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3D Mammograms | 3D Breast Screening | 3D Mammography

Tomosynthesis, the latest in digital mammography, is a form of 3D mammography that works by using 3D technology to capture multiple images of the breast from different angles. Unlike conventional mammography, which produces a flat image, tomosynthesis produces a more detailed, multi-layered image of the breast tissue.

3D Mammography: Digital Breast Tomosynthesis – …

With FDA approval earlier this year for Hologic’s Selenia Dimensions system for use in both breast cancer screening and diagnosis, U.S. hospitals and imaging facilities gained the ability to offer women conventional 2D digital mammography with 3D digital imaging.

3D Mammograms May Improve Breast Cancer Screening …

Effectiveness of Digital Breast Tomosynthesis Compared With Digital Mammography: Outcomes Analysis From 3 Years of Breast Cancer Screening.

According to Hologic, DBT produces 3D images intended to reveal the inner architecture of the breast without the distortion that can result from tissue shadowing or density. Tomosynthesis images are acquired with the breast held briefly in compression, just as it would be during a conventional mammogram. The exam consists of a tomosynthesis image in combination with a 2D image. This “combo-mode” method allows for both images to be taken during the same compression. In addition, the company says combining the two modalities takes into consideration radiologists’ existing familiarity viewing 2D images.

“With just one touch, the system allows users to conduct exams tailored to the specific needs of each patient, with the option of conventional digital mammography only, tomosynthesis only, or 2D and 3D combo-imaging done under one compression, resulting in coregistered images,” said Hologic Director of Marketing Jim Culley via a press release.

3-D Tomosynthesis Mammography - BayCare

24/06/2014 · 3D Mammograms May Improve Breast Cancer Screening

An influential Pennsylvania group late Thursday asked the American Cancer Society to reconsider its new position that most women don't need annual mammograms until age 45.

"It's moving in the wrong direction. Women are going to drop out [of regular mammograms] because they are unsure. It's sowing massive confusion," says Pat Halpin-Murphy,

The coalition said it "fears these recommendations will lead to thousands of women skipping mammograms that could save their lives. There is no doubt the ACS's decision to change the suggested age and frequency of screenings will lead to a decrease in mammograms nationwide. Early detection saves lives. We encourage the American Cancer Society to revisit its decision to alter existing guidelines on mammography."

Earlier this week, the American Cancer Society raising the age to 45; it had been 40.

The American Cancer Society stressed the new recommendation applies only to woman who have average risk for breast cancer -- not those who are at high risk for reasons such as family history or a history of receiving high does of radiation to the chest area. It further said woman who feel safer getting a regular mammogram beginning at age 40 should do so.

But a fallout of the society's change is that three major organizations which advise women on mammograms now differ on the recommended age for beginning annual mammograms, which involve x-rays and are the main tool for detecting breast cancer.

The American College of Obstetricians and Gynecologists recommends beginning them at age 40, while the U.S. Preventative Services Task Force recommends starting them at 50.

Dr. Susann Schetter, co-director and chief of breast imaging at the Penn State Hershey Breast Center, said she worries the new recommendation will cause many younger women to delay mammograms they otherwise would have wanted, and some won't learn they have breast cancer until it is more advanced and harder to successfully treat.

The American Cancer Society based the new recommendation on the high rate of false-positive mammogram results for women under 45. Younger women tend to have denser breasts, making it harder to clearly distinguish tumors through mammogram. The society believes the high risk of false positives, combined with the resulting anxiety and need for additional tests which can include biopsies, outweighs the benefits of annual mammograms for women of average risk aged 40-44.

However, the society says women in that age group should get annual mammograms if they want them, provided they understand the risks.

The recommendation has proved highly controversial, with Halpin-Murphy and others arguing it will undermine hard won progress in convincing women to get regular mammograms.

Schetter said people should view the advice from the American Cancer Society, as well as the two other organizations, as "suggested guidelines" rather than hard and fast rules.

She said "women have to make the decision on their own" with input from their doctor, and knowledge of the risks and benefits. Schetter said most of the woman she sees aged 40-44 prefer to take a "proactive" approach of annual mammograms, and are comfortable with the risk of false positives and possible consequences.

The Penn State Hershey center will continue to advise women to begin annual mammograms at age 40, said Schetter, who noted 23 percent of breast cancer cases occur in women in their 40s.

