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Screening and Diagnostic Mammography

A mammogram is special low-dose x-ray of the breast. At Johnson County Imaging, our Radiologists use the images to detect breast cancer.  3D Mammography has become the gold-standard for breast cancer screening and is one of the most recent advances for breast cancer detection. We are pleased to offer 3D Mammography and Digital Mammography to patients in the Kansas City area.

Current guidelines from the U.S. Department of Health and Human Services (HHS), the American Cancer Society (ACS), the American Medical Association (AMA) and the American College of Radiology (ACR) recommend screening mammography every year for women, beginning at age 40.

Screening mammography

If performed annually as recommended, screening mammography is the key to detecting breast cancer early and saving lives. Women 40 years of age and older, with no symptoms of breast disease, should schedule their screening mammogram appointments annually. A physician referral is not required for this exam, however, we must have the name of your physician to send your results.  If you are experiencing a worrisome lump, changes in the breast skin, nipple discharge, or if you have a personal history of breast cancer, your physician should order a more comprehensive exam, called a diagnostic mammogram.

3D mammography (Tomosynthesis)

The 3D Mammography  experience is similar to a traditional mammogram. During a 3D exam, multiple, low-dose images of the breast are acquired at different angles. These images are then used to produce a series of one-millimeter thick slices that can be viewed as a 3D reconstruction of the breast. By offering women the latest and more accurate technology in mammography, Johnson County Imaging expects to increase the number of area women who will be routinely screened. Breast cancer is the second leading cause of cancer death among women, exceeded only by lung cancer. Statistics indicate that one in eight women will develop breast cancer sometime in her lifetime. The stage at which breast cancer is detected influences a woman’s chance of survival. At this time 3D Mammography is a covered service for patients on Medicare. Patients with commercial health insurance, or self-pay patients, opting to have 3D Mammography will be responsible for a $59.00 charge, due at the time of service.

Diagnostic mammography

While a screening mammogram is encouraged each year for women who do not have significant breast symptoms, your doctor may order a diagnostic mammogram if you are experiencing a worrisome lump, changes in the breast skin, pain, nipple discharge, or if you have a personal history of breast cancer. Diagnostic mammography may also be performed if your screening mammogram demonstrates a possible abnormality. The type and number of mammographic views taken will be customized to your situation.

Please bring a disc or films from any prior mammograms, if done at a facility other than Johnson County Imaging. If you would like Johnson County Imaging to request these on your behalf, please fill out our medical records release form and email to medicalrecords@johnsoncountyimaging.com

How do I prepare for the mammography exam?

On the day of the examination, do not wear powder, deodorant, lotion or perfume under your arms or on your breasts. These substances can cause artifacts on your mammogram, making the images harder to interpret. Deodorant will be available to you after your exam.

Wear two-piece clothing so that you only have to remove your top and bra for the examination.

To help minimize discomfort during your exam, schedule your mammogram during the two weeks following your menstrual cycle (when breasts are less tender).

Please bring any pertinent history to your appointment: prior surgeries, hormone use, family or personal history of breast cancer.

What should I expect?

Your mammogram will be performed by a mammography-certified, female technologist. After you check in, you will be escorted to a private dressing room, where you will be asked to undress from the waist up. You will be given a gown that opens in the front. The technologist will ask you several questions, so she can better understand your history and/or any problems you may be having.

At Johnson County Imaging a board certified Radiologist, at the time of your visit, will review your exam results with you and explain any further recommendations. Your primary care physician will receive the results of your exam within 24-48 hours of your visit.

If you have had a previous mammogram at a facility other than Johnson County Imaging, please let us know so that we may obtain these images. It is extremely important for the radiologist to have your prior films for comparison, as it enhances the doctor’s ability to detect a subtle change or small abnormality on your current mammogram. Availability of prior images at your appointment also decreases the length of time it takes for you to get your results.

When will I receive the results?

Screening mammography results will be sent to you and your physician within 48 hours of the exam. If you are called back for additional mammographic views, do not be alarmed. Oftentimes more views are needed in order to make an accurate diagnosis. If this is the case, a member of our staff will contact you personally to discuss the recommended next step. This is called a diagnostic mammogram. At the time of your visit for the diagnostic mammogram, the radiologist will review your exam results with you and explain any further recommendations. Your primary care physician will receive the results of your exam within 48 hours of your visit.

Mammography benefits and risks

Accuracy
Mammography is the best screening tool for breast cancer available today, however, mammograms do not detect all breast cancers. A breast finding of concern should never be ignored despite a normal mammogram. If you notice any new changes in your breast(s) you should bring them to your health care provider’s attention promptly.

Additional testing
Approximately 10% of women are called back from screening mammograms for additional testing (also called a diagnostic mammogram). This percentage is slightly higher for women 40-49 years of age, but advances in technology – like digital mammography and 3D Mammography have improved sensitivity in younger women. Most diagnostic mammograms conclude with normal results, but it is necessary in order to complete the mammographic evaluation and make an accurate diagnosis. In some cases a biopsy or follow-up test in 6 months may be advised.

Radiation dose
Strict guidelines ensure that mammogram equipment is safe and uses the lowest dose of radiation possible. Many people are concerned about the exposure to x-rays, but the level of radiation used in modern mammograms is very low and does not significantly increase the risk for breast cancer. And because of digital mammography advances, radiation dose is actually lower than traditional film mammography. The amount of radiation can be compared to an airplane flight of a few hours due to the thinner atmosphere.

How do I make an appointment for my mammogram?

If you'd like to make an appointment, click here or call 913.469.8998. Walk-in appointments are available Monday - Friday 8:30 am - 4:00 pm.  You do not need a referral from your primary care physician for a screening mammogram. However, we do require that you provide a physician’s name, so that we may send a copy of your results.  If you are calling to schedule a diagnostic mammogram you will need an order from your physician.

 

 

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