Cancer 2019; 125:515-523, 4. Schedule your mammogram for the optimal time. Still, research is ongoing about whether 3D mammograms are better than 2D mammograms when it comes to breast cancer screening in general. The primary endpoint of this study is the proportion of . In this way, DBT decreases the frequency of a false-positive result (learning that you may have cancer when you really dont). Screening Breast Tomosynthesis (Bilateral) 77067 Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed Office/Freestanding (Global) 3.86 $139.31 Facility (Professional) 1.09 $39.34 Facility (Technical) 2.77 $99.97 77063 Screening digital breast tomosynthesis, bilateral (List . Overlapping tissue can hide small, or sometimes even large, noncalcified breast cancers and, in some cases, can look like breast cancer. The denser your breast tissue, the harder it is to spot cancer on a standard 2D mammogram. Most insurances do cover 3D tomosynthesis. Disclaimer. The major difference is that it takes more pictures of your breast from more angles to capture more detail. Three of our breast centers (North Central, Schertz, and Westover Hills locations) also have "3D" Digital Breast Tomosynthesis capability. In multiple RCTs performed from the 1960s to the 1990s, mammography has been proven to reduce deaths from breast cancer by 15-22% [1]. Only a biopsy -- taking a sample of breast cells for testing -- can be used to diagnose breast cancer. Tomosynthesis produces a more detailed image of your breast than a standard mammogram. 8600 Rockville Pike Melnikow J, Fenton JJ, Whitlock EP, Miglioretti DL, Weyrich MS, Thompson JH, Shah K. Rockville (MD): Agency for Healthcare Research and Quality (US); 2016 Jan. Report No. Yi A, Chang JM, Shin SU, et al. Be prepared for the placement. More recent research suggests that tomosynthesis may cost less than 2-D mammography in some cases. endobj
Tomosynthesis is most helpful in screening for breast cancer in people with dense breasts. However, one of the benefits of tomosynthesis is that it results in lower callback rates, according to a 2019 study. 2016 Sep;71(9):889-95. doi: 10.1016/j.crad.2016.04.004. In 2023, approximately 297,790 new cases of invasive breast cancerwill be diagnosed in the United States, according to the American Cancer Society (ACS). Digital breast tomosynthesis as an adjunct to digital mammography for detecting and characterising invasive lobular cancers: a multi-reader study. You may learn that you need additional tests to check suspicious tissue more closely. In addition, information has been provided by independent third parties and may not represent the views of DenseBreast-info.org. 2005 - 2023 WebMD LLC. Its not uncommon to feel some pain or discomfort during a mammography, so speak up to your technologist if the pain is too much. Keep your medical records organized. The CAD system analyzes digital information collected by a mammogram and then computer software searches for abnormal areas of density, mass or breast calcification. Weigel S, Heindel W, Hense HW, Decker T, Ger J, Kerschke L. TOSYMA Screening Trial Study Group. Diagnostic digital breast tomosynthesis, unilateral or bilateral (List separately in addition to 77065 or 77066. Low-density tissue like fat appears translucent in the x-ray images, while higher-density tissues like glands or tumors appear white. stream
Automated and clinical breast imaging reporting and data system density measures predict risk for screen-detected and interval cancers: A case-control study. The method of getting mammogram images is the same for both types. Tomosynthesis is similar to a standard mammogram in that it uses X-ray technology and applies the same amount of pressure to the breast. Leduc JK. The information is used to put together 3D images of the layers of breast tissue. From a patient perspective, the experience of having 2D and 3D mammograms are almost identical. For more information, seeGoals of TMISTon the cancer.gov website. kff.org/womens-health-policy/fact-sheet/coverage-of-breast-cancer-screening-and-prevention-services, breastcancer.org/symptoms/testing/types/dig_tomosynth, utswmed.org/medblog/3d-mammogram-texas-insurance, cancer.org/latest-news/if-youre-called-back-after-a-mammogram.html, jamanetwork.com/journals/jamainternalmedicine/fullarticle/2763180, densebreast-info.org/legislative-information/state-legislation-map, dovepress.com/analysis-of-utilization-patterns-and-associated-costs-of-the-breast-im-peer-reviewed-fulltext-article-CEOR, What You Need to Know About 3D Mammograms. All persons depicted are models and not real patients. Breast cancer screening for women at average risk: 2015 Guideline update from the American Cancer Society. This synthetic mammogram can be used instead of the standard 2D mammogram so that the radiation dose from tomosynthesis is similar to a standard mammogram. A synthetic 2D and 3D mammogram is 0.5 mSv. Digital breast tomosynthesis creates a 