Mammography and Women's Imaging Services - UCSF Department ...

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Mammography and Women’s Imaging Services Breast imaging services highlights • Highly specialized team of expert physicians focused on efficient and accurate breast cancer screening, diagnosis, treatment and monitoring • Thirty-year record as a world-renowned breast imaging program continuing the model of renowned radiologist Dr. Edward A. Sickles • Speed of diagnosis is an essential, distinguishing feature of Women’s Imaging Services at UCSF with nearly all breast imaging exams reported within 24 hours of the test being performed • UCSF performs 100 percent full-field digital mammography, a technology that has been proven to be of significant value in detecting additional cancers that were missed using older technologies and uses less radiation than older analog mammography • UCSF was among the first to perform breast MRI and now has more than 15 years of experience with this sensitive imaging technique • Our high-field strength 3.0T breast MR provides superior image quality and a wider opening for improved patient comfort • Following the guidelines of the Mammography Quality Standards Act, we are certified by the Food and Drug Administration and accredited by the American College of Radiology Breast imaging services offered Bone scanning with SPECT/CT • A standard imaging test to determine if breast cancer has spread to the bones • UCSF bone scanning has several advantages: - The exams use relatively low doses of radiation to more accurately locate where the cancer is located - The camera can acquire the image in about half the time of cameras at other imaging centers - UCSF's advanced software enables sharper image quality • The Breast Cancer Prevention Program provides access to experts in the field of breast cancer prevention including physicians, nurse practitioners, genetic counselors and researchers • Expert interpretation of mammograms provides fewer false positives and a higher cancer detection rate • Coordinated Diagnostic and Evaluation Program, where patients with suspected breast cancer receive a radiology and pathology assessment and are seen by a top breast surgeon during a one-day coordinated visit to UCSF • UCSF was the first location in the United States to offer breast MRI biopsy with the Sentinelle Vanguard dedicated biopsy table, which can prevent a return visit for the patient by allowing multi-site including bilateral biopsies • Using the world’s newest tools and methods, we can take samples as small as a group of cells to perform speedy and accurate breast biopsies when necessary • All physicians are certified by the American Board of Radiology • UCSF is a recognized leader in multi-institutional clinical breast cancer trials and breast imaging research Breast MRI • An advanced imaging technology using magnetic waves in conjunction with a contrast (dye) injection to take pictures of the breast • Can show lesions not visible at mammography or ultrasound • The American Cancer Society recommends that certain women with an especially high risk of developing breast cancer have an MRI scan along with their yearly mammogram
Breast ultrasound • Use of sound waves to evaluate breast lumps in conjunction with mammography Digital diagnostic mammography • A series of breast images to provide a more comprehensive and detailed view of the breast as prescribed and monitored by an interpreting radiologist • Appropriate for women with a prior history of breast cancer, a new breast symptom or abnormal screening mammogram Digital screening mammography • Used for annual mammograms to detect any overall change in the appearance of breast tissue • Appropriate as an annual check-up for women without breast symptoms • Screening mammography is an important tool for the early detection of breast cancer Lymphoscintigraphy with SPECT/CT • An imaging exam that uses a small amount of radioactive liquid to trace a path from the breast to the lymph nodes in the armpit • Allows the breast surgeon to perform a precise extraction of the lymph nodes for evaluation of possible disease MRI-guided core biopsy • An advanced imaging technology using MRI to guide the radiologist in obtaining a small tissue sample for evaluation of possible disease PET/CT imaging • An advanced technique that combines functional imaging and anatomic computed tomographic (CT) evaluation of the breast tissue, lymph nodes and solid organs to accurately identify sites of disease • UCSF has a very high volume of breast imaging procedures with PET/CT compared to most imaging centers • Unlike many imaging centers, UCSF routinely performs a diagnostic-quality whole body CT examination with contrast in conjunction with the PET imaging Stereotactic-guided core breast biopsy • Mammography and a computer-targeted guidance system to help the radiologist obtain a small tissue sampling for evaluation of possible disease Ultrasound-guided breast cyst aspiration • Use of ultrasound technology to guide the radiologist in removing fluid from a breast cyst Ultrasound-guided breast core biopsy and fine needle aspiration • Technology used to guide the radiologist in obtaining a small tissue sampling for evaluation of possible disease Wall motion study • A procedure (also called ERNA or MUGA) that is typically performed on patients with breast cancer to monitor whether certain high-dose chemotherapy regimens cause toxicity to the heart Wire localization procedure • Mammography ultrasound or MRI-guided pre-surgical procedure to mark the area of concern for the breast surgeon Billing and insurance We contract with most major health insurance companies. Many insurance plans (including PPOs) require prior authorization for imaging services. We will be happy to assist you with any questions regarding authorization, price quotes, procedure codes, statements, or billing. Please call (415) 514-8888.
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