Breast Health

Breast Health

If breast cancer is found early, the 5-year survival rate is 96%

There's no denying breast cancer is scary. But statistics prove there are realistic expectations for survival – with early detection being a key factor. In fact, over 2 million breast cancer survivors are alive in America today.

The American Cancer Society believes the best way to detect breast cancer early – when treatment is most successful and the range of treatment options is greatest – involves a combined approach that includes:

  • Women's awareness of changes in their breasts
  • Breast self-exams and clinical breast exams starting at age 20
  • Mammograms starting at age 40
  • For women at high risk, annual MRI and mammogram


About...


Screening and diagnosis
Breast cancer takes years to develop. Early in the disease, most breast cancers cause no symptoms.

The purpose for using imaging for screening is to find suspicious tissue in a non-symptomatic woman when it is still too small to be felt by you or your doctor. Imaging technologies such as mammography reveal small changes in tissue that may indicate presence of breast cancer. Finding small breast cancers this way greatly improves a woman’s chance for successful treatment.

A diagnostic exam may be comprised of mammogram, MR and/or ultrasound and takes place when a woman has an breast complaint or had an abnormality found during a screening exam. Often times, what appeared to be an abnormality in the exam is determined to be normal on further examination. Sometimes the diagnostic work-up suggests that a biopsy is needed. If this occurs, you should know that 80% of all breast changes that are biopsied are found to be benign or non-cancerous.

Therapy planning and treatment monitoring
Today the standard of care for breast cancer surgery is mastectomy and lumpectomy plus radiation. One of the biggest challenges in the radiation process is avoiding normal tissue. This is especially critical for the left breast and the proximity to the heart. GE Healthcare has developed unique CT-based therapy planning solutions that can reduce cardiac radiation up to 50%.

Your doctor may also use other imaging like PET/CT and Nuclear imaging to stage recurrent or metostatic breast disease and determining response to therapy technologies.

The mammogram
Special types of X-ray systems are used for mammography, which usually involves taking two X-ray pictures (views) of each breast. A mammogram can find abnormalities 1-3 years before they can be felt.

Breast MR
MRI uses magnets and radio waves to produce very detailed cross-sectional images. MR scans look doe masses like other imaging techniques, but the technology is sensitive to detecting increased vascularization or new blood vessels that feed tumors. Highlighted by the injection of a special dye, breast tumors enhance or "light up" on MR scans.

Breast Ultrasound
High frequency sound waves are used to produce real-time pictures of the internal structures of the breast, including blood flow. Breast ultrasound is most often used as part of the diagnostic workup to help determine the nature of an abnormality. It can also be used as a supplemental tool for testing and to provide image guidance for biopsies.

PET/CT
The PET exam provides biologic function – finds the "hot spots" or potential areas of interest while the CT exam provides the anatomic information, which can help, localize those hot spots. This technology is useful for staging cancers, restaging and monitoring response to therapy technologies.


More questions?


When should I be tested?
The American Cancer Society recommends regular breast self-exams and clinical breast exams beginning at age 20 and annual mammograms at age 40. In addition, women at high risk (greater than 20% lifetime risk) should get an MRI and a mammogram every year. Women at moderately increased risk (15% to 20% lifetime risk) should talk with their doctors about the benefits and limitations of adding a MRI exam to their yearly mammogram. Yearly MRI testing is not recommended for women whose lifetime risk of breast cancer is less than 15%.

What can I expect during my mammography exam?

Click to view the slideshow Understand your next mammogram.

What can I expect during a Breast MR exam?
In a breast MR examination, the patient lies facedown on the scanning table with her arms over her head. Her breasts lay in a depression in the table that house coils that detect the magnetic signal. The table moves into the tube-like machine where the magnet is located. Mild compression is applied to the breast in order to minimize motion and maximize image quality.

What can I expect during a breast ultrasound exam?
For this compression-free exam, the patient typically lies on her back with one arm behind her head. Ultrasound gel is placed on the skin of the breast and then the clinician will apply the ultrasound transducer and move it over the skin to find the area of interest.

What can I expect during my PET/CT exam?
The patient will lie on a comfortable table that moves slowly through the ring-like scanner as it acquires the information it needs to generate diagnostic images. The patient must lie very still, because movement can interfere with the results. The scan is painless, and can last anywhere from 15 to 60 minutes.

View the video on what to expect in a PET/CT scan

How do I know if I am at risk for breast cancer?
To understand your risk of breast cancer, talk to your primary care physician.
You can also visit the National Cancer Institute's Breast Cancer Risk tool

Where can I get more information about breast cancer?
Many patient advocacy groups and internet resources exist including:


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