Three Procedures to Help Detect
Breast Cancer

Manatee Memorial Hospital's Breast Care Center offers three procedures -- digital mammography, breast MRI and stereotactic breast biopsy -- to help detect and diagnose breast cancer. These technologies help make it easier to find small tumors and calcium deposits, which might be a precursor to breast cancer.

The Right One for You
Following is a brief overview of digital mammography, breast MRI and stereotactic breast biopsy:

Digital Mammography -- Unlike traditional mammography, which creates images on film, the digital mammography technician takes electronic images of the breast and transfers them directly to a computer. The resulting images are clearer and sharper than those produced by traditional mammography and can be manipulated with magnification or contrast adjustments for even greater clarity. Technicians usually obtain the quality images they need in one sitting. Digital mammography also is faster because there is no need to wait for film to be developed between imaging. "The test itself takes about 15 minutes. Patients are generally in and out of the door in about 30 minutes, much less than before," says Paula Jefferson, RN, Director of Imaging.

Jeffrey R. Wasserman, DO Lakewood/Manatee Radiology Consultants 8340 Lakewood Ranch Blvd. Suite 100 Bradenton, FL 34202 941-782-3050

To make the compression part of the exam more comfortable, mammography paddles are covered with a soft foam cushion that provides a warmer, softer surface for the breast but does not compromise image quality.

One of three radiologists who are board certified and specially licensed in reading mammograms evaluates the digital images. The mammography system also has a computer-aided detection (CAD) feature that automatically outlines areas of concern to help the radiologists examine the images more efficiently and accurately. Manatee Memorial also has purchased equipment to digitize film mammograms, making it easier to compare images from different tests and track changes in the breast tissue over time.

If everything appears to be normal, you will receive a letter summarizing the results within a week. If the radiologist sees an area that should be checked further, you and your referring physician will be notified.

Breast MRI -- This test produces detailed, cross-sectional images of breast tissue. Breast MRI does not replace the mammography procedure. It is recommended as a supplemental screening exam for women who have certain risk factors, including a family history of breast cancer, a personal history of cancer or very dense breast tissue that may be difficult to view on a mammogram.

Paula Jefferson, RN, Director of Imaging at Manatee Memorial 941-745-7391

"Breast MRI is a good problem-solving tool to clarify a suspicious finding on a mammogram," says Jeffrey Wasserman, DO, a radiologist at the Breast Care Center. "The images also can be used to map the area in preparation for a biopsy or surgery or to track changes in the breast after surgery."

For a screening procedure without a biopsy, you will be asked to lie facedown in the MRI unit with your breast positioned through an opening in the table. In some cases, a contrast material may be administered through an IV during the test. This can help identify different tissues and structures. The procedure generally takes about 30 minutes.

Stereotactic Breast Biopsy -- The Breast Care Center has a new stereotactic breast biopsy unit that gives the radiologist greater maneuverability, enabling access to difficult-to-reach areas around the lungs and lymphatic system.

Mary Anne Brown, Supervisor of the Breast Care Center at Manatee Memorial 941-745-7225

This procedure uses X-ray technology to help the radiologist evaluate small calcium deposits or other breast masses detected on a mammogram. For this test, the patient is asked to lie facedown with the affected breast positioned through an opening in the table. After injecting a local anesthetic, the radiologist takes images from two different angles to pinpoint the exact location of the abnormality. A needle is then guided into the skin to remove tissue samples or to place a thin wire at the site. This wire will help guide a surgeon if a subsequent surgical biopsy is planned. The procedure typically takes about an hour.

One Stop for Imaging
"We now offer every kind of breast imaging procedure in a convenient, warm environment," says Mary Anne Brown, the Breast Care Center Supervisor. "In addition to having advanced equipment and three board-certified radiologists on staff, we have an experienced, caring staff that goes out of our way to make things easier for patients. We provide advice on how to prepare for tests, help patients keep track of their testing schedules and enable them to take charge of their breast health."

What Should You Do?
The National Breast Cancer Foundation recommends the following detection and prevention guidelines. You should:

• Do clinical breast examinations every three years from ages 20 to 39, and then every year thereafter.
• Do monthly breast self-examinations beginning at age 20.
• Get a baseline mammography procedure by the age of 40.
• Have a mammography procedure every one to two years for women 40-49, depending on previous findings.
• Get a mammography procedure every year for women 50 and older.

Prepare for your Mammography Procedure Today!
To schedule an appointment, please call 941-745-7391. If you would like more information on the Breast Care Center, including eight tips on preparing for a mammography procedure, please call 941-745-7225 or visit www.manateememorial.com. Click on Hospital Services in the left column to open a menu and then click on Breast Care Center.

206 Second Street East, Bradenton, FL 34208 941-746-5111 FAX: 941-745-6862