Digital 3D Mammography/Tomosynthesis

• Wear two-piece clothing (top and pants/skirt) to simplify undressing for exam.
• Do not apply talc, deodorant, oils or creams on your upper body the day of the exam.
• Some women experience breast tenderness with their menstrual cycle. If this is the case, you may want to schedule the exam one to two weeks after your period when breasts tend to be less tender.
• If you have had prior mammograms performed at other imaging facilities, please arrange to bring them to the appointment.
• Tell the technologist if you have breast implants.
• Women should inform their doctor if they are or may be pregnant or nursing prior to any radiological imaging. Your doctor may recommend another type of test to reduce the possible risk of exposing your baby to radiation.

You will be asked to remove all clothing and jewelry above the waist. You will be given a gown to wear. You will be asked to stand in front of a special mammography x-ray machine. The radiology technologist will place the breast between two plastic plates. The technologist will press the breast between the two plates. This compression may be uncomfortable for a few seconds while the x-ray is taken. You will be asked to hold very still, without breathing for a few seconds. The technologist will step behind a radiation barrier and activate the x-ray machine. Immediately after the x-ray is taken the pressure is released. Compression needed for a tomosynthesis exam is usually about the same as that for a regular mammogram. For a mammogram, two x-rays of each breast are taken. For a tomosynthesis scan, the breast will be held in place while a special tube rotates around the breast. This should take about 10 seconds. You will not feel the radiation.

3D mammography/tomosynthesis is a non-invasive way of helping to detect breast cancer.

The risk of radiation from a mammogram is considered minimal and not significant.

Some breast cancers do not show up on mammograms or “hide” in dense breast tissue. A normal (negative) exam is not a guarantee that a woman is cancer-free. When a mammogram appears normal, but cancer is later found the mammogram is called a false negative exam. The false negative rate is estimated to be 15 to 20 percent; higher in younger women and women with dense breasts.

A mammogram may show areas that are considered suspicious or not normal. When this happens, additional testing is usually suggested, such as additional mammograms, ultrasound, MRI imaging or a breast biopsy. When the mammogram shows a suspicious change in the breast but no cancer is found, the mammogram is called a false positive exam. It is estimated that 75 to 80 percent of all breast biopsies resulted in benign results (no cancer is found).

You may access your results electronically through Mass General Brigham Patient Gateway. Mass General Brigham Patient Gateway is a convenient and secure way to receive results, manage your health, and communicate with your doctor's office online. To sign up for an account, click here and click the "Enroll Now" button.

If you do not have a Patient Gateway account, you will receive your results in the mail about 10 days after your screening mammogram.