WRA introduces NEW LOW-DOSE
3D mammography, which reduces radiation
while maintaining exceptional image
quality and improved cancer detection rates
compared with 2D mammography alone.

Breast Tomosynthesis
Example of invasive lobular cancer better visualized on the new low-dose reconstructed 2D image.

WRA is the only DC area provider to co-author the landmark study
published in the Journal of the American Medical Association. This groundbreaking research focused on the impact of 3D mammography and demonstrated the following key findings:

Breast Tomosynthesis

Frequently Asked Questions About NEW
LOW-DOSE 3D Mammography

WHAT IS 3D MAMMOGRAPHY?

3D mammography is used in conjunction with conventional 2D mammography. The 3D portion of the mammography exam provides individual pictures of thin layers of breast tissue, and when used with 2D, increases breast cancer detection by 42%.

WHAT IS NEW LOW-DOSE 3D MAMMOGRAPHY?

Low-dose technology eliminates the need for extra 2D digital images by reconstructing two-dimensional images from the 3D mammography image data. Our radiologists review both reconstructed 2D images and 3D image slices to provide a comprehensive clinical interpretation. The combined 3D and reconstructed 2D images offer significantly improved cancer detection rates for all breast densities as compared with 2D alone.

AM I A CANDIDATE FOR LOW-DOSE 3D MAMMOGRAPHY?

WRA physicians believe all patients benefit from annual low-dose 3D mammography regardless of breast density or family history. Doctors and scientists agree that early detection is the best defense against breast cancer. A new landmark study published in the Journal of the American Medical Association shows that 3D mammography finds significantly more invasive cancers and reduces unnecessary recalls:

SHOULD I HAVE A 3D MAMMOGRAM EVEN IF I HAD ONE LAST YEAR?

Yes, we recommend all women get a 3D mammogram every year as part of their annual breast imaging exam.

  • 3D mammography has been shown in clinical studies to be more accurate than conventional mammography alone by finding more breast cancers, and more of the invasive, harmful breast cancers.
  • New low-dose 3D mammography—with the 2D composite image—provides high image quality and increased cancer detection with less compression time and reduced radiation dose.

WILL MY INSURANCE COVER THE COST OF LOW-DOSE 3D MAMMOGRAPHY?

The digitally acquired 2D portion of your mammography exam is billed to insurance as usual. At this time, insurance does not cover the 3D portion of the mammogram. The charge for low-dose 3D mammography is $50. This is an eligible expense through your flexible spending account.

Washington Radiology Associates

Breast Tomosynthesis

3D Mammography Finds More Invasive Cancers and Reduces Unnecessary Recalls, JAMA and AJR Studies Show

Dr. Julianne Greenberg of Washington Radiology Associates
co-authored two 3D mammography studies, including the largest
one to date with nearly half a million patients.

3D mammography finds significantly more invasive cancers and reduces unnecessary recalls, according to two large, retrospective studies published in The American Journal of Roentgenology (AJR) and The Journal of the American Medical Association (JAMA). The studies feature data collected from WRA’s six clinical offices in the District, Chevy Chase, Bethesda, Potomac, Fairfax and Sterling.

The studies focused on the impact of 3D mammography and demonstrated the following key findings:

AJR KEY FINDINGS (1) JAMA KEY FINDINGS (2)
44% increase in invasive cancer detected with 3D mammography 41% increase in invasive cancer detected with 3D mammography
16% decrease in recall rate from screening mammography 15% decrease in recall rate from screening mammography
29% increase in the detection of all breast cancers 29% increase in the detection of all breast cancers
(1) AJR 2014 Jun 13 [Epub ahead of print]    (2) JAMA. 2014;311(24):2499-2507. doi:10.1001/jama.2014.6095. 

“These studies confirm and expand upon what we already know: 3D mammography finds more of the invasive, harmful breast cancers, and saves many women the unnecessary anxiety and costs of a return for additional imaging for what turns out to be a false alarm,” said Julianne Greenberg, MD. “The results from the multi-center JAMA study reinforce our own scientific findings from WRA that were recently published in the AJR. Together, the results from these two studies are powerful indicators for the positive impact of 3D mammography on population-based breast cancer screening.”

In October 2011, WRA was the first to bring 3D mammography to women in DC, Maryland and northern Virginia and has offered this new technology at its six clinical offices since February 2012. WRA physicians have performed approximately 115,000 3D mammograms to date. The practice was the first in the area to install low-dose 3D mammography technology, and will be the first to offer the benefits of low-dose 3D with computer-aided detection (CAD) later this year.

