The latest technology in mammograms is Breast Tomosynthesis (3D) mammography. Mammography is a specific type of breast imaging that uses low-dose x-rays to detect cancer early—before women experience symptoms—when it is most treatable. Mammography plays a central part in the early detection of breast cancers because it can show changes in the breast up to two years before you or your physician can feel them. The American Medical Association (AMA) and the American College of Radiology (ACR) recommend annual mammograms for women over 40. The National Cancer Institute (NCI) adds that women who have a personal or family history of breast cancer should talk to their doctor about when they should begin screening.

At Middlesex Health, we’re proud to be the first health system in Connecticut to offer our patients the latest dual-headed Molecular Breast Imaging (MBI) technology. When potential problems are found during a mammogram, an MBI procedure can produce razor-sharp images of the breast to help the radiologist pinpoint the abnormality and determine its size, shape, location, and type. MBI scans can identify potential problems that other techniques can miss. And a better chance for early detection means a better chance for successful treatment. Furthermore, the test can be performed on an outpatient basis, with less radiation exposure and less discomfort—because the breast does not need to be compressed. To be a candidate for Molecular Breast Imaging, you must meet at least one of the following criteria:

• You must have dense breast tissue
• You must have a personal history of breast cancer
• You must have an inconclusive mammogram

A biopsy is the removal of tissue from any part of the body to examine it for disease. Some may remove a small tissue sample with a needle, while others may surgically remove a suspicious nodule or lump.

Most needle biopsies are performed on an outpatient basis with minimal preparation. Your doctor will give you instructions based on the type of biopsy being performed. Tell your doctor if there's a possibility you are pregnant. Discuss any medications you're taking, including blood thinners such as aspirin and herbal supplements, and whether you have any allergies – especially to anesthesia. Your physician will advise you to stop taking blood thinners for a specific period of time before your procedure, and you may be told not to eat or drink anything for eight hours beforehand. Leave jewelry at home and wear loose, comfortable clothing. You may be asked to wear a gown.

Performing a biopsy under image guidance can help make the process easier and more precise. Guidance for biopsies can be done under CT Scan, X-ray, Ultrasound, mammography, MRI, and other imaging techniques.