Mammography Screening and Diagnostic

Overview

Mammography uses dedicated low dose x ray systems and compression to visualize breast tissue and detect calcifications and masses.

Technique

Digital mammography and tomosynthesis three dimensional mammography improve lesion detection. Positioning and compression are critical for image quality.

Clinical Uses

Screening and diagnostic mammography assessment of palpable masses and guidance for breast biopsy.

Limitations and Safety

Sensitivity decreases in dense breasts. Supplemental ultrasound or MRI may be indicated for high risk or dense tissue.

Digital Breast Tomosynthesis DBT

Overview

DBT acquires multiple low dose projections during a sweep to reconstruct thin slices improving lesion conspicuity over two dimensional mammography.

Technique

Reconstruction algorithms and slice thickness affect detection. DBT is often combined with synthetic two dimensional images to reduce dose.

Clinical Uses

Used for screening and diagnostic workup to reduce recall rates and improve cancer detection in dense breasts.

Limitations and Safety

Slightly higher dose than standard two dimensional mammography. Interpretation requires training and workflow adjustments.