100 E Campus View Blvd
Columbus, OH 43235
3525 Olentangy River Rd
Columbus, OH 43214
Lewis Center Office
7651 Stagers Loop
Delaware, OH 43015
Mammography (Back To Top)
Mammography ImageMammography is a specific type of low-dose x-ray system utilizing high contrast, high-resolution film for imaging of the breasts. It is performed to detect changes or abnormal growths in the breast and will provide a baseline reference for future comparison. Mammograms are used for screening or routine purposes and for diagnostic purposes when a lump has been detected, there is a personal history of breast cancer of if suspicious symptoms are present. Mammograms, along with monthly breast self-exams (BSE) are tools to assist in detection of breast cancer.
Mammography plays a critical role in early detection of breast cancer and can depict changes in the breast up to two years prior to detect of lump by touch. Mammography improves a physician's ability to detect tumors. The Food and Drug Administration (FDA) indicates that mammography can detect 85-90 percent of breast cancers in women over 50.Guidelines from the American Medical Associate (AMA) and the American College of Radiology (ACR) recommend annual mammograms for women 40 and older. The National Cancer Institute (NCI) recommends that women who are increased risk due to genetic history of breast cancer, or who have had breast cancer, may need mammograms at an early age. Be sure to contact your physician if you have a question regarding when you should schedule a mammogram.
Do not schedule a mammogram for the week before your period if your breasts are usually tender and it is best to schedule an exam one week following your period. Inform your doctor or x-ray technologist if there is any possibility that you are pregnant.
The mammography equipment is used exclusively for x-ray exams of the breast. Attached to the x-ray unit is a device that holds, compresses and positions the breast so that images can be obtained from different angles. There may be slight discomfort during the 3-5 second period of compression?compression is important in obtaining the clearest image possible with the least amount of radiation. Two to three views per breast are required for screening mammograms.
Mammogram interpretations can be difficult because a normal breast appears differently for each woman. Do not wear deodorant, talcum powder, or lotion under your arms or upper body on the day of the mammogram. These can distort images and appear on the x-ray film as calcium spots. It is important to obtain prior mammograms for comparison purposes. Make sure that the technologist performing the exam is aware of any symptoms or problems.
Ultrasound Breast Imaging (Back To Top)
Ultrasound is a painless, non-invasive form of imaging that utilizes high frequency sound waves to obtain a medical image of soft tissue. It produces very precise images for a more accurate view. Ultrasound can determine whether a mass is cystic or solid and can assist in characterizing whether a mass is likely to be benign or cancerous.
MRI Breast Imaging (Back To Top)
Magnet Resonance Imaging (MRI) appears to have a role in detection and management of some cases of breast cancer. Breast malignancies typically have increase blood flow in early stages. This increased blood flow can be demonstrated by injecting contrast agent and imaging the breast with MRI. The abnormality will be brighter and more intense on the image. There tend to be a heightened number of false positives with breast MRI due to other conditions which will show enhancement on images. Additionally, ductal carcinoma-in-situ (the earliest form of breast cancer) is identifiable on MR images in approximately 50% of patients.
MRI has also been the most accurate exam for evaluating breast implants for possible complications or rupture.
Stereotactic Breast Biopsy (Back To Top)
Often suspicious breast abnormalities found on mammograms are not malignant. Stereotactic Breast Biopsy involves the nonsurgical evaluation of nonpalpable breast lesions. The procedure accurately identifies benign and malignant abnormalities. A specifically designed stereotactic mammography unit provides image guidance and allows for placement of a needle into the center of a nonpalpable breast abnormality. Through the aid of an automatic biopsy device, a cylinder of tissue is removed for evaluation. Patients rest on a table while the breast is imaged digitally and needle is placed in the center of the abnormality.
Ultrasound Core Breast Biopsy/Cyst Aspiration (Back To Top)
Ultrasound guided core biopsy has become a significant mode for diagnosing suspicious breast lesions. Breast cyst aspiration is a simple procedure designed to remove cyst fluid with ultrasound guidance. A small needle is inserted through the cyst wall to drain the fluid for further laboratory study. Tissue can also be extracted utilizing an automated system, or Mammotome® vacuum-assisted device.
Breast Needle Localization (Back To Top)
Breast needle localization is a procedure designed to locate for biopsy non-palpable (unable to be felt) breast abnormalities the localization is used prior to surgical biopsy.
Osteoporosis and Bone Densitometry (Back To Top)
Osteoporosis is a disabling disease that causes bones to become brittle, particularly among elderly women. Bones weakened by mineral loss are prone to fractures particularly in the spine and hips. Symptoms include curvature of the spine, back pain and loss of height. Low bone density is most commonly measured by Dual X-ray Absorptometry or DEXA scan which detects bone mineral density or bone mass. The scan uses very low does radiation along with highly sophisticated computerized analysis to provide reference information. The test is simple and painless and is completed in ten minutes.
Infertility Treatment (Back To Top)
Interventional radiology procedures provide infertility treatment for men and women. The most common cause of female infertility is a blockage of the fallopian tube. These tubes can become clogged or narrowed, preventing successful pregnancy. A tuboplasty is a procedure where a catheter is placed in the uterus and a contrast agent is injected through the catheter in order to produce an enhanced x-ray image of the uterine cavity and fallopian tubes to determine if and where a blockage occurs. If a blockage is identified another catheter is utilized to open the blocked tube.
The major cause of male infertility is varicoceles which are tangled blood vessels, or varicose veins, in the testicles. Through a varicocele embolization procedure a catheter is inserted through a small nick in the skin into the affected vein supplying the testicle. An embolization agent, small balloon or a tiny metal coil can be injected to block off the varicocele. From this procedure the vessel then shrinks which can eliminate the infertility problem.
Uterine Fibroid Embolization (Back To Top)
Interventional radiologists perform a new procedure known as uterine fibroid embolization in which a catheter is utilized to embolize or inject PVA (polyvinyl alcohol) in the arteries in order to block the supply of blood to fibroid tumors. In this minimally invasive procedure, the reduced or blocked blood supply to the fibroid tumors will cause the tumors to shrink. Uterine fibroids are common tumors of the female genital tract and are benign growths that develop in the muscular wall of the uterus. The size and location of the fibroids can lead to problems including pain and heavy bleeding.
Varicose Veins (Back To Top)
Varicose Veins can be relieved and eliminated with Endovenous Laser Treatment. This is an exciting minimally invasive procedure performed by one of our physicians. A tiny laser catheter is inserted into the faulty vein. The laser's heat seals the impaired vein. The procedure can be done in about one hour and requires minimal recovery. Most insurance companies cover this procedure.
To learn more or watch a video visit: www.EVLT.com
Vertebroplasty (Back To Top)
Vertebroplasty is a therapeutic procedure performed by interventional radiologists which stabilizes broken vertebrae or bones in the spine caused by osteoporosis. A needle is inserted through the skin, into the crushed vertebrae, where surgical bone cement called poly-methylmethacrylate is injected into the bone to stabilize it. More than one crushed vertebrae can be treated in a single procedure. Surgery is not required, because the radiologist can guide the needle to the exact location via special x-ray equipment. The procedure stops the pain caused by bone rubbing against bone and continuing to fracture. Most patients experience immediate pain relief.
For more information visit www.vertebroplasty.com