When you think about breast imaging, a mammogram is probably the first test that comes to mind. Mammograms are an important part of breast cancer screening, but they are not the only tool available for evaluating breast health.

Depending on your age, breast density, risk factors, symptoms, or previous imaging results, your healthcare provider may recommend additional breast imaging. From 3D mammography to breast MRI and image-guided biopsy, each option serves a different purpose.

Understanding the different types of breast imaging can help you know what to expect and why your healthcare provider may recommend one test over another.

3D Mammography

3D mammography, also known as digital breast tomosynthesis, is commonly used for breast cancer screening and diagnostic evaluation.

During a 3D mammogram, multiple images of the breast are taken from different angles. These images allow the radiologist to examine breast tissue in greater detail.

There are two main reasons you may have a mammogram:

Screening mammogram: A screening mammogram is performed when you do not have signs or symptoms of breast disease. Its purpose is to look for potential signs of breast cancer before symptoms develop.

Diagnostic mammogram: A diagnostic mammogram takes a closer look at a specific area of concern. It may be recommended after an abnormal screening mammogram or if you have symptoms such as a breast lump or other breast changes.

Breast Ultrasound

Breast ultrasound uses sound waves to create images of structures inside the breast. It does not use radiation and is typically used as a diagnostic tool rather than a routine breast cancer screening test.

Your healthcare provider may recommend a breast ultrasound to further evaluate an area identified during a mammogram, clinical breast exam, or breast self-exam.

Ultrasound can also be used during certain breast biopsy procedures to help guide the needle to the correct location.

Breast MRI

Breast MRI uses a magnetic field and radio waves to create detailed images of breast tissue. It provides a different type of information than a mammogram and may be used alongside mammography in certain situations.

Breast MRI may be recommended for some patients who have a higher risk of developing breast cancer. It can also be used for patients who have been diagnosed with breast cancer, to evaluate response to treatment, or to assess certain concerns involving breast implants.

A breast MRI does not replace routine mammography for most patients. Your healthcare provider can determine whether MRI should be part of your individual breast screening or diagnostic plan.

Abbreviated Breast MRI

Abbreviated Breast MRI, also called AB-MR, uses a shorter MRI protocol to provide supplemental breast cancer screening for certain patients.

At Radiology of Indiana, AB-MR may be an option for eligible women age 40 and older with dense breast tissue who have had a mammogram within the previous 12 months.

Dense breast tissue can make abnormalities more difficult to identify on a mammogram. For some patients, supplemental breast imaging can provide additional information.

If you have been told you have dense breasts, talk with your healthcare provider about your individual breast cancer risk and whether additional screening may be appropriate.

Breast Biopsy

Sometimes breast imaging identifies an area that requires further evaluation. When imaging alone cannot provide enough information, your healthcare provider may recommend a breast biopsy.

During a breast biopsy, a small sample of tissue is collected so it can be examined more closely.

Radiology of Indiana offers image-guided breast biopsy options, including:

Stereotactic breast biopsy: Mammographic imaging is used to locate the area of concern and guide the biopsy.

Ultrasound-guided breast biopsy: Real-time ultrasound imaging is used to locate the area and guide the biopsy needle.

Being called back for additional imaging or a breast biopsy can understandably cause concern. However, needing additional testing does not necessarily mean you have breast cancer. These tests provide physicians with more information about an area of concern and help determine the appropriate next steps.

Which Breast Imaging Test Do You Need?

There is no single breast imaging test that is right for every patient or every situation.

Your healthcare provider may consider several factors when recommending breast imaging, including:

Routine screening may begin with mammography, while other breast imaging options can provide additional information when needed.

Radiology of Indiana offers a range of breast imaging services, including 3D screening and diagnostic mammography, breast MRI, abbreviated breast MRI, stereotactic breast biopsy, and ultrasound-guided breast biopsy.

Take an Active Role in Your Breast Health

Knowing your breast imaging options can make it easier to understand what happens before, during, and after breast cancer screening.

Radiology of Indiana provides comprehensive breast imaging services with a focus on timely, accurate, and patient-centered care. Learn more about our breast imaging services or contact our team to schedule an appointment.