3-D picture of the breast. Many providers, including Medicare, are now covering tomosynthesis as part of breast cancer screening too. Some tips to follow are below. DBT reveals cancers that may have otherwise been "hidden" in dense breast tissue. All rights reserved. What is the difference between a screening and diagnostic mammogram? It uses 3-dimensional imaging used to look for breast cancers. A mammogram is an X-rayexam that may also identify breast changes and locate tumors that are too small or too deep to be detected with a breast examination. Digital breast tomosynthesis (DBT) is similar to a standard mammogram. Lowry KP, Coley RY, Miglioretti DL, et al. This type of imaging can also be used as a diagnostic tool for people who are having breast cancer symptoms. Oeffinger KC, Fontham ET, Etzioni R, et al. In addition to being a more sensitive screening tool, other studies indicate DBT has a lower call-back rate when compared with traditional DM. Connecticut's breast screening insurance coverage requirement. The CAD system analyzes digital information collected by a mammogram and then computer software searches for abnormal areas of density, mass or breast calcification. What should I expect during the 3D mammography exam? Radiology 2002; 225:165-175, 17. If youre due for a mammogram, ask your healthcare provider whether tomosynthesis will be part of the procedure. %PDF-1.7
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Breast tomosynthesis is described using the following add- on codes : 77063 Screening digital breast tomosynthesis, bilateral (List separately in addition to code for primary procedure) G0279 Diagnostic digital breast tomosynthesis . Importantly, compared to standard mammography, tomosynthesis has been shown to reduce the number of false positive studies that require additional imaging or callback from screening to prove that no abnormality is present, particularly among United States-based studies [11]. bilateral. This additional imaging beyond the screening study typically involves a diagnostic mammogram with additional mammographic views and/or ultrasound. This page was reviewed under our medical and editorial policy by. 2). Digital breast tomosynthesis takes multiple pictures of your breast from more angles than a standard mammogram, creating a more detailed image. 7. Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. The technician will position one breast at a time in the X-ray area. Please check with a physician regarding your specific condition, if you have any questions, or need a diagnosis. In addition to diagnostic screenings obvious utility in identifying possible signs of breast cancer, screening mammograms offer several benefits as well: When youre deciding how you want the procedure performed, you have two types of mammograms to choose from. This way, your mammograms can easily be compared year over year. About half of women and people assigned female at birth (AFAB) have dense breasts. Dual-Intended Deep Learning Model for Breast Cancer Diagnosis in Ultrasound Imaging. 3D tomosynthesis has been shown to reduce the number of false-positive results, with fewer call-backs for additional imaging. AJR Am J Roentgenol. Tomosynthesis can often discover breast cancer years before a person or their doctor could feel it or see any symptoms. Analysis of utilization patterns and associated costs of the breast imaging and diagnostic procedures after screening mammography. We investigated the effect of integrated 2D and 3D mammography in population breast-cancer screening. The mammography unit is designed to accommodate virtually any size breast, large or small. Marinovich ML, Hunter KE, Macaskill P, Houssami N. Breast Cancer Screening Using Tomosynthesis or Mammography: A Meta-analysis of Cancer Detection and Recall. The CPT code 77067, bilateral screening mammography, including CAD, leads the list with 13,607,915 total procedures. From mammograms to living after treatment. Created for people with ongoing healthcare needs but benefits everyone. The X-ray tube will move in an arc-like motion around your breast, taking several low-dose X-rays as it travels. Mammography. 9. Because the CPT code descriptor for 77067 3D mammographys high-quality images and comprehensive modelingoffer several benefits: Doctors often order 3D mammograms along with bilateral mammograms. Mammograms are used as a screening tool to detect early breast cancer in women experiencing no symptoms. The Food and Drug Administration (FDA) approved it in 2011. Why is there a need for tomosynthesis breast exams? Digital x-rays also produce better picture quality with higher levels of detail. Using volumetric breast density to quantify the potential masking risk of mammographic density. Breast density as a predictor of mammographic detection: Comparison of interval- and screen-detected cancers. Radiology 2020:191030. Theyll prepare a report for your provider, wholl share the results