Reston, Va.: American College of Radiology. Risk-based breast cancer screening: Implications of breast density. Rochester, Minn.: Mayo Foundation for Medical Education and Research 2017. Breast cancer screening and options for supplemental screening in the dense breast (adult). Dense breasts: What do our patients need to be told and why? Annals of Surgical Oncology. Involves injection of a radioactive tracer, which exposes you to a very low level of radiation.Less likely to find areas of concern that aren't cancer.Estimated to detect about 7 additional cancers per 1,000 women.Quality of exam dependent on experience of person doing the test.Estimated to detect an additional 2-4 cancers per 1,000 women.Expensive test that might not be covered by insurance unless you have a very high risk of cancer.Requires injection of contrast material.Likely to find areas of concern that aren't cancer, but that require additional imaging or a biopsy.Estimated to detect about 14 additional cancers per 1,000 women. ![]() Exposes you to additional radiation, though levels are still very low.Helpful in evaluating dense breast tissue.Reduces the need for being called back for additional testing of areas of concern that aren't cancer.Done at the same time as a standard mammogram.Estimated to detect about 1 additional cancer per 1,000 women.While each test is proved to find more breast cancers than a mammogram, none of these newer imaging tests is proved to reduce the risk of dying of breast cancer, as has been done with the standard film mammogram. MBI is performed every other year in addition to an annual mammogram.Įvery test has pros and cons. Normal tissue and cancerous tissue react differently to the tracer, which can be seen in the images produced by the gamma camera. ![]() The tracer is injected into a vein in your arm. MBI, also known as breast-specific gamma imaging, uses a special camera (gamma camera) that records the activity of a radioactive tracer. A diagnostic ultrasound is commonly used to investigate areas of concern discovered on a mammogram. ![]() Ultrasound uses sound waves to analyze tissue. Breast MRI is recommended for women with a very high risk of breast cancer, such as those with genetic mutations that increase the risk of cancer. MRI uses magnets to create images of the breast. Many mammogram centers are transitioning to incorporate 3-D mammograms as part of the standard mammogram technology. The images are synthesized by a computer to form a 3-D image of the breast. Tomosynthesis uses X-rays to collect multiple images of the breast from several angles. Supplemental tests for breast cancer screening may include:
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