These studies were published in advance of print on the AJR and JAMA websites.
http://www.ajronline.org/doi/abs/10.2214/AJR.14.12642
http://jama.jamanetwork.com/article.aspx?articleid=1883018

Breast Tomosynthesis

The Most Experienced Provider Of

3D Mammography

In DC, Maryland & Northern Virginia

Over a year ago Washington Radiology Associates was the first to bring 3D Mammography to women across the DC metro area. We’ve performed more than 80,000 exams using this state of the art technology. With 3D Mammography, our physicians are currently experiencing increases in breast cancer detection of 38%, and reduced patient callback rates of 20 to 30%.

Advantages of 3D Mammography:

  • Improved Cancer Detection
  • Reduced False Positives
  • Better Visualization
  • Less Patient Anxiety

3D Mammography gives radiologists the ability to view inside the breast layer by layer, helping to see the fine details more clearly by minimizing overlapping tissue.

A Message From WRA’s Director of Breast Imaging

Welcome to Washington Radiology Associates. My name is Dr. Julianne Greenberg, and I am the Director of Breast Imaging for WRA. I want you to know that we now provide a new, highly beneficial technology called 3D mammography (breast tomosynthesis). I strongly encourage you to take advantage of this technology for your mammogram today. 3D mammography is helping us every day to find more early curable breast cancers.

Since August, 2011 WRA has performed more than 80,000 mammograms using 3D technology. Our extensive experience has shown that:

  • WRA physicians are finding 38% more breast cancers when compared with standard 2D mammography
  • WRA patients are being called back for additional imaging 20 to 30% less frequently from their screening mammogram, which significantly decreases patient anxiety, expense and inconvenience.

Our team of WRA breast imaging physicians believe strongly that 3D technology is beneficial for all our mammography patients — whether your breast tissue is fatty or dense, whether you have a history of breast cancer or not, and whether you are at high risk or not. 3D mammography allows us to examine your breast tissue in far greater detail and feel much more confident that we have the best information available when interpreting your study.

3D mammography has exceeded our expectations and we are confident in its benefits. Although insurance companies do not currently cover this service, we encourage every woman, as I have done personally, to take advantage of 3D mammography. Please let our front desk staff or our technologists know if you have any questions.

Wishing you the best of health,
Julianne Greenberg, MD

Frequently Asked Questions About 3D Mammography

WHAT IS 3D MAMMOGRAPHY?

3D mammography is a revolutionary state of the art technology approved by the FDA in February 2011, which gives radiologists the ability to view inside the breast layer by layer, helping to see the fine details more clearly by minimizing overlapping tissue. During a 3D mammogram, multiple low-dose images known as “slices” of the breast are acquired at different angles. With 3D technology, the radiologist can view a mammogram in a way never before possible.

Is 3D a separate exam or part of my usual mammogram?

The 3D exam is a separate procedure that is performed at the same time as your regular mammogram.

HOW LONG WILL IT TAKE?

The exam will take about 4 seconds longer per view while in compression.

WHAT IS THE COST?

The charge for 3D mammography is $50. This is an eligible expense through your flexible spending account.

WILL MY INSURANCE COVER THE COST?

No. At this time, insurance does not cover the 3D portion of the mammogram. However, the 2D portion of the exam is billed to your insurance as usual.

WHAT ARE THE BENEFITS?

3D mammography results in Superior Clinical Performance through:

EARLIER DETECTION By minimizing the impact of overlapping breast tissue, 3D mammography can help improve breast cancer screening and detection. With 3D mammography, WRA radiologists are currently experiencing a 30 percent increase in breast cancer detection.

FEWER CALLBACKS 3D mammography helps distinguish harmless abnormalities from real cancers, leading to fewer callbacks and less anxiety for women. With 3D mammography, WRA radiologists have reduced patient callback rates by 20-30 percent.

BETTER VISUALIZATION Radiologists can better see the size, shape and location of an abnormality.

HOW MUCH RADIATION WILL I BE EXPOSED TO?

It varies from person to person and is roughly equivalent to film/screen mammography. The amount of radiation is below government safety standards.

HOW MANY 3D MAMMOGRAMS HAS WRA PERFORMED?

WRA is the most experienced 3D mammography provider in the Washington DC area and has performed more than 80,000 3D mammograms since August 2011. 3D mammography is in breast centers all over the country (over 46 states) and there have been millions of 3D mammograms performed on patients since it was approved in February 2011.

AM I A CANDIDATE FOR 3D MAMMOGRAPHY?

