound core biopsy uses ultrasound to guide the radiologist to obtain samples of tissue using needles and is otherwise similar to a stereotactic core biopsy.
Fine needle aspiration biopsies are performed using image guidance using fine needles to determine the solid or cystic nature of a mass. A thin needle is used to obtain fluid or cells. It also is used to sample lymph nodes under the arm.
Galactography is a procedure where contrast is injected into a duct in the breast to examine the ductal system in selected cases of nipple discharge.
Breast MRI - The role of breast MRI is under investigation. It may be recommended for some women with genetic predisposition for breast cancer and other select indications by a breast specialist. Breast MR is routinely used to assess for silicone breast implant rupture.
| Service Name | Appointment |
|---|---|
| Breast Imaging (Mammography) | Briarwood Radiology | 734-936-6274 |
| Brighton Health Center | 734-936-6274 |
| Cancer Center | 734-936-6274 |
| Canton Health Center | 734-936-6274 |
| East Ann Arbor Health and Geriatrics Center | 734-936-6274 |
