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Clinic: 507.642.5200
Urgent Care: 507.642.3255
Hospital: 507.642.3255
121 Drew Ave SE, Madelia, MN 56062

Digital Mammography

Digital Mammograms means:

Digital Mammogram Comparison

  • Quicker mammograms, since there's no need to wait for film images to be developed
  • Images can be viewed instantly by the technologist and radiologist
  • Images can be easily transferred electronically with no loss of image quality
  • Computer-Aided Detection (CAD) helps radiologists detect micro-calcifications that might be missed on traditional film mammograms

The American College of Radiology recommends annual screening beginning at age 40.  Women who are considered higher risk may need to begin mammography earlier, usually is recommended to begin screening with mammography at 5-10 years earlier than the age of diagnosis of the family member.

Questions & Answers 

Digital Mammography         Risk of Breast Cancer         Suspicious Mammogram         Ultrasound         Screening vs. Diagnostic

A digital mammogram takes less time to perform and typically involves a lower radiation dose to the patient. It also gives us the ability to optimize the image; very similar to the way you optimize a digital photograph. Images are stored electronically. In addition, images can be interpreted remotely, so second opinion interpretations may become easier.

Is digital mammography better at detecting cancers?

Recent studies indicate a higher cancer detection rate of digital mammography in certain patients, including those with dense breasts, those under 50 years old, and those who are pre- or peri-menopausal. TOP

High risk factors for breast cancer include:

  • Family history of breast cancer, two or more first degree relatives with breast cancer; especially if they were diagnosed when pre-menopausal
  • Personal history or family history of the breast cancer gene BRCA 1 or BRCA 2
  • Personal history of radiation therapy to the chest between the ages of 10 and 30 years
  • Lifetime risk of breast cancer scored at 20%-25% or greater based on one of several accepted risk assessment tools that look at family history and other factors. This category often requires consultation with a genetic counselor who can assess breast cancer risk using various computer models.  TOP 

What happens if something suspicious is found on my mammogram? 

Approximately 10% of screening mammograms are called back for additional imaging evaluation, which involves diagnostic mammography views and/or ultrasound. Of those that are called back, only about 10% of those require biopsy (90% are either explained as benign findings or simply require short-term follow-up). Of those that are biopsied, only about 30% actually are cancer. Another way to put this is that out of 1,000 screening mammograms performed, approximately 5 patients will be found to have cancer.

If there is a suspicious finding on your mammogram, you will typically need to have additional views and/or ultrasound performed. Your doctor or nurse will contact you to discuss this and schedule your next appointment. Additionally, if warranted by the radiologist, treatment may include ultrasound-guided core biopsy, stereotactic breast biopsy, cyst aspiration, needle localization and surgical consultation, or MRI-guided biopsy. We will make every attempt to schedule and perform these procedures as soon as possible.  TOP

When is an ultrasound recommended, and how does it differ from a mammogram?

Ultrasound is used:

  • To evaluate any palpable breast lesion
  • To evaluate masses, distortions, or asymmetries found on mammography
  • To evaluate findings identified on breast MRI
  • Ultrasound forms images of the breast utilizing sound waves, not X-rays. No compression is required; a warm gel is placed on the skin and an ultrasound probe is rubbed over the skin to obtain the image
  • Ultrasound can often show abnormalities, which might go undetected on mammography due to extremely dense breast tissue. Ultrasound is used most commonly in conjunction with mammography, not as a replacement for mammography   TOP

 What is the difference between a screening mammogram and a diagnostic mammogram?

Screening mammography is performed in asymptomatic patients -- patients who have no clinical signs or symptoms of breast cancer. Two views of each breast are obtained and are checked for technical adequacy by the technologist. These are interpreted later by the radiologist with results sent to the patient by mail.  Screening mammograms are usually read within the same day unless we need to obtain prior mammograms for comparison taken at a different facility.

Diagnostic mammography is performed in symptomatic patients -- patients who have signs or symptoms of breast cancer such as a palpable lump, nipple discharge, skin changes, etc. We also perform diagnostic mammography in patients with a past history of breast cancer, for follow-up of an abnormal screening mammogram, or for short-term follow-up of probably benign findings. These studies begin with the typical mammography views, with additional views and ultrasound obtained as deemed necessary by the radiologist. The studies are interpreted as soon as possible, with results given to the patient immediately via telephone with the radiologist.  If you have any questions or concerns at that time, the radiologist is happy to answer those.  TOP

Please call Madelia Community Hospital & Clinic at 507.642.3255 to schedule your next appointment or if you would like to know more about digital mammography and the services we provide.