Our specialized, Colorado radiologists use breast ultrasound to examine masses or changes in breast tissue and arrive at an accurate diagnosis in a timely fashion.
Ultrasound is a radiology imaging technology that uses sound waves to visualize lumps, masses, or changes in the breast. These high-frequency sound waves enter the body through a wand known as a transducer and then echo off of tissues to produce an image, or sonogram. Specialized radiologists can interpret these images to distinguish various findings, looking for changes such as masses or a slight pulling of the tissue called architectural distortion. Many of the findings we see on a breast ultrasound are too small or too deep to be felt on examination.
Getting a regular screening mammography offers women the best chance of finding early changes on a mammogram before they can be felt during a clinical or breast self-examination (BSE). If a mass is found on a screening mammogram, then diagnostic radiology imaging such as breast ultrasound or a diagnostic mammogram is recommended to get a closer look at a particular area. The appropriate diagnostic imaging tools for next steps will depend on many factors, including:
The radiologist will look for particular criteria of the mass, such as:
Shape
Orientation
The margin of the mass
Lesion boundary
Echo pattern
Posterior acoustic features
This lexicon for masses is called the Breast Imaging-Reporting and Data System (BI-RADS), established by the American College of Radiology. The numerical scale ranges from 0-6, with each number corresponding to a classification that estimates your breast cancer risk. This is where experience matters. The Women’s Imaging Center specialized radiologists have decades of experience to help provide a more certain diagnosis.
If we discover an indeterminate or suspicious finding, the radiologist may recommend a needle biopsy to determine if the mass is benign (noncancerous) or malignant (cancer). A lesion seen by ultrasound can be biopsied using ultrasound as a guide, even if it cannot be felt on clinical or self-breast examination. The physicians at The Women’s Imaging Center use their extensive clinical experience to determine the need for an ultrasound guided breast biopsy.
Though a mammogram is often the first preventative imaging exam to look for breast cancer, if the Radiologist finds a nodule or mass on the initial screening mammogram, then a breast ultrasound will be recommended to obtain a better view of the mass to help finalize the results. Here’s what to expect if your doctor recommends a breast ultrasound.
Ultrasound is a radiology imaging technology that uses sound waves to characterize masses versus cysts in the breast. Sound waves are emitted from crystals in a hand-held wand called a transducer or probe. The sound waves reflected back are presented as images for interpretation by a specialized radiologist to distinguish various findings. Many of the findings we see on a breast ultrasound are too small or too deep to be felt on examination. Some clinicians will recommend whole breast ultrasound to detect small lesions in the breast before they can be felt. This may be in addition or as a substitute for mammography.
A breast ultrasound may be performed after a screening mammogram to get a ‘closer look’ at a particular area. A breast ultrasound may also be performed to evaluate a specific breast complaint such as a lump or focal pain. The radiologist will interpret the results to determine if the finding is suspicious and needs a biopsy to conclude the final results.
It depends on the situation. If the radiologist finds a nodule or mass on the initial screening mammogram, then a breast ultrasound will be recommended to obtain a better view of the mass to help finalize the results. If there is a clearly benign finding such as a simple cysts, no follow will be required. If a potentially suspicious finding is discovered, a needle biopsy will be recommended.
Breast self-examination programs are important but alone cannot detect the smallest lesions. Of course, when your clinician finds a bump or a lump of some kind on a clinical exam, he/she will immediately refer the patient for a mammogram. Women with higher than average risk factors may seek additional supplemental imaging such as MRI for strong family history or a whole breast ultrasound for dense tissue.
For example, a well-circumscribed isoechoic oval nodule oriented parallel to the skin with a distinct lesion boundary is most likely to be a benign fibroadenoma. These mass characteristics would be categorized as BI-RADS 3: Probably Benign. On the other hand, an irregular spiculated hypoechoic mass taller than wide with posterior shadowing with surrounding echogenic halo is more likely to be malignant (cancer). This lesion would be categorized as BI-RADS 5 with the recommendation for breast biopsy.
If you are in need of an emergency breast ultrasound, we encourage you to contact us as soon as possible so we can see you at one of our many locations in the Denver area.
With multiple location across the Denver area, we make it easy for you to find a “Women’s Imaging Center near me” or a “Medical Diagnostic Imaging Center near me”