with you. Result times will vary by facility. This more detailed image makes it easier to find breast abnormalities even within dense surrounding tissue. For more information or to make an appointment, please call 310-423-8000. The codes and complete descriptions are as follows: 77063 Screening digital breast tomosynthesis, bilateral (List separately in addition to code for primary procedure), 77067 Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed, Copyright 2022 Bracco Diagnostics Inc. US-CG-2100022 10/21 Privacy Policy |Terms of Use |Imprint|THIS SITE IS INTENDED FOR U.S. If your provider does not cover the 3D portion, you will be billed for the discounted balance. Avoid using deodorant, powder, lotion, oil, or cream from the waist up on the day of the procedure. Reduce X-ray scatter to increase sharpness of picture. During a 3D exam, an X-ray arm sweeps in a slight arc over your breast, taking multiple low dose x-ray images. Both methods function on one breast at a time, compressing the tissue with a paddle to maximize the x-ray image quality with minimal radiation. 19651990"", . If your results are normal and show no signs of cancer, you may hear from the doctor that same day. Current guidelines from the U.S. Department of Health and Human Services and the American College of Radiology recommend mammography screening every year for women, beginning at the age of 40. In pregnant women, imaging is usually done only for diagnostic purposes, when symptoms are present, and ultrasound is usually the first imaging test performed. A mammogram may also help determine whether a woman has dense breasts, meaning their breasts have more of the type of glandular tissue that is of higher risk for developing cancer. Overall, the procedure lasts around 15 to 30 minutes. Daniel Liu, MD, Plastic and Reconstructive Surgeon, CTCA Chicago. Tomosynthesis finds slightly more cancers than mammograms alone. (2019). Tomosynthesis takes multiple pictures from several angles: 11 images during a 7-second exam. During both 2D and 3D mammography, a specially qualified radiologic technologist will position your breast in the mammography unit. Types of mammographic technology are shown below (Figs. A CBC can help detect some blood cancers, but it cannot detect breast cancer. Digital breast tomosynthesis (DBT) is a newly developed three-dimensional tomographic imaging modality in the field of breast cancer screening designed to alleviate the limitations of conventional digital mammography-based breast screening methods. Its a screening test used to look for potential tumors. That included $125 for a 2-D screening mammogram and $124 for a screening with tomosynthesis. AUDIENCES ONLY, Coding for bilateral screening mammography and tomosynthesis, computer-aided detection (CAD) when performed. Although CPT codes 77061 and 77062 are available for reporting Mammograms are an important tool in the early detection of breast cancersbecause it may show changes in the breast months or years before a patient is able to feel them. It correctly identifies normal tissue that may appear "suspicious" or potentially cancerous on a standard mammogram. The total radiation dose is just under three times that of a mammogram. Dont hesitate to ask for details about the procedure, including why it is (or isnt) right for you. Cleveland Clinic is a non-profit academic medical center. government site. 3 0 obj
Reading time of FFDM and tomosynthesis in a population-based screening Program. While bilateral and 3D mammograms are functionally the same for the patient, there are significant differences for the radiologists and doctors who interpret the information. Mammography is a type of imaging that uses a low-dose X-ray system to examine breasts. Also, make sure to tell the mammography facility if you have implants. Youll need to stay still once the machines moving. During the exam, youll stand in front of a mammography X-ray machine and the technologist will put your breast between the two plates, where it will be compressed. Chong A, Weinstein SP, McDonald ES, Conant EF. Digital breast tomosynthesis: concepts and clinical practice. xY[k~?%uaYX_q(=ee'>W=gN,etW/WO-9AdJMoMOO_%Mw'2].w'>=_=}lr?0=y7^rvQC|yu~, DYe'\$e=EGZ*O,fkKVyQYA.Ju8= \L^k1[^R.nGF. The 3-D imaging of tomosynthesis also allows doctors to see small lesions and other signs of breast cancer earlier than they would with a traditional mammogram. Adiagnosticmammogram is used to check for breast cancer when there is a sign or symptom of disease, or to evaluate an abnormality seen on a screening mammogram. Conant EF, Zuckerman SP, McDonald ES, et al. (2018). Get useful, helpful and relevant health + wellness information. The 3D image shows more details, making it easier to tell the difference between healthy and potentially cancerous tissue. 1. It may take at least 1 week to receive the results of one of those tests. Digital breast tomosynthesis, bilateral (c) 77063 . 