Breast Center Services

Breast Tomosynthesis Mammography

Digital tomosynthesis (pronounced toh-moh-SIN-thah-sis) creates a 3-dimensional picture of the breast using X-rays, and is the latest breast imaging technology approved by the U.S. Food and Drug Administration.

Digital tomosynthesis of the breast is different from a standard mammogram in the same way a CT scan of the chest is different from a standard chest X-ray. Think of the difference between a ball and a circle. One is 3-dimensional, the other is flat.


  • Increases cancer detection
  • Reduces the need for additional imaging
  • Increases our ability to detect small cancers

Screening Mammography

  • Annual asymptomatic
  • Recommended for women 40+

Diagnostic Mammography

  • Recent history of breast cancer
  • Symptomatic:
    • Breast Lump
    • Focal Breast Pain
    • Nipple Discharge
    • Redness/Skin Retraction
    • Change in Shape
  • Follow up for an abnormality on a screening mammogram

Breast Ultrasound

Ultrasound is an imaging test that sends high-frequency sound waves through your breast and converts them into images on a viewing screen. The ultrasound technician places a sound-emitting probe on the breast to conduct the test. There is no radiation involved.

Ultrasound is not used on its own as a screening test for breast cancer. Rather, it is used to complement other screening tests. If an abnormality is seen on mammography or felt by physical exam, ultrasound is the best way to find out if the abnormality is solid (such as a benign fibroadenoma or cancer) or fluid-filled (such as a benign cyst). It cannot determine whether a solid lump is cancerous, nor can it detect calcifications.


  • Automatic Whole Breast Ultrasound (ABUS) FDA approved and used in combination with mammography in patients who have dense breast tissue.
    • Asymptomatic
    • History of dense breast tissue


  • Hand held targeted ultrasound
  • Symptomatic:
    • Breast Lump
    • Focal Breast Pain
    • Nipple Discharge
    • Redness/Skin Retraction
    • Change in Shape

Breast Biopsy

A biopsy is a small operation done to remove tissue from an area of concern in the body. If your doctor feels anything suspicious in your breast, or sees an abnormality on an imaging study, he or she will order a biopsy.

Biopsy is usually a simple procedure. In the United States, only about 20% of women who have biopsies turn out to have cancer.

  • Stereotactic Biopsy
  • Ultrasound Core Biopsy
  • MRI Guided Biopsy
  • Fine Needle Aspiration

Breast MRI

MRI, or Magnetic Resonance Imaging, is a technology that uses magnets and radio waves to produce detailed cross-sectional images of the inside of the body. MRI does not use X-rays, so it does not involve any radiation exposure.

When is Breast MRI Used?

  • Screening high-risk women (women known to be at higher than average risk for breast cancer, either because of a strong family history or a gene abnormality)
  • Gathering more information about an area of suspicion found on a mammogram or ultrasound
  • Monitoring for recurrence after treatment

DEXA Bone Density

Bone density tests use X-rays or sound waves to measure how strong your bones are. Bone density tests are used to definitively diagnose bone loss and osteoporosis.

In general, doctors recommend that women 65 and older get a DEXA scan or other osteoporosis screening each year. But women may need to start screening earlier if they:

  • are underweight
  • smoke
  • have lost height or developed stooped or hunched posture
  • have sudden back pain with no apparent cause
  • are older than 45 and break a bone
  • have a chronic illness

Breast Health Education

The Breast Center offers a wide range of informational resources, empowering patients to be educated and proactive about their healthcare.