Camellia offers 3D mammography technology or breast tomosynthesis. This is a revolutionary technology that can be used for screening or diagnostic mammograms. In a traditional 2D mammogram the radiologist looks at an image where all of the breast tissue is superimposed. With 3D mammography the breast is imaged in thin slices. The images can be looked at like pages in a book. Studies have shown that 3D mammography allows for higher cancer detection rates and lower false positive rates. The procedure to get 3D will feel the same as standard mammography. Additionally, with 3D mammograms there is often a decreased need for additional mammogram views or “callbacks” for benign or incidental findings.

The radiation in a 3D mammogram is slightly greater than with 2D but it is well within the allowable safe standards of the FDA and ACR. Additionally, Camellia is one of the few centers to offer C-view, a technology that can reduce the radiation does. Based on recent evidence, it seems that the 3D performs better than 2D mammograms for cancer detection. We chose these technologies because we want you to feel so cared for that you tell your best friend about us.

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Camellia’s Hologic mammogram machine provides digital imaging. Digital mammography has been around since approximately 2005. It allows radiologist to read your mammogram on a very high-resolution computer screen rather than on film. Digital mammograms can be 2D mammograms, 3D mammograms, or a combination of both. Digital mammography machines are designed to tailor the amount radiation for each person, so that the best images are obtained using the minimum amount of radiation needed. Because the images are digital, and read on a computer, this allows for the use of a technology called Computer Aided Detection (CAD). CAD draws the radiologist’s attention to areas on the mammogram that may contain suspicious calcifications or masses. We take the time to provide and review this technology because we want to treat you the way we would treat our family.

 

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Screening

Breast ultrasound is used in conjunction with mammography to evaluate the breast. Camellia Imaging offers a high resolution Siemens S2000 ultrasound machine. Breast ultrasound does not require the breast to be compressed or require any radiation exposure. Breast ultrasound is not typically used for screening in all women. In some cases, however, it may be beneficial for screening, especially in women with dense breast tissue. We offer screening breast ultrasound to women without symptoms with denser breast tissue and some risk factors for breast cancer. We always tailor our services to meet your individual needs. We will discuss all results with you at your appointment, answer any questions you may have, and communicate those results to your doctor.

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Diagnostic

Sometimes ultrasound is used as a diagnostic problem-solving tool for the breast and underarm area. It can be used to evaluate something that is felt by you or your doctor, or something seen on you mammogram. The ultrasound examination done in conjunction with the mammogram and/or clinical exam can help better characterize the area of interest. It can sometimes also help evaluate for rupture of breast implants. We offer high resolution Siemens S2000 ultrasound performed by our technologist and radiologist. We always tailor our ultrasound services to meet your individual needs. We will discuss all results with you at your appointment, answer any questions you may have, and communicate those results to your doctor.

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Needle Biopsy

We perform needle biopsies of the breast in the comfort of our office, using our state-of –the –art imaging tools. Biopsies can be preformed in a minimally invasive manner using ultrasound, stereotactic or 3D (tomosynthesis) guidance. We perform needle biopsies with and without vacuum assistance. We also perform cyst aspirations and fine needle aspirations. We will walk you through the procedure step by step to ease your anxiety.  We want you to feel comfortable with your procedure. Our equipment allows us to see and accurately target the area that requires biopsy. We usually place a tiny biopsy clip at the time of biopsy to mark the spot of the biopsy. The biopsy samples are sent to a trusted breast pathologist, and we will explain your results to you and answer your questions within one or two business days after the biopsy.

 

Ductogram / Galactogram

For women who have nipple discharge or secretion that is suspicious, we perform a ductogram or galactogram to determine if something is seen in the duct that could explain this abnormal discharge. A small catheter can be introduced in to the duct. Injection of contrast into this small catheter can help us see the contour of the duct. If an abnormality is seen on the ductogram, we can use our mammography biopsy equipment to help biopsy and determine the cause of the discharge in a minimally invasive manner.

 

Needle Localization

If there is something found by biopsy in the breast that requires removal by a surgeon because it is breast cancer, pre-caner, high risk, or indeterminate we can perform a needle localization or a wire placement. Before the surgery, a wire or multiple wires are inserted into the breast to help guide the surgeon the area or areas to be surgically removed. This allows the surgeon to be more precise and remove the area of concern. This procedure can be performed with mammographic or ultrasound guidance. The procedure can be performed in the comfort of our office the day of the surgery. We recognize that breast surgery can be very stressful. We do everything we can to help alleviate as much of this stress as possible.

Bone density is an important part of caring for a women’s health because when women age, have removal of their ovaries, or take certain medication their bone density can decrease. Very low bone density is called osteoporosis, and can increase your risk of fractures. Because fractures can be debilitating, measurement of bone density to allow for treatment of osteoporosis is very important to prevent unnecessary fractures. Camellia Women’s Imaging provides bone density evaluation with the most advanced Hologic A Series DEXA Unit. DEXA can evaluate for bone density to diagnose osteoporosis and can evaluate for fractures in the mid and lower spine.  The results are explained at the time of the examination by the doctor. These results will also be sent to your doctor so they can guide your therapy. Please do not take your calcium supplement for at least one day prior to your bone density evaluation.

 

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