Mammography - Patient Info

CAD - Computer Aided Detection System

Oregon Imaging is equipped with the latest state-of-the-art Computer Aided Detection (CAD) technology which aids the radiologists in identifying the subtlest warning signs. Second Look Computer Aided Detection (CAD), as the name implies, uses a computer to analyze mammograms. The Second Look computer system utilizes breakthrough software technology to highlight potential areas of concern on a mammagram report, calling attention to subtle changes in tissue that may indicate the presence of cancer. The computer does not replace the Radiologist who reads the mammograms. The Radiologist refers to the mammagram to assist in their final decision on the most appropriate course of treatment. The mammagram can alert the radiologist to take a closer look at subtle warning signs. The CAD system gives the patient the benefit of a second opinion without any additional procedures or doctor’s appointments.

Mammography is a specific type of imaging that uses a low-dose x-ray system and high-contrast, high-resolution film for examination of the breasts. Successful treatment of breast cancer depends on early diagnosis. Mammography plays a central part in early detection of breast cancers. Mammography can show changes in the breast up to two years before a patient or physician can feel them.

Mammography is used to diagnose breast diseases in women and men. The use of screening mammography can assist in the detection of disease even if you have no complaints or symptoms.

The National Cancer Institute (NCI) suggests that women who are at increased risk due to a genetic history of breast cancer, or who have had breast cancer, may need to get mammograms before 40 years old. If you have a close family history of breast cancer a good guide is to have your first mammogram10 years earlier than the age your family member (i.e. mother or sister) was when she was diagnosed with breast cancer (i.e. Mom - 42 yrs. You - 32 yrs.).

Procedure:
During mammography, a specially qualified technologist will position you and image the breast. The breast is first placed on a special cassette and compressed with a paddle made of clear Plexiglas.
Breast compression is necessary in order to:
· Even out the breast thickness so that all of the tissue can be visualized.
· Spread out the tissue so small abnormalities won't be obscured by overlying breast tissue.
· The thinner the breast is compressed, the lower the radiation dose.
· Hold the breast still in order to eliminate blurring of the image caused by motion.

You will feel pressure on the breast as it is compressed.
The technologist will apply compression in gradations. Be sure to inform the technologist if pain occurs as compression is increased. The technologist will work with you to obtain the best possible films.

During the procedure you will be asked to change positions between images. The screening mammography images include a top-to-bottom view and a side view of each breast.

When the mammogram is completed you will be asked to wait until the technologist reviews the images to determine if more are needed.

A radiologist will analyze the images, describe any abnormalities, and suggest a likely diagnosis. The report will be dictated by the radiologist, and then sent to your referring physician. Your results will generally be available to your physician in approximately 3 working days.