Screening Automated Whole Breast Ultrasound Screening Automated Whole Breast Ultrasound Stanford now offers screening automated whole breast ultrasound (SAWBU) at our Stanford Medicine Cancer Center Palo Alto location. This is an optional test that can be used as a supplement to screening mammography in women with mammographically dense breasts. It can find cancers that cannot be seen on mammograms due to overlap with dense breast tissue. Stanford uses automated whole breast technique, a new method developed for accuracy and efficiency. Who is a candidate for SAWBU What will happen during the How is SAWBU exam is examination? SAWBU examination? different? This is an optional test to supplement You will lie on your back, and gel will Screening automated screening mammography in women be applied to your breast. whole breast ultrasound who: uses sound waves (no radi- A large ultrasound handpiece will be • Undergo routine screening with ation) to create 3D pictures placed on the breast, and the system mammography. of the breast tissue, using will automatically take a “sweep” • Have no current signs or a new automated method that obtains ultrasound images of symptoms of breast cancer. developed for accuracy and the tissue from top to bottom. The • Have mammographically dense efficiency. handpiece will be repositioned to take (heterogeneously or extremely other “sweeps” to include all of the It can find cancers that dense) breasts. breast tissue. cannot be seen on mam- • Are not at “high risk" undergoing mograms alone due to supplemental screening with An exam of both breasts takes less overlap with dense breast breast MRI. Screening ultra- than 20 minutes to obtain. tissue. sound does not provide benefit in women having breast MRI. After you depart, the radiologist will • Do not have a pacemaker or review and interpret the exam. defibrillator. Radiology Screening Wellness Program · Insurance Coverage: Some payers may not cover SAWBU and coverage may be subject to co-pays and deductibles. If exam is denied, please contact Patient Financial Services to request the self-pay pricing. · Self-Pay Pricing: Self-Pay Pricing for eligible patients after discount $550 for bilateral breasts (technical & professional fees). Pricing is subject to change without notice. (Internal Use Only CPT 76641 /IMGBI0104) Breast Density Stanford Breast Imaging ■ International Experts false positives than full-field digital mammography What is breast density? Why is breast density important? Our radiologists and imaging specialists are (FFDM). Breasts are made up of a mixture of fibrous Having dense breast tissue may slightly increase internationally renowned experts in Breast Imaging Whatand glandularis breast density?tissue and fatty tissue. Your yourWhy risk is breastof getting density breast important? cancer. Family & Intervention C-View Synthesized 2D Software Whatbreasts is breast are considered density? dense if you have a lot historyWhy is and breast other density risk factors important? may place you at The C-View software option creates synthesized 2D Breasts are made up of a mixture of fi brous and glandular Having dense breast tissue may increase your risk of getting Breastsof fibrous are made orup ofglandular a mixture oftissue fi brous but and notglandular much anHaving increased dense breast risk factor tissue may for increase breast your cancer risk of other getting images from tomosynthesis data sets. C-View images tissue and fatty tissue. Your breasts are considered dense if breast cancer. Dense breasts also make it more diffi cult for Section Chief, Mammography tissue and fatty tissue. Your breasts are considered dense if breast cancer. Dense breasts also make it more diffi cult for may be used with tomosynthesis in the screening and youfat. have Density a lot of fi maybrous decreaseor glandular with tissue age, but not but much there fat. thandoctors breast to spot density. cancer on Dense mammograms. breasts Dense also tissuemake appears Debra Ikeda, MD you have a lot of fi brous or glandular tissue but not much fat. doctors to spot cancer on mammograms. Dense tissue appears Densityis little, may decreaseif any, change with age, inbut most there iswomen. little, if any, it whitemore on difficult a mammogram. for Lumps,doctors both to benign spot andcancer cancerous, on Professor of Radiology diagnosis of breast cancer, eliminating the need for a Density may decrease with age, but there is little, if any, white on a mammogram. 