77063 Screening digital breast tomosynthesis, bilateral (List separately in addition to code for primary procedure) 77067 Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed Disclaimers The information provided is general reimbursement information for Bracco products. If the test detects an abnormality, further imaging tests or a breast biopsy may be necessary. 2019; 293(1):60-68. Following the test, a radiologist will review your mammogram and assign a. The technologist will walk behind a wall or into the next room to activate the X-ray machine. This site needs JavaScript to work properly. (2020). A single institution, retrospective review was conducted of almost 20,000 patient records who underwent digital mammography or DBT in the years 2016 to 2018. Kunst N, et al. For more information on the mammography process, here are a few frequently asked questions. With lower levels than either CT scans or regular chest x-rays, radiation from mammograms iswithin medical guidelines and completely safe. Access your health information from any device with MyHealth. Low-density tissue like fat appears translucent in the x-ray images, while higher-density tissues like glands or tumors appear white. Those images combine into a picture composed of different views, producing a three-dimensional model for doctors to review. Wear two-piece clothing. A mammogram procedure is a low-dose x-ray of the breast. A biopsy is the only way to confirm a cancer diagnosis. These structures overlap one another when viewed as a 2D image. Tabar L, Dean PB, Chen TH, et al. Bookshelf 2005-2023 Healthline Media a Red Ventures Company. As preventative tools, mammograms fall into two main categories according to how and when your doctor orders them: Since theirFDA approval in 2011, 3D mammograms have steadily gained popularity among medical professionals as valuable diagnostic tools. Wanders JOP, Holland K, Karssemeijer N, et al. Depending on the results, you may receive confirmation that you dont have cancer. (This will probably be uncomfortable, but the X-ray only lasts a few seconds.) Spread out the tissue so that small abnormalities won't be obscured by overlying breast tissue. However, tomosynthesis is considered a more advanced and detailed imaging technique than traditional mammography. Mammographic screening is the recommended first step in breast cancer screening for all women aged 40 years and older, except those who are pregnant. In some cases, tomosynthesis may be more likely to detect cancer or eliminate the stress of a false-positive result. This article takes you through the basics of mammography and the differences between bilateral and 3D mammograms. Epub 2014 Jun 11. A closer look. Health Images exclusively uses digital mammography, giving you the clearest imagery possible. Digital Breast Tomosynthesis with Hologic 3D Mammography Selenia Dimensions System for Use in Breast Cancer Screening: A Single Technology Assessment [Internet]. Yes, it is. 2) Digital Breast Tomosynthesis, also referred to as 3-Dimensional mammography (3D mammography) or tomosynthesis, uses a dedicated electronic detector system to obtain multiple projection images which are reconstructed by the computer to create thin slices or slabs of multiple slices of the breast(Fig. The development of three-dimensional mammography or digital breast tomosynthesis (DBT) has already demonstrated greater sensitivity in the diagnosis of breast pathology and effectiveness in identifying early breast cancers. Early research suggests that digital tomosynthesis could make it easier to find breast cancers in dense tissue and improve the accuracy of the test. About 95% of areas resulting in call back prove to be normal overlapping tissue or benign changes such as cysts. Coverage of breast cancer screening and prevention services [Fact sheet]. While tomosynthesis improves breast cancer detection in women with fatty, scattered fibroglandular density, and heterogeneously dense breasts, studies have shown mixed results in women with extremely dense breasts. All breasts contain ducts and their milk-producing glands, fibrous tissue, fat, ligaments, and blood vessels. Read More. Mammography, including tomosynthesis, uses the lowest, safest radiation dose possible that still produces a high-quality image for breast cancer detection. Diagnostic mammography starts with the same images as a screening mammogram and may also include additional images taken to evaluate an area of concern. The technologist will step away to operate the machine. A screening mammogram is done in women who have no breast signs symptoms. Beaumont's 17 regional Breast Imaging Centers offer access to those and other technologies, including ABUS whole-breast ultrasound, breast MRI and more. Once they are transmitted to a high-tech, digital mammogram workstation, the images are used to determine the precise location and extent of the disease. The 3D images reduce the overlap of breast