Meet the Team: Women’s Imaging Radiologists Health Services and John Muir Health radiologists are sub-specialized and easily accessible. Many of our certified technologists have certifications in , breast , MR, and CT. Women’s Imaging Office: (925) 296-7150 With John Muir Health there’s nothing routine about screening.

Our comprehensive Breast Health Services provides women the care they need. From screening to treatment, Eric Chen, MD Vivian Wing, MD, CCD, FACR we can help navigate your patients every step of the way. Certification Certification American Board of American Board of Radiology / Working with you, the referring physicians, our radiologists are on-site and able to obtain different sequences Diagnostic Radiology to help pin-point the patient’s specific issue. They specialize in breast and other imaging services related to Education women’s health. Medical School: Education Medical School: UC Irvine Medical Center We offer same day appointments and same day results for critical cases. Critical order results are returned to Northwestern University Internship: UC Irvine the referring physician within 15 minutes of exam completion. Medical School Residency: UCLA, Radiology Internship/Residency: Fellowship: UCLA We offer the most up-to-date imaging modalities including screening and as University California, San Diego well as genetic counseling and nurse navigation in order to provide your patients with the most comprehensive Fellowship: and convenient experience. Jonathan Fish, MD University of California, San Diego Certification Patients can schedule any test through centralized scheduling: (925) 952-2701. American Board of Radiology / MD Diagnostic Radiology Joan Reynolds, Certification Education American Board of Radiology / Medical School: Diagnostic Radiology New York Medical College Education LAC-USC Internship: Medical School: Residency: New York Medical College Mt. Zion Medical Hospital, Internship/Residency: Radiology Mount Zion Medical Center Residency: U.S. Army Hospital- Germany

Molly Honegger, MD In addition to the radiologists listed above, Certification mammography and breast US studies are American Board of Radiology / also interpreted by additional MQSA Diagnostic Radiology certified radiologists. Education Medical School: Loyola University of Chicago Internship: New York University, Downtown Hospital Residency: Beth Israel Medical Center, New York Fellowship: Beth Israel Medical Center, New York Services Available:

Unlike a local independent diagnostic testing facility (IDTF), John Muir Health Imaging Services has American College of Radiology (ACR) accreditations in all modalities, as well as accreditations from The Joint Commission (TJC) and the Mammography Quality Standards Act (MQSA). John Muir Health is one of four institutions nationwide to be recognized as a Certified Quality Breast Center of Excellence by the National Consortium of Breast Cancers and has been accredited by the American College of Surgeons/Commission on Cancer as a Nationally Accredited Program of Breast Centers (NAPBC) continuously since 2010.

Test Description Why it is Important Test Description Why it is Important

3D Pelvic Allows for the evaluation of: Allows for imaging using 3D that Screening A screening mammogram helps detect breast The American Cancer Society Ultrasound would have previously only been & Diagnostic cancer in early stages. recommends screening mammograms • The uterus for shape abnormalities possible with MRI. Mammography annually for women who are 40 (i.e., sepatate, bicornuate, or didelphic years or older, as well as those who uterus) may be at a higher risk for breast • Abnormally located intrauterine devices cancer (e.g., family history). (IUDs), including those that are embedded A diagnostic mammogram is done when It is used to further investigate • Possible cornual or interstitial ectopic patients present with a breast problem (for suspicious changes found on a pregnancies, which are at times instance, a lump or nipple discharge) or an screening mammogram or if there difficult to diagnose with standard abnormal area found during a breast exam. is focal breast pain, nipple discharge two-dimensional ultrasound skin thickening, or a lump.

Bone To check for osteoporosis, we measure your Unlike a standard X-ray, the DXA Density bone density by performing a dual-energy scan is highly effective at measuring 3D Mammography Takes multiple X-ray pictures of each breast Latest breakthrough in Testing X-ray absorptiometry (DXA) scan. even very small amounts of bone loss. ( Tomosynthesis ) from many angles. The X-ray tube moves in detection. The 3D digital images can an arc around the breast. The information spot cancers not seen by regular 2D is then assembled to produce clear, highly mammography obscuring adjacent Biopsies Stereotactic-guided biopsy is used to target The method used depends on the focused 3-dimensional images throughout dense tissue. calcifications, or masses, seen only on imaging study or the abnormality. the breast. a mammogram. All of these procedures are performed on an outpatient basis using Ultrasound-guided biopsy used to target local anesthesia. masses, cysts, or abnormal appearing axillary lymph nodes seen on ultrasound. Screening Breast Breast ultrasound complements mammography More than 40% of all women have Ultrasound/ in the evaluation of masses that can be felt or dense breast tissue. Finding cancers MRI-guided biopsy used to target masses Breast Ultrasound mammographic abnormalities. when they are small can save lives. seen only on a MRI. Screening Breast Ultrasound may help Fine needle aspiration (FNA) is used to remove find small cancers that mammography a very small sample of fluid or tissue. May be may miss in dense . used to determine if a mass is a cyst or solid.

Other Breast Health Services include: Breast MRI Breast MRI complements mammography Breast MRI is recommended for • Genetic Counseling ( Magnetic patients. It can also be used to evaluate patients who have a greater than Resonance patients with a new diagnosis of breast cancer 20% risk of breast cancer or to help • Navigation Services Imaging ) prior to their surgery. A recent mammogram evaluate the breast pre operatively. • Special programs for high risk patients is always needed to interpret MR findings. For more information on these additional services patients can call 925-947-3322.