Complete services for breast screening

EVDI is proud to offer a wide range of breast imaging services in our imaging centers, as well as in our Desert Breast Centers in Mesa and Chandler. We believe in the highest standard of care and comfort for all our breast services. Read on for more information about your service, including things to know before you come in.

Breast Procedures

We also offer additional breast procedures, including:

  • Breast biopsies, which can be guided through the use of MRI, ultrasound or X-ray
  • Ductography (or galactography), which utilizes mammography to visualize the inside of the breast’s milk ducts
  • Cyst aspirations, which use a fine needle to extract fluid from the area in question
  • Needle localization, in which a guide wire is placed in the area of the breast abnormality to help a surgeon locate a lesion for surgical biopsy

Breast MRI

A breast MRI is utilized to contribute to the early detection of breast cancer and can also detect other breast abnormalities. A breast MRI will generate detailed pictures of the breast by capturing and combining multiple images of the breast.

Before your appointment
If you are coming in for a breast MRI exam, please know that you will be asked to lay face down on the table.

Breast Ultrasound

In breast ultrasound, sound waves are used to create an image of the tissues within the breast. A breast ultrasound will help determine whether a lump in the breast is filled with fluid (a cyst) or is solid.

Breast ultrasound is not a replacement for a mammography or breast MRI, but is intended to provide additional information when there are abnormal findings in a mammogram and/or MRI.

Mammography

Mammography
Mammography is a low energy X-ray examination of the human breast for diagnostic and screening purposes. The goal of mammography is early detection of breast cancer. Mammograms can be performed on both men and women.

Patients should bring any images (CD or film) from previous exams for comparison purposes if those exams were not performed at EVDI. Patients should also wear a two-piece outfit, and should not wear any powders, perfumes, deodorants, lotions or sprays on the breast or under the arms.

Why EVDI?
EVDI is a leader in breast imaging and has an excellent team of Board-certified mammographers dedicated to reading breast exams. EVDI has been named “#1 Imaging Center” for 3 consecutive years by Ranking Arizona.

 

3D Mammography

Mammography
Mammography is a low energy X-ray examination of the human breast for diagnostic and screening purposes. The goal of mammography is early detection of breast cancer. Mammograms can be performed on both men and women.

Patients should bring any images (CD or film) from previous exams for comparison purposes if those exams were not performed at EVDI. Patients should also wear a two-piece outfit, and should not wear any powders, perfumes, deodorants, lotions or sprays on the breast or under the arms.

How is 3D mammography (tomosynthesis) different than a typical screening mammogram?
The exam includes the regular 2D mammogram that you’ve always had with the 3D imaging coming from an additional process.

What is the benefit of 3D mammography?
The 3D component captures the breast tissue from different angles allowing our radiologists to examine one layer at a time, which can lead to fewer patient callbacks and a lower number of false positives. 3D minimizes the impact of overlapping tissue, which often resembles abnormalities, therefore minimizing patient anxiety as they are not called back for additional imaging to prove a negative result.

Who should have 3D mammography?
3D is available to all women but is recommended for those with heterogeneously dense breast tissue as the 3D imaging can assist in locating cancer which may be otherwise difficult to detect using standard 2D mammography.

Is 3D less painful?
Patients receive the same mammo compression with 3D that they’ve experienced with 2D imaging. The 3D portion only takes a few additional minutes as the tube arcs over the breast creating the 3D images.

Why EVDI?
EVDI is a leader in breast imaging and has an excellent team of Board-certified mammographers dedicated to reading breast exams. EVDI has been named “#1 Imaging Center” for 3 consecutive years by Ranking Arizona.

Where is 3D mammography available?
3D mammography is currently available at our Desert Breast Center at Dobson and Southern.

Estimating Breast Cancer Risk

Estimating the risk of breast cancer involves reviewing how many risk factors a patient has and how much each of these factors increase breast cancer risk. Exactly which risk factors should be used is still being studied, and there are currently several models that are being utilized for this purpose.

There are multiple breast cancer risk models but none are ideal. Each model uses different groups of presumed breast cancer risk factors to estimate the risk of breast cancer, and results may vary from model to model due to differences in the factors taken in to account. The factors fall in three basic categories: hereditary, hormonal, and pathologic. The risk of breast cancer over time can help provide guidance for different management plans such as earlier (or later) mammography, risk-based screening, adding MRI, or the need for chemoprevention. The risk of mutation can help determine the need for genetic testing.

EVDI includes calculations for several risk models in our radiology reports to give you a better idea of a patient’s 5-year and lifetime breast cancer risk. The graphic shows a quick snapshot of the thresholds for each of these models, and each model is explained in further detail by clicking the model name below.

Tyrer-Cusik 10 Year & Lifetime Models

Myriad BRCA Prevalence Table

Gail 5 Year & NCI Lifetime Models

For more information and recommendations on what exams are appropriate for a patient’s risk level, please see our links to Recommendations for Early Breast Cancer Detection.