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Woman's Health News

 

Women's Health

Breast Care

Mammogram Testing

If You Are Medicare Eligible...

The Balanced Budget Act of 1997 expanded the Medicare coverage of screening mammograms from once every other year to once a year. Medicare pays 80 percent of the approved amount for a screening mammogram and the patient pays the remaining 20 percent.

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Mammography is a safe and noninvasive x-ray technique. It's the most widely used method available today for detecting breast cancer while it's still curable.

The Test

A mammogram produces an image of breast tissue to help determine if the tissue is normal or if you need further testing or treatment. There are two reasons for doing a mammogram:

  • A screening mammogram looks for signs of any abnormality.
  • A diagnostic mammogram is used to evaluate a specific area of concern.

How It Works

  • Traditional Film Mammography
    Mammography uses safe, low-dose x-rays to create an image on film. Different tissues in the breast absorb different amounts of x-rays, producing different shades of black, gray, and white on the film.
  • Digital Mammography
    Our state-of-the-art digital mammography system (Hologic) uses even less radiation than the traditional film mammography and takes detailed digital images that can be manipulated to to focus on specific areas.

What To Expect

The exam is performed by a technologist who has had special training in the use of this equipment. A screening mammogram on the traditional film machine takes less than 20 minutes. A diagnostic mammogram may take a bit longer. A mammogram performed with the Hologic Digital Mammography system takes approximately 10 minutes.

  • You will stand in front of the mammography machine–the technician will tell you how to position yourself.
  • The technician will place one breast at a time between two plates.
  • The plates are slowly compressed, flattening the breast as much as possible to help make the image as clear as possible. This part of the process may be a bit uncomfortable but it's over quickly.
  • You'll be asked to hold your breath and be very still as each image is taken of each breast.
  • As soon as the images are captured–just a matter of seconds–the machine automatically releases the pressure on your breast.
    SenoScan Digital Mammography Breast Scanning System at the Highland Breast Care Center.
    At the Highland Breast Imaging Center, we would like to answer a few of your basic questions about digital mammography and invite you to contact us for additional questions.
  • Your films or digital images are checked to make sure they have come out satisfactorily. With traditional film mammography it is possible that more images may be needed to complete your exam.
  • Radiologists who specialize in mammograpy read your films or digital images.

Risks

Mammography is a safe examination that uses low dose radiation–an amount that's less than your exposure when living at high altitude or during a six-hour plane ride. The compression of your breasts during the test will not harm them in any way. As with any medical procedure, be sure to tell your doctor if you're pregnant.

Patient Preparation

  • The examination will be most comfortable if you schedule it for the week after your menstrual period.
  • Bring prior films if they were done by another provider and if they are less than two years old so we can use them for comparison. If you choose to have them sent instead of bringing them, plan your appointment accordingly. It may take up to two weeks for us to receive them.
  • Try to wear a two-piece outfit the day of your test since you'll be asked to undress to the waist. You'll be given a paper or cloth cover-up for privacy.
  • Please do not use deodorant, talcum powder, lotion, ointment or perfume on the day of the appointment. They can leave a residue on your skin that can affect the quality of your film image.

Results

The image is examined by expert radiologists who look for changes or inconsistencies in the breast tissue. Different facilities have different policies on providing results. Some will provide results while you wait. Others report the findings to your primary care physician or gynecologist, who will then discuss them with you. If your mammography service provider doesn't provide while-you-wait results, ask them when you should follow up. If your results show abnormal tissue, remember–abnormal is not equal to cancer.