WRA physicians believe that all patients benefit from this revolutionary technology regardless of breast density or family history. Doctors and scientists agree that early detection is the best defense against breast cancer. 3D mammography has been shown in clinical studies to be more accurate than conventional mammography alone by detecting cancers earlier.

Should I have a 3D mammogram even if I had one last year?

Yes! At WRA, we recommend that all women get a 3D mammogram every year as part of their annual mammography examination. Early detection provides the greatest chance for finding curable breast cancers and the best chance for early detection is with 3D mammography. Women should ask for this new technology which, in our experience, increases breast cancer detection by 38%. It’s truly an important component in the screening process.

What if my doctor did not mention 3D mammography to me?

3D is an optional service at this time and elected by the patient. Many physicians know about our new 3D technology and the feedback we have received has been very positive. If you need additional information to help you make this decision, please let the front desk know you’d like to speak to a technologist.

WHY IS WRA OFFERING 3D MAMMOGRAPHY?

WRA prides itself on offering the highest quality care for our patients. We were the first to provide 3D mammography in the Washington DC metro area, and currently we’re the largest provider in the world of this revolutionary technology. Our radiologists believe strongly that 3D mammography will benefit our patients.


A year ago, Buddy Check 9 reported on ground breaking technology that would change the way breast cancer is detected and diagnosed. 3D Tomosynthesis was seen as the most significant advancement in breast imaging in nearly four decades.


WRA President Edward Lipsit, MD talks with NBC 4 News about using 3D Mammography to increase breast cancer detection.


WRA is first in Northern Virginia, Washington DC and Maryland to offer 3D Mammography, a breakthrough technology in the diagnosis of breast cancer.


ABC-7 News reports on the benefits of 3D Mammography featuring WRA Radiologist Julianne Greenberg, MD.


Dr. Julie Greenberg, Director of WRA Breast Imaging, discusses 3D Mammography with CBS WUSA 9 News anchor Andrea Roane.

WRA 3D MAMMOGRAPHY LOCATIONS:

 

WASHINGTON, DC

2141 K Street, NW, Suite 200
Washington, DC 20037
phone 202-223-9722 / fax 202-659-2819

 

MARYLAND

10215 Fernwood Road
Camalier Building, Suite 103
Bethesda, MD 20817
phone 301-564-1053 / fax 301-493-8522

4445 Willard Avenue, Suite 200
Chevy Chase, MD 20815
phone 301-654-4242 / fax 301-907-7414

12505 Park Potomac Avenue, Suite 120
Potomac, MD 20854
phone 240-223-4700 / fax 240-223-4701

 

VIRGINIA

3022 Williams Drive
Four Seasons Three, Suite 204
Fairfax, VA 22031
phone 703-698-8800 / fax 703-573-2318

Lakeside @ Loudoun Tech Center 1
21351 Ridgetop Circle, Suite 100
Sterling, VA 20166
phone 571-434-0140 / fax 571-434-0144

Washington Radiology Associates

Washington Radiology Is First In the DC Metro Area To Offer 3D Mammography

Washington Radiology Associates is proud to be one of the first imaging centers in the nation — and first in the DC metropolitan area — to offer 3D mammography, a breakthrough technology in the diagnosis of breast cancer.

This recently FDA-approved technique, also known as “tomosynthesis,” produces three dimensional views of the breasts. 3D tomosynthesis currently does not replace the traditional 2D mammographic views. It is a series of very low dose images that are viewed by a radiologist in a video-type format. With the addition of 3D tomosynthesis to the traditional mammogram, WRA radiologists will be able to improve breast cancer detection while decreasing the number of patients we call back for additional testing.

The total x-ray dose for combined 2D and 3D mammography is less than the FDA mandated limits, and it is similar to conventional film-screen mammography. Since 3D tomosynthesis can

markedly reduce the need for additional mammographic views, in some women the overall radiation dose will actually be decreased.

3D mammography is now available as a voluntary addition to traditional mammography at our DC, Potomac, Bethesda, Chevy Chase, Fairfax and Sterling locations for patients undergoing both screening and diagnostic mammography.

In a "conventional" 2D mammogram there appears to be an area of concern that the doctor may want to further investigate with another mammogram or a biopsy. Looking at the same breast tissue in 3D “breast tomosynthesis” image slices, the doctor can now see that the tissue is in fact normal breast tissue that was overlapping in the traditional mammogram creating the illusion of an abnormal area. In this scenario this patient likely avoided a callback for an additional mammogram thanks to the tomosynthesis exam technology.

Washington Radiology Associates