Work-up of Breast Disease
If you are afraid of having a disease of your breast or if you feel a lump within your breast or have pain in your breast, you should first see your gynecologist who will examine you and decide, which imaging modality is most suitable for you. When it comes to breast imaging, the following imaging modalities are available:
Mammography uses x-rays. Modern digital mammography scanners use a minimum of radiation dosage and create a maximum of imaging information by digital post-processing. To achieve maximum image quality and further decrease radiation dosage, we use a positioning and compression device integrated in the mammography unit which uses an advanced algorithm to create maximal comfort. You can contribute to optimal image quality and comfort if you relax and interact with the technologist to report any pain and thereby improve the positioning of your breast. Our technologists are specifically certified to perform mammographies. Our new digital mammography scanner is optimized to use very low radiation and is also wheel-chair accessible. Usually, reports of the mammographies and images are sent to your referring physician. However, you could also discuss the images and findings right after the exam with our mammography specialists if you prefer.
Ultrasound is an imaging modality that uses sound waves to create images of the breast. Breast ultrasound will be performed by the radiologist and the images will be discussed with you during the exam. Frequently, ultrasound and mammography will both be done to improve the presentation of the breast tissues and potential findings.
Magnetic resonance imaging (MRI)
In rare cases, mammography and ultrasound do not demonstrate all necessary details. In these cases a dedicated MR imaging device can be used to examine the breast. Prior to the exam, an intravenous line is prepared in order to inject contrast material during the exam.
Image guided tissue samples
Using one of the imaging methods described above, we can obtain tissue probes, if necessary. In most cases, ultrasound is used for guidance. Prior to tissue sampling, you will be informed in detail and have the opportunity to ask questions.
Breast imaging can also be used for screening
We cooperate with a well established team of 30 gynecologists specialized in breast therapy. Prior to each surgery or additional therapy, all patients are discussed in our interdisciplinary tumor board in order to find the individually best therapy for each patient. Our tumor board comprises specialists of radiology, pathology, gynecology, oncology and radiation therapy who meet at least once a week.