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Radiology technician reviewing a mammogram

Breast Diagnostic Services

If the radiologist sees something abnormal on your screening mammogram, you may be referred for one or more diagnostic tests. Keep in mind, an abnormal mammogram doesn’t necessarily mean you have breast cancer. It just tells our team that you need additional testing for an accurate diagnosis.

After a screening mammogram, you will receive your results in the mail. If anything abnormal is detected on your mammogram, someone from our team will call you to discuss your results. If you have an abnormal reading from a screening, or have signs or symptoms, you will be scheduled for a diagnostic exam. If the radiologist remains concerned after the exam, then additional tests or a breast biopsy may be recommended and scheduled, all before you leave your appointment.

We offer most diagnostic examinations at our main location. We also offer diagnostic examinations at our Pelham location for patients who were screened at that practice.

Personal Breast Imaging Navigators

Our team is here for you as you undergo testing. We have two full-time breast imaging navigators on staff. Both navigators are certified mammography technologists who will assist in coordinating your breast imaging care once it has been identified that you have an abnormal mammogram. They will:

  • Answer questions about your results
  • Explain recommendations about next steps
  • Schedule you for additional appointments, such as a biopsy
  • Connect you with community or Gibbs Cancer Center resources

Diagnostic Breast Imaging Clinic

If you have any signs or symptoms, or a recent abnormal screening mammogram, we will refer you to one of two Diagnostic Breast Imaging Clinics, located in Spartanburg and Pelham. Our caring team will guide you during this follow-up appointment, perform additional screenings, review your results with you and discuss next steps, if needed.

The clinic is open Monday through Thursday from 12:30 p.m. to 4 p.m. and Friday from 7:30 a.m. to 12 p.m. It is staffed with certified mammography and ultrasound technologists, and two radiologists who are specially trained in breast imaging.

Upon entering our clinic, you will complete registration and then be escorted to the appropriate exam area. For your comfort, a robe will be provided to wear during the exam.

The technologist will ask you about your breast-related health history and will perform the breast imaging study that was ordered by your referring clinician. Then, while you wait, the technologist will present your case to one of the radiologists.

The radiologist will carefully review your history and imaging studies. Based on this review, we will create an individual plan for you. The plan may include additional views, a breast ultrasound or a breast biopsy.

After the exams and reviews are completed, we will give you your written results. If you need additional testing at that point, we will schedule the appointment before you leave. Your follow-up appointments will be managed by our breast imaging navigators.

Breast Ultrasound

Breast ultrasound is used primarily in conjunction with mammography to evaluate specific problem areas that were identified in a screening. Ultrasound (also called sonography) can often distinguish between a liquid-filled cyst and a solid mass, such as a cancerous tumor.

Breast MRI

Breast MRI uses a magnetic force to evaluate the breast tissue. This test is used for:

  • Checking breast implants for leaks or ruptures
  • Determining the extent of existing cancer
  • Further evaluating areas of concern
  • Women at high risk of developing breast cancer

Bearden-Josey Center for Breast Health is one of the only facilities in the region equipped with a 3 Tesla magnetic resonance imaging (MRI) scanner – the most powerful scanners available for clinical use. Because the 3 Tesla is two-to-five-times stronger than a standard MRI, it produces the clearest, most detailed images, so you can count on the most accurate diagnosis.

Image-Guided Breast Biopsy

Image-guided breast biopsy is a non-surgical procedure that uses a needle to remove a small sample of suspicious breast tissue for the pathologist to analyze for the presence of breast cancer.

Needle Localization

Needle localization is a pre-surgical procedure performed under local anesthesia where a wire is inserted into the lesion that will be surgically removed It helps the surgeon accurately remove the suspicious tissue while minimizing the removal of healthy breast tissue.

Multidisciplinary Care Conferences

If you are diagnosed with breast cancer, our team participates in weekly Multidisciplinary Care Conferences to ensure you are receiving the most effective and appropriate treatment. Our multidisciplinary team is a close collaboration among:

  • Oncologists
  • Radiologists
  • Surgeons
  • Pathologists
  • Genetic counselors
  • Nurses
  • Nurse practitioners
  • Integrated healing therapists

The team comes together for a weekly conference to create a precise treatment plan based on your specific health risks and physical condition.

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