Mammography exams are performed by specialized breast-imaging-certified technologists. Breast ultrasound exams are performed either by radiologist physicians or registered sonographers specializing in breast ultrasound. Breast biopsy and localization procedures are offered using advanced tomosynthesis (a faster, more comfortable version of stereotactic), ultrasound or MRI guidance and are performed by a subset of specialty physicians (breast radiologists) dedicated to breast imaging and procedures.
Breast imaging center of excellence
The Center has been awarded recognition by the American College of Radiology as a Breast Imaging "Center of Excellence" for the range and quality of breast imaging services it provides. The team has a long history of commitment to patient care, to teaching future breast technologists and radiologists, to breast imaging research, and to providing the most advanced equipment and expertise available anywhere. The Breast Imaging Center also offers 3-D mammography—a significant addition to the capabilities of standard mammography.
Partners in the D-H Comprehensive Breast Program
The center’s imaging team will also be there with you should you ever need more involved medical treatment. The Comprehensive Breast Program coordinates and oversees interdepartmental care of patients with breast cancer. Breast imaging specialists and specialists from other medical disciplines work together to provide a thorough diagnosis and the best individualized treatment plan. Team members strive to deliver necessary and effective care that remains focused on the patient, and to honor the commitment to active and informed participation by the patient and family members in all important decisions.
Breast imaging services
- Screening mammography uses low dose X-rays to take two complementary images of each breast. The exam takes approximately 15 minutes in total and is used to discover early stage breast cancer before the cancer grows large enough to cause symptoms or spread outside of the breast. Early detection usually allows for less intensive, less toxic therapies and more effective treatment. It is most effective at finding breast cancer at its most curable stage. More information available on our mammograms page.
Schedule a screening mammography exam
To schedule a screening mammography exam at DHMC in Lebanon, please call (603) 650-8260.
- Diagnostic mammography is used to evaluate signs or symptoms of a breast problem (such as a breast lump) that may have been discovered by the patient or provider. Diagnostic mammography may also be done after an abnormal screening mammogram to learn if there is truly a problem or if the abnormality was a false alarm. It may also be used to make sure there has been no change in a probably benign abnormality noted on prior mammogram and/or ultrasound.
- 3-D mammography, more formally known as digital breast tomosynthesis , is a new type of breast imaging used for both screening and diagnostic purposes. 3-D mammography has been shown to be more effective at detecting important cancers. It also helps decrease false alarms.
- Breast MRI (magnetic resonance imaging) is the most sensitive breast imaging modality, used in screening exams for women with a genetic predisposition or strong family history of breast cancer, for characterization of a newly diagnosed breast cancer, for follow-up monitoring after chemotherapy or surgery, or to evaluate the status of a breast implant. An MRI exam is a radiation-free and painless procedure lasting between 30 and 90 minutes.
- Breast ultrasound uses sound waves to produce images of internal structures. It is often used to identify the nature of breast lumps or abnormalities found in mammography, or for non-invasive image guidance in procedures like cyst aspirations or breast needle biopsy.
- Core biopsies are often performed when an abnormality has been found--by clinical examination, mammography, ultrasound, or MRI. Unlike the surgical biopsies of the past, modern “core” breast biopsies are typically performed as a minimally-invasive procedure in which imaging technology is used to accurately guide a probe through a small skin nick to the abnormality for sampling. The procedures are safe, effective and do not scar or deform the breast. Biopsies by 3-D mammography are provided at Dartmouth-Hitchcock Medical Center in Lebanon. This is a more advanced, quicker and more comfortable version of stereotactic core biopsy.
- Other interventional procedures include image-guided lymph node biopsies (sentinel lymphadenectomy) and lymphoscintography, a nuclear-medicine exam used to locate sentinel lymph nodes.
Breast Imaging Research
Dartmouth radiologists have a longstanding commitment to breast imaging research. Highlights include pioneering clinical trials on 3-D mammography, studies on the non- surgical treatment of tumors through freezing ("cryoablation"), and research into the usefulness of MRI in detecting small breast lesions. In collaboration with the Thayer School of Engineering, the Imaging Center's radiologists have helped develop alternative breast imaging systems involving near-infrared light, electrical impedance, microwave spectroscopy, and measurements of tissue elasticity. The hope is that these techniques, alone or in combination with existing modalities, can improve the accuracy, comfort and safety of existing methods.