What is mammography? Mammography is an x-ray exam that produces images of the internal structures of the breasts. These images can detect lumps that are too small to be felt by you or your doctor, as well as abnormal calcifications. Full-field digital mammography is now available at Metro Imaging, which makes it possible to obtain superior images with a very small radiation exposure. The American Cancer Society recommends mammography, along with breast self examination and periodic exams by your doctor, as the best means to detect breast cancer in its earliest stages when it is most curable. How do I prepare for my mammogram? Very little preparation is required. You may eat, drink, and take regular medications. If you are premenopausal, it is preferable to have your mammogram the week following your period when your breasts will be the least tender. You will be asked to undress from the waist up, so it is advisable to wear a skirt or slacks rather than a dress the day of your exam. Do not wear underarm deodorant, powders, ointments, or creams on your breasts on the day of the exam. These can show up on the mammogram images and confuse the test results. Spray deodorant will be available in the mammography suite after your exam. What can I expect during my mammogram? All exams are performed by female registered technologists who have had specialized training in mammography. Your technologist will take a brief history from you and then have you change into a gown. If this is your first exam, she will explain the procedure to you step by step. Please feel free to ask any questions during your exam. A routine mammogram consists of four pictures, two of each breast. The technologist will firmly, but gently, pull as much breast tissue as possible onto the x-ray detector. She will then apply compression to firmly press your breast against the detector. You may find the compression uncomfortable for a few seconds. The technologist will only apply as much compression as you can tolerate, but adequate compression is essential to view your breast tissues. The testing takes approximately 15 to 30 minutes. After the technologist has completed the exam, she will ask you to wait while she checks to make sure the images offer a complete exam. On some occasions, additional views might be necessary. What is the difference between digital and standard film mammography? Both digital and film mammography use x-rays to produce an image of the breast. In film mammography, the image is created directly on a film. While standard film mammography is very good, it is less sensitive for women who have dense breasts. A major limitation of film mammography is the film itself. Once a film mammogram is obtained, it cannot be altered. Digital mammography takes an electronic image of the breast and stores it directly in a computer, where it can be viewed and enhanced by the radiologist. Digital mammography uses less radiation than film mammography. Digital mammography also results in less repeat images. What will happen following my mammogram? Your mammogram images will be reviewed by the radiologist after the exam has been completed. In some instances, the radiologist will discuss your exam with you. If you choose OnSite Results, your preliminary results will be given to you before you leave our office. You will also receive a letter in the mail, informing you of your results. Your personal physician will be sent a detailed final report by fax or mail.