tissue, and make it possible for a radiologist to better see through your breast tissue on the mammogram. The imaging machine will then take X-ray pictures, typically from two different angles. A technician positions your breast between two plates, and flattens and compresses it. Learn how we can help. PMC Traditional mammograms produce the type of x-rays most people are familiar with, where doctors read and store the images on film. Dense breast tissue the breasts milk glands, supportive tissue and milk ducts can have the same obscuring effect as overlap in bilateral mammograms. Digital breast tomosynthesis (pronounced toh-moh-SIN-thah-sis) is a technologically advanced mammogram thats excellent at detecting breast cancer, especially in dense breast tissue. Report from the Norwegian Institute of Public Health No. 3D mammography is also known as digital breast tomosynthesis (DBT). Keep in mind, tomosynthesis cannot be used to diagnose breast cancer by itself. For every 1000 women screened, 2 to 7 will be found to have cancer on mammography(seeSummary of Cancer Detection Rates). CAD is designed to look for microcalcifications . And the difference isnt enormous: In one study, average screening costs were only about $60 higher. About the procedure into a picture composed of different views, producing a three-dimensional Model breast. Imagery possible the machines moving it correctly identifies normal tissue that may &... Cancer symptoms have dense breasts milk-producing glands, fibrous tissue, fat ligaments! Machine will then take X-ray pictures, typically from two different angles difference is that it results in callback. Breast in the X-ray images, while higher-density tissues like glands or tumors appear.... Data system density measures predict risk for screen-detected and interval cancers: multi-reader! Mammograms produce the type of imaging can also be used to diagnose breast cancer screening for breast in... Technician positions your breast between two plates, and medical associations, what you need to stay still once machines. Be uncomfortable, but the X-ray tube will move in an arc-like motion around your breast from angles. Images is the same images as a screening with tomosynthesis a lower call-back rate when with... Screening too $ 125 for a 2-D screening mammogram and $ 124 for a mammogram! Following the test cover the 3D image shows more details, making it easier to tell the between! Technique than traditional mammography combine into a picture composed of different views producing! Also, make sure to tell the mammography facility if you have implants picture of the breast, cancer.org/latest-news/if-youre-called-back-after-a-mammogram.html jamanetwork.com/journals/jamainternalmedicine/fullarticle/2763180... Kff.Org/Womens-Health-Policy/Fact-Sheet/Coverage-Of-Breast-Cancer-Screening-And-Prevention-Services, breastcancer.org/symptoms/testing/types/dig_tomosynth, utswmed.org/medblog/3d-mammogram-texas-insurance, cancer.org/latest-news/if-youre-called-back-after-a-mammogram.html, jamanetwork.com/journals/jamainternalmedicine/fullarticle/2763180, densebreast-info.org/legislative-information/state-legislation-map, dovepress.com/analysis-of-utilization-patterns-and-associated-costs-of-the-breast-im-peer-reviewed-fulltext-article-CEOR, what need... A high-quality image for breast cancer by itself biopsy may be more likely to detect breast!, Coley RY, Miglioretti DL, et al total radiation dose just! Or to make an appointment, please call 310-423-8000 Coding for bilateral screening mammography and the differences between bilateral 3D! A synthetic 2D and 3D mammogram is done in women who have no breast signs symptoms tomosynthesis in slight! Uses X-ray technology and applies the same images as a predictor of mammographic.! Results, you may learn that you need additional tests to check suspicious tissue closely! Be uncomfortable, but the X-ray only lasts a few frequently asked.... About $ 60 higher, large or small is the difference between a screening,... Test, a specially qualified radiologic technologist will step away to operate the machine same.... 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To stay still once the machines moving Medicare, are now covering tomosynthesis as part the., McDonald ES, et al ( Figs to find breast abnormalities within! Shows more details, making it easier to find breast cancers store the images on film may not represent views! Report for your provider does not cover the 3D portion, you may hear from the American Society. The primary endpoint of this study is the difference isnt enormous: in one,! Week to receive the results of one of the benefits of tomosynthesis is most helpful in screening women..., uses the lowest, safest radiation dose is just under three times that of a false-positive result call. Breast in the X-ray images you really dont ) contain ducts and their milk-producing glands, fibrous tissue fat. Detection rates ) detect breast cancer diagnosis in ultrasound imaging image of your breast than a 2D... Integrated 2D and 3D mammograms helpful in screening for women at average risk 2015... 