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I have dense There breasts? are four Bruce Daniel, MD offers the clinical benefits of tomosynthesis at about Breast density is determined by the radiologist who reads your canIf Ibe have less accuratedense breasts, in women do withI still dense need Breast density is determined by the radiologist who reads your If I have dense breasts, do I still need Professor of Radiology the same average dose of 2D digital mammograms in mammogram.categories There of mammographic are four categories of density. mammographic The density. a mammogram? mammogram. There are four categories of mammographic density. breasts.a mammogram? the USA. Theradiologist radiologist assigns assigns each each mammogram mammogram to one of theto categories.one The radiologist assigns each mammogram to one of the categories. Yes. A mammogram is the only medical imaging screening test Yourof doctor the categories. should be able Your to tell doctor you whether should you havebe able Yes. A mammogram is the only medical imaging screening test Your doctor should be able to tell you whether you have proven to reduce breast cancer deaths. Many cancers are seen Diagnostic Radiology Digital Mammography dense breasts based on where you fall on the density scale. Areproven there to reduce any breast tests cancer that deaths. are Manybetter cancers than are aseen denseto tellbreasts you based whether on where you you have fall on dense the density breasts scale. on mammograms even if you have dense breast tissue. Sunita Pal, MD Digital mammography, also called full-field digital (See scale below.) mammogramon mammograms even for ifdense you have breasts? dense breast tissue. (Seebased scale below.)on where you fall on the density scale. mammography (FFDM), uses a low dose x-ray sys- In dense breasts, cancer can be hard to see on Clinical Assistant Professor of Radiology (See scale below.) Are there any tests that are better than tem to take pictures of the breasts electronically rather Radiologists classify breast density using a 4-level density scale: a mammogram.a mammogram Magnetic for dense resonance breasts? imaging What is breast density? Radiologists classify breast density using a 4-level density scale: a mammogram for dense breasts? than with film. Radiologists read the mammograms (MRI)In breasts and that to are a lesserdense, cancerextent, can ultrasound be hard to see can on a Diagnostic Radiology Breasts are made up of a mixture of fibrous and glandular and fatty tissue. In breasts that are dense, cancer can be hard to see on a for early detection and diagnosis of breast diseases in findmammogram. breast cancers Studies have that shown can’t that be ultrasoundseen on aand Jafi Lipson, MD mammogram. Studies have shown that ultrasound and women. Stanford also uses computer-aided detection Your breasts are considered dense if you have more fibrous or glandular tissue mammogram.magnetic resonance However, imaging MRI (MRI) and can ultrasoundhelp fi nd breast Assistant Professor of Radiology magnetic resonance imaging (MRI) can help fi nd breast (CAD) on the mammograms, which uses a computer but not much fat. cancers that can’t be seen on a mammogram. However, both MRI showcancers findings that can’t thatbe seen are on nota mammogram. cancer, which However, can both MRI program and neural networks to find cancer. and ultrasound, show more fi ndings that are not cancer, which resultand ultrasound, in added show testing more andfi ndings unnecessary that are not cancer, biopsies. which can result in added testing and unnecessary biopsies. Also, the Diagnostic Radiology Also,can result the costin added of testingultrasound and unnecessary and MRI biopsies. may Also,not thebe Breast Ultrasound How do I know if I have dense breasts? cost of ultrasound and MRI may not be covered by insurance. Linda Nayeli Morimoto, MD Almost entirely Scattered areas Heterogeneously Extremely dense coveredcost of ultrasound by insurance. and MRI may not be covered by insurance. Ultrasonography, which is sometimes called Breast density is determined by the radiologist who interprets your mammo- Almostfatty entirely ofScattered fi broglandular areas Heterogeneouslydense Extremely dense Clinical Instructor of Radiology fatty of fi broglandulardensity dense sonography, uses high-frequency sound waves and density gram and assigns one of four defined categories of mammographic density What should I do if I have dense breasts? a computer to create images. The primary use of WhatWhat should shouldif I don’t? I Ido do if if I Ihave have dense dense breasts? breasts? (see scale to the right.) Your mammogram report will include your assigned Breast density in the U.S. (See pie chart) What if I don’t? ■ State-of-the-Art Technology breast ultrasound today is to help diagnose breast BreastBreast density density in the in U.S. the (See U.S. pie (See chart) pie chart) What if I don’t? • 10% of women have almost entirely fatty breasts If you have dense breasts, please talk to your doctor.