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3-D Digital Breast Tomosynthesis Mammography

Preguntas Frecuentes

What is tomosynthesis (TOMO)?

Digital breast tomosynthesis/3-D mammography is a revolutionary new screening tool for breast cancer. Instead of the static traditional 2-D mammogram, tomosynthesis (TOMO) is performed with a 4-second sweep of the X-ray tube to give 1mm-thin images of the breast.

Why is TOMO a better test for me?

3-D tomosynthesis mammography reduces overlapping structures in the breast from obscuring small tumors. TOMO and traditional static 2-D mammograms can be obtained at the same time. This combined exam has been shown to reduce callbacks for additional testing by about 30 percent and may find 15 percent more breast cancers.*

*Source: Hologic Selenia® Dimensions® clinical studies presented to the FDA as part of Hologic's PMA submission that compared Hologic's Selenia Dimensions combo-mode to Hologic's 2D FFDM.

Who can have TOMO?

Almost all patients who need a screening or diagnostic mammogram can have 3-D tomosynthesis mammography. Exceptions may include women who are very large-breasted or pregnant.

Does TOMO have more radiation?

Let's put the risk in everyday terms

Standard mammogram =
Flying 1,000 miles
driving 300 miles
biking 10 miles
breathing in Boston or New York City air for two days

Can I have just the 3-D TOMO and skip the 2-D mammogram?

Not yet! 2-D mammography is the gold standard and has been shown to reduce breast cancer deaths by 30 percent.** However, there are new advances in development, and we inform patients of these new options as they arise. Remember, Memorial Healthcare System was the first site in the state of Florida to install TOMO. The Memorial team has experience with TOMO and conducts ongoing research trials in the effort to make the newest technology available for patients.

**Source: Swedish Two-County Trial: Impact of Mammographic Screening on Breast Cancer Mortality During 3 Decades, Radiology (published online June 28, 2011).

What do I need to do to schedule a TOMO?

• Obtain a mammogram prescription from your healthcare provider. As with any mammogram exam, it is important to have a breast physical exam and to discuss any new breast findings or problems with your healthcare provider. Also, it is important to inform the physician of your own breast history, including previous biopsies, surgeries and/or hormone use, as well as any family or personal history of breast or ovarian cancer.
• For your appointment at Memorial, call 954-265-TOMO (8666).
  • You may want to have your tomosynthesis done when your breasts are less tender, usually one week following your period.
  • Please notify our scheduling department and technologists if you might be pregnant or if you have breast implants.
• On the day of your mammogram, the preparation is the same for 2-D or 3-D tomosynthesis:
  • Do not wear deodorant, talcum powder or lotion under your arms or on your breasts on the day of the exam. These substances may interfere with the mammogram.
  • Describe any breast symptoms or problems to the technologist performing the exam.
  • Remove any jewelry that might interfere with the X-ray picture.
  • You will need to remove your clothes above the waist, and you will be given a dressing gown.
  • The tomosynthesis mammogram is usually performed in a standing position, although some patients may sit or lie down, depending upon the area of concern in the breast.

What does the TOMO equipment look like?

The equipment appears identical to a standard digital mammogram except that the tube head arcs over the breast during a 4-second exposure. The breast is compressed similar to or with slightly less pressure than a standard 2-D mammogram. Our certified technologists have special training with this new equipment and strive to help make the exam as comfortable as possible. During the exam, the patients are instructed to hold their breath for just a few seconds.

How much does it cost?

Because tomosynthesis was just approved by the FDA in February 2011, it will take some time before a special billing code is developed. In the meantime, Memorial will bill your insurance for the 2-D mammogram and a miscellaneous code for 3-D tomosynthesis.

Who reads my TOMO?

After your 3-D tomosynthesis mammogram is obtained, a specially trained breast imaging radiologist doctor interprets your images. You will normally receive your results within a few days, or if you prefer, you may request to be scheduled so you can receive your results at the time of your exam, or be called with results within a few hours. The report is sent to your healthcare provider as well.