3D Mammography

A better option for women in all risk categories

3D mammography, also known as digital breast tomosynthesis or DBT, is an exciting innovation in breast screening. It is similar to a mammogram in that it uses x-rays to produce images of breast tissue. However, unlike 2D mammography, tomosynthesis captures multiple image segments or ‘slices’ of the breast, at different angles, and then reconstructs them into a three-dimensional image that is capable of showing more detail, and increases the ability to find smaller cancers that may be obscured by the “overlapping” of breast tissue on a traditional mammogram.

The average U.S. woman has a 1 in 8 risk over her lifetime of being diagnosed with breast cancer. What’s more, nearly 70% of women diagnosed with breast cancer do not have a family history of the disease. 3D mammography improves the cancer detection rate by as much as 40%, with 15%-40% fewer false positives and significantly lower recall rates.

Annual screening mammography is recommended to begin at age 40 for average risk women. Research shows the most lives are saved by screening at these intervals.

Improved detection for women with dense breasts

According to the American Cancer Society, up to 43% of women have dense breasts. Dense breast tissue—which is more common in younger women—can mask cancers and make them harder to be detected by traditional mammography. It is now believed that dense breast tissue increases a woman’s risk for developing breast cancer. In fact, some studies have concluded that a woman with dense breasts has up to a 6 times greater chance of developing breast cancer, as well as more aggressive forms of the disease.

What is 3D breast tomosynthesis and how is it different than 2D?

Breast tomosynthesis creates not just one image of the breast (2D mammogram), but also a stack of thin image “slices” of the breast (3D mammogram). The breast is evaluated by the radiologist using both 2D and thin slice-by-slice(3D). The 3D imaging minimizes the masking effect of overlying tissue and this improves cancer detection. The reduced masking effect also helps the radiologist reduce the number of patient call-backs to the breast center for evaluation of overlapping breast tissue.

Is 3D mammography right for me?

Because it affords a better chance for early detection, women of all risk categories benefit from 3D mammography. If you are a woman at high risk for breast cancer (>20%), you may also benefit from screening breast MRI in addition to 3D mammography. If you think you may be at high risk but aren’t sure, talk to your doctor.

I have been told I have dense breasts, does this change anything for me in terms of screening?

If you have been informed that you have dense breast tissue, then you should strongly consider supplemental screening for breast cancer using breast 3D tomosynthesis.

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