However, Schetter also said if a woman of average risk expressed great discomfort stemming from the risk of a false-positive, or believes a false-positive would affect her willingness to receive future mammograms, she would advise the woman to hold off until 45.

The American Cancer Society has expressed concerns over woman avoiding future mammograms after having a false positive.

Dr. Theresa Lee, a breast medical oncologist for PinnacleHealth System, believes that for a woman of average risk, it is "reasonable" to begin annual mammograms at 45.

But she further said that for a woman who wants to be proactive, or for a woman who is uneasy for reasons such as having seen a friend stricken at a young age, there is "nothing wrong with starting at the age of 40."

Dr. Matthew Aungst, an ob-gyn at Holy Spirit-Geisinger, said he still leans toward mammograms beginning at age 40, but also believes "woman should know one of the downsides of a more stringent program is a higher risk of false positives."

Nationally, another concern stemming from the new American Cancer Society stance is that health insurers might raise the age at which mammograms are covered by insurance.

But that's not a worry in Pennsylvania, where a 1992 law requires health insurers to pay for the mammograms beginning at age 40. "I think we're lucky in this state -- not all women in all states share the same advantage," Schetter said.

Meanwhile, the breast cancer coalition's Halpin-Murphy says that, rather than allowing false-positives to undercut frequency of mammograms, she would prefer to see the American Cancer Society to put its weight behind promoting greater use of new mammogram technology to reduce false positions.

Halpin-Murphy, as well as the three doctors interviewed for this article, said newer, three-dimensional mammograms have lower rates of false positives. They further expressed confidence technological advancements will further reduce false-positives, which will eventually cease to be a factor.

Halpin-Murphy said early results of a state-wide survey of Pennsylvania's 367 mammography centers suggest about 27 percent have at least one 3D machine. She said use of 3D is "quickly moving forward because it is the new technology."

In an unrelated move, law applies to 3D mammograms, and there can be no additional charge for 3D mammogram.

The American Cancer Society revised other guidelines as well, saying woman needn't bother with routine manual breast exams by doctors, and that woman over 55 at average risk can opt for mammograms every other years, since breast cancer in woman past menopause tends to progress more slowly.

Halpin-Murphy said her organization is hearing from breast cancer survivors whose cancer was detected before age 45, and believe they wouldn't be alive if the new American Cancer Society recommendation had been in place.

Improving Accuracy
In a press release issued by the FDA, the agency notes that as part of the approval process for Dimensions 3D, it reviewed results from two studies where radiologists were asked to review 2D plus 3D images from more than 300 mammograms. In both studies, the radiologists obtained a 7% improvement in their ability to distinguish between cancerous and noncancerous cases compared with viewing 2D images alone.

3-D mammography - MD Anderson Cancer Center
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3D Mammography Digital Breast Tomosynthesis - …

The purported benefits of 3D mammography include everything from higher breast cancer detection rates to lower patient recall rates. But in a hype driven world, is the technology behind digital breast tomosynthesis ...

Breast Tomosynthesis (3D Mammography…

“The combination of measurable improvements in accuracy and detection and improved sensitivity makes the Dimensions 3D system a superior system versus conventional digital mammography systems,” Hologic President and CEO Rob Cascella said via a press release. “Our technology takes advantage of all the benefits of digital mammography and quite simply makes it better with the combination of fast, high-quality 3D breast imaging. We believe tomosynthesis has the potential to change how screening and diagnostic mammography is performed and over time will prove invaluable to the earliest possible detection of breast cancer and in the reduction of unnecessary diagnostic interventions.”

3D Mammography (Tomosynthesis) | Diagnostic Center …

3D Mammography, clinically known as, Digital Breast Tomosynthesis (DBT), obtains multiple images of the breast and reconstructs them to create a 3D image of the breast rather than a single image. This technology improves the detection of small cancers and has been shown to reduce the number of patients recalled for more imaging due to false positives. This is used for screening patients, and can also be utilized as an additional screening tool if a patient’s 2-D mammogram shows dense breast tissue.

3D Mammography (Breast Tomosynthesis) | Windsong …

Using case examples, this webinar addresses the challenges presented by 3D Mammography and tomosynthesis-directed biopsy; how to safely and effectively perform 3D breast biopsy with tomosynthesis; the potential complications and challenges of 3D breast biopsy with tomosynthesis; and comparison of upright and prone biopsy techniques.

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