Transcript the Breast Care and Mammography

MAMMOGRAPHY
Denise Tomek
Director of Diagnostic Imaging
ONE IN EIGHT
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Think of your last family gathering
Think of your card/book/wine club
Look around this room
One in eight women will be affected by breast
cancer in their lifetime.
• Will it be you?
• Early detection is the key to surviving this
disease.
Risk factors for developing breast
cancer
• Being a woman (but men can develop breast
cancer too)
• Age – 1 out of 8 invasive breast cancers are found
in women younger than 45 years old however 2
out of 3 invasive breast cancers are found in
women over 55 years old
• Genetic – 5-10% of all breast cancers are thought
to be hereditary, meaning that they result directly
from gene defects (called mutations) inherited
from a parent.
Risk factors cont’d
• Family history- Having one first-degree relative
(mother, sister, or daughter) with breast cancer
approximately doubles a woman's risk. Having 2 firstdegree relatives increases her risk about 3-fold.
• The exact risk is not known, but women with a family
history of breast cancer in a father or brother also have
an increased risk of breast cancer. Altogether, less than
15% of women with breast cancer have a family
member with this disease. This means that most (over
85%) women who get breast cancer do not have a
family history of this disease.
Risk factors cont’d
• Race and Ethnicity- white women are slightly
more likely to develop breast cancer than are
African-American women, but AfricanAmerican women are more likely to die of this
cancer. However, in women under 45 years of
age, breast cancer is more common in AfricanAmerican women. Asian, Hispanic, and NativeAmerican women have a lower risk of
developing and dying from breast cancer.
Risk factors cont’d
• Dense breast tissue- Breasts are made up of
fatty tissue, fibrous tissue, and glandular
tissue. Someone is said to have dense breast
tissue (as seen on a mammogram) when they
have more glandular and fibrous tissue and
less fatty tissue. Women with dense breasts
on mammogram have a risk of breast cancer
that is 1.2 to 2 times that of women with
average breast density. Dense breast tissue
can also make mammograms less accurate.
3D mammography
• Columbus Community Hospital Foundation
purchased this machine in April 2015
• Must be accredited by the FDA to do 2D first
• Upgrade machine and PACS system
• Training for technologists and radiologists
• Begin to do patients (tentatively scheduled for
January 2016)
CCH staff with new machine
3D mammography
• Digital tomosynthesis of the breast is different
from a standard mammogram in the same
way a CT scan of the chest is different from a
standard chest X-ray. Or think of the
difference between a ball and a circle. One is
3-dimensional, the other is flat.
How does tomo work?
Images
Insurance
• Medicare/Medicaid will pay for 3D
• BCBS will not- they consider it experimental
• United Healthcare will not- they also consider
it experimental
• Each individual should check with their
insurance carrier about coverage before they
have their exam done