Our specialized, Royal Oak radiologists use breast ultrasound to examine masses or changes in breast tissue and arrive at an accurate diagnosis in a timely fashion.
Ultrasound is a radiology imaging technology that uses sound waves to visualize lumps, masses, or changes in the breast. These high-frequency sound waves enter the body through a wand known as a transducer and then echo off of tissues to produce an image, or sonogram. Specialized radiologists can interpret these images to distinguish various findings, looking for changes such as masses or a slight pulling of the tissue called architectural distortion. Many of the findings we see on a breast ultrasound are too small or too deep to be felt on examination.
Getting a regular screening mammography offers women the best chance of finding early changes on a mammogram before they can be felt during a clinical or breast self-examination (BSE). If a mass is found on a screening mammogram, then diagnostic radiology imaging such as breast ultrasound or a diagnostic mammogram is recommended to get a closer look at a particular area. The appropriate diagnostic imaging tools for next steps will depend on many factors, including:
The radiologist will look for particular criteria of the mass, such as:
Shape
Orientation
The margin of the mass
Lesion boundary
Echo pattern
Posterior acoustic features
This lexicon for masses is called the Breast Imaging-Reporting and Data System (BI-RADS), established by the American College of Radiology. The numerical scale ranges from 0-6, with each number corresponding to a classification that estimates your breast cancer risk. This is where experience matters. Together Women’s Health Imaging Center specialized radiologists have decades of experience to help provide a more certain diagnosis.
If we discover an indeterminate or suspicious finding, the radiologist may recommend a needle biopsy to determine if the mass is benign (noncancerous) or malignant (cancer). A lesion seen by ultrasound can be biopsied using ultrasound as a guide, even if it cannot be felt on clinical or self-breast examination. The physicians at Together Women’s Health Imaging Center use their extensive clinical experience to determine the need for an ultrasound guided breast biopsy.
Though a mammogram is often the first preventative imaging exam to look for breast cancer, if the Radiologist finds a nodule or mass on the initial screening mammogram, then a breast ultrasound will be recommended to obtain a better view of the mass to help finalize the results. Here’s what to expect if your doctor recommends a breast ultrasound.
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