Female doctor smiling at patient during mammogram

Mammography

A mammogram is the best screening tool for detecting breast cancer.

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At age 40, women should start screening for breast cancer with an annual mammogram. If you are at a higher risk for developing breast cancer due to your family history, your provider may recommend starting screenings earlier. That's why it's important to talk about your risk status with your provider or a breast health specialist.

Trust Avera for the accuracy, comfort and peace of mind you want when you come in for a mammography appointment. Your mammogram will take place in a private, comfortable room where a skilled mammography technologist with advanced certification will accompany you at each step of the process.

  • Request a mammogram appointment online. You’ll receive a call back to complete your appointment scheduling.
  • Find an Avera mammography location near you, so you can call to schedule an appointment or find out if a physician order is required.
  • Seek mobile imaging services, including Avera’s mobile mammography unit, as options at outreach sites.

Breast Imaging Services

Breast imaging is important for both prevention and early detection of cancer. A screening mammogram is a test that uses X-rays to create images of the breast tissue and detects what could be early signs of cancer that can be too small to detect on your own.

Imaging recommendations for high-risk patients, such as diagnostic mammograms, breast MRI or contrast-enhanced mammography (CEM), are personalized based on the patient’s risk score, family history and personal factors. Many high-risk patients get imaging every six months based on guidelines set by the National Comprehensive Cancer Network.

3D Mammograms

With 3D technology, the machine moves around the breast in an arc to create snapshots of the breast tissue in thin layers. These images offer benefits such as:

  • Earlier detection of small breast cancers that may not be felt on self-exams
  • Clearer images of dense breast tissue
  • Greater accuracy in pinpointing size and location

Contrast-Enhanced Mammography (CEM)

If the results from your recent mammogram were inconclusive due to dense breast tissue, count on contrast-enhanced mammography to serve as a secondary tool in determining the presence or absence of breast cancer.

CEM works by using contrast uptake to highlight areas of abnormal blood flow or lesions within the breast. With these enhanced images, physicians can quickly see and diagnose an area of concern or relieve anxiety when there are negative findings.

Breast Ultrasound & Biopsy

Should your mammogram results show a questionable area, ultrasound imaging may offer an additional diagnostic tool. Based on the ultrasound examination, your radiologist may recommend an ultrasound-guided biopsy, stereotactic biopsy, CEM biopsy or MRI biopsy.

Breast MRI

In addition to mammography, your physician may recommend a breast MRI. This non-invasive imaging test uses strong magnets and radio waves to create detailed pictures of the inside of your breast.

Mammography Computer Aided Detection (CAD)

With computer-aided detection technology at Avera, a second set of “eyes” analyzes your mammography images. When used in conjunction with mammography, CAD helps identify areas of concern, so physicians can more easily detect cancer at its earliest stages.

Tips to Prepare for Your Mammogram

Experience private, comfortable and convenient mammography screenings in your community. Avera mobile units travel to Iowa, Minnesota, Nebraska, North Dakota and South Dakota to offer accredited and FDA-certified digital mammography services by registered female mammographers.

What to Expect for Your Appointment

After you schedule your mammogram appointment, you will receive a questionnaire sent to you via email or text from our screening partner Volpara.

Please fill out your family history questionnaire as best as you can before your appointment. It’s important for us to know if there’s any history of breast, ovarian or other cancers in your family. This information is helpful since genetics is a huge factor in determining your personal risk.

Woman getting her mammography screening

Before Your Test

  • Consider scheduling your appointment for the week after your period, as typically this is when your breasts are least tender.
  • Complete family history questionnaire sent to you via email or by text.
  • Wash your underarms and breasts. Do not use deodorant, lotion or powder.
  • Wear comfortable clothing with a separate top you can easily remove.
  • Arrive 10-15 minutes early to check in. Patients will complete a survey at the time of their mammogram to determine their unique risk assessment score.

During Your Test

Your breast will be gently positioned on the platform by your technologist, who will provide helpful instructions and guide you through the screening. You’ll stand still for a few seconds during the imaging process.

When positioned correctly, your breast will slowly be compressed to provide the most detailed image possible.

At your appointment, the technologist will ask if you:

  • Have any history of breast cancer yourself or in your family
  • Have noticed any abnormal breast symptoms
  • Are pregnant or could be pregnant
  • Are currently breastfeeding or stopped within the last three months
  • Have any scars or moles on or near your breasts
  • Have ever had a breast biopsy or breast surgery

After Your Test

You can resume your normal daily activities. Your images will be read by a board-certified radiologist, and the results will be sent to you and to your health care provider. You will be notified of the results in writing or in AveraChart.

Review any questions with your health care provider.

Genetic Counseling & Breast Cancer Risk

Women that are identified “high risk” may follow up at an Avera High Risk Breast Clinic, where staff assists with developing a personalized imaging plan. At the clinic, you’ll discuss risk reduction strategies with your care team and meet with a genetic counselor. Follow up with your primary care provider to see if a high-risk referral is appropriate for you.

Avera genetic counselors are specialized in genetics and risk assessments. They can help families and individuals understand and manage their chance of developing cancer based on family history and genetics. If you have an average risk score, but still have a family history of cancer, you will benefit from meeting with an Avera genetic counselor, which is a free service at Avera.

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Mammogram - genetic counselor meeting with brunette woman

Schedule Your Breast Screening

It’s important to schedule your annual screening to detect the possibility of breast cancer early.

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Schedule Your Mammogram

Time for a mammogram? Find a mammography location near you and request an appointment.

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