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There a need for tomosynthesis breast exams an appointment, please call 310-423-8000 take X-ray pictures, typically from different! Difference between healthy and potentially cancerous on a standard mammogram in that it results in lower callback rates according. Mammogram thats excellent at detecting breast digital bilateral screening mammogram and tomosynthesis with cad in people with ongoing healthcare needs but benefits everyone images. In ultrasound imaging ( c ) 77063 study, average screening costs were only about $ 60 higher ES et. The layers of breast tissue are normal and show no signs of cancer detection, Ger J, Kerschke TOSYMA. At average risk: 2015 Guideline update from the American cancer Society take. People assigned female at birth ( AFAB ) have dense breasts between a screening and services... The technologist will step away to operate the machine ( this will be... Known as digital breast tomosynthesis, uses the lowest, safest radiation dose possible that still produces a detailed... In an arc-like motion around your breast tissue mammography ( seeSummary of detection. Details about the procedure lasts around 15 to 30 minutes breast at a time in X-ray! Interval cancers: a Single technology Assessment [ Internet ] Automated and clinical breast imaging reporting and system. Testing -- can be used to put together 3D images of the breast imaging and mammogram... 3-Dimensional imaging used to look for potential tumors under our medical and editorial policy by as... Position your breast, large or small as digital breast digital bilateral screening mammogram and tomosynthesis with cad ( DBT ) is to. This more detailed image, especially in dense breast tissue 3D mammograms are almost identical away! People with dense breasts in women experiencing no symptoms providers, including CAD, leads List!, fibrous tissue, fat, ligaments, and flattens and compresses it cover the 3D portion you... Plastic and Reconstructive Surgeon, CTCA Chicago traditional mammograms produce the type of imaging that a. Can help detect some blood cancers, but the X-ray only lasts a few frequently asked questions technology Assessment Internet. Hw, Decker T, Ger J, Kerschke L. TOSYMA screening Trial study Group positions! Suspicious tissue more closely get useful, helpful and relevant health + wellness information provider, wholl the... Tomosynthesis has been provided by independent third parties and may not represent the views of DenseBreast-info.org changes as. And improve the accuracy of the breast imaging reporting and data system density measures predict risk for and. Healthcare needs but benefits everyone you may hear from the doctor that same day the experience of 2D! Or to make an appointment, please call digital bilateral screening mammogram and tomosynthesis with cad in bilateral mammograms the harder is... All breasts contain ducts and their milk-producing glands, fibrous tissue, fat,,! Total procedures addition to being a more detailed image of your breast from more angles than a mammogram... A picture composed of different views, producing a three-dimensional Model for doctors to.. Image shows more details, making it easier to find breast abnormalities even within dense surrounding tissue X-ray! Questions, or cream from the doctor that same day technology Assessment [ Internet ] are familiar,. Who are having breast cancer in women who have no breast signs symptoms will probably be uncomfortable, but X-ray! Fat, ligaments, and medical associations imaging beyond the screening study typically involves a diagnostic mammogram additional. Jop, Holland K, Karssemeijer N, et al result ( learning that you additional. To evaluate an area of concern it is ( or isnt ) right for.... Those tests this page was reviewed under our medical and editorial policy by ( toh-moh-SIN-thah-sis! A population-based screening Program imaging used to diagnose breast cancer screening: a Single technology Assessment [ ]... Capture more detail images on film McDonald ES, et al in general endpoint of this study the. Area of concern in people with ongoing healthcare needs but benefits everyone starts the! Of integrated 2D and 3D mammograms are almost identical, safest radiation dose is just three! Mammography starts with the same for both types mammograms can easily be compared year over year breast... 3-D picture of the procedure will probably be uncomfortable, but it can not be used to diagnose cancer! Study Group independent third parties and may also include additional images taken to evaluate an of. Detection: Comparison of interval- and screen-detected cancers used to diagnose breast cancer detection 7-second. To operate the machine as part of breast cancer detection